Signature and Consent Sample Clauses

Signature and Consent. An authorized representative of the issuer must sign Form 8038-G and any applicable certification. Also print the name and title of the person signing Form 8038-G. The authorized representative of the issuer signing this form must have the authority to consent to the disclosure of the issuer's return information, as necessary to process this return, to the person(s) that have been designated in Form 8038-G.

Signature and Consent. My signature below indicates that I am the parent/legal guardian of this child, and that he/she is not a xxxx of the state or other agency. I have read the above information about the study, Exercise Aspects of

Signature and Consent. UNDER PENALTIES OF PERJURY UNDER THE LAWS OF THE UNITED STATES OF AMERICA, I CERTIFY THAT ALL OF THE INFORMATION PROVIDED ON THIS FORMER PARTICIPANT CLAIM FORM IS TRUE, CORRECT AND COMPLETE AND THAT I SIGNED THIS FORMER PARTICIPANT CLAIM FORM. Participant Signature Date (Required) Enter Your Social Security Number: □□□-□□-□□□□ Under penalties of perjury, I certify that: 1. The Social Security number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. Person (including a U.S. resident alien). W-9 Signature: W-9 Date: / / Note: if you have been notified by the IRS that you are subject to backup withholding, you must cross out item 2 above. The IRS does not require your consent to any provision of this document other than this Form W-9 certification to avoid backup withholding XXXX XXXXX, et al., vs. XXXXXX XXXXXX XXXXXXXX XXXXX XXXXXXXX XXXXXXXX XX XXXXXXXX No. 06-cv-743-NJR-DGW THE BOEING COMPANY, et al.,

Signature and Consent. Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that I consent to the IRS’s disclosure of the issuer’s return information, as necessary to process this return, to the person that I have authorized above. Signature of issuer’s authorized representative 2/12/2021 Date

Signature and Consent. An authorized representative of the issuer must sign Form 8038-G and any applicable certification. Also print the name and title of the person signing Form 8038-G. The authorized representative of the issuer signing this form must have the authority to consent to the disclosure of the issuer's return information, as necessary to process this return, to the person(s) that have been designated in Form 8038-G. Generally, anyone who is paid to prepare a return must sign it and fill in the other blanks in the Paid Preparer Use Only area of thereturn. The paid preparer must: Sign the return in the space provided for the preparer's signature (a facsimile signature isacceptable), Enter the preparer information, and Give a copy of the return to the issuer.

Signature and Consent. Paid Preparer‌