Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Under penalties of Perjury, Issuer certifies that: (1) The tax identification number provided to Escrow Agent is the correct taxpayer identification number and (2) Issuer is not subject to backup withholding because: (a) Issuer is exempt from backup withholding, or, (b) Issuer has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding. Notification Obligation: Issuer agrees to immediately inform Prime Trust in writing if it has been, or at any time in the future is notified by the IRS that Issuer is subject to backup withholding.
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Under penalties of Perjury, Issuer certifies that: (1) the tax identification number provided to Escrow Agent is the correct taxpayer identification number and (2) Issuer is not subject to backup withholding because: (a) Issuer is exempt from backup withholding, or, (b) Issuer has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding. Notification Obligation: Issuer agrees to immediately inform Prime Trust in writing if it has been, or at any time in the future is notified by the IRS that Issuer is subject to backup withholding. Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed FundAmerica in writing to the contrary; and 3) our Company is a U.S. domiciled business.
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: To The Stars Academy of Arts and Science Inc. Tax Identification Number: 80-0000000 Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime Trust in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Custodial Agreement as well as ongoing disclosures, communications, and notices. Agreed as of the date set forth above by and between: To The Stars Academy of Arts and Science Inc. By: __________________ Name:______ Lxxx Xxxxxxxx Title:_______ Officer Prime Trust, LLC By:____________________ Name:__________________ Title:___________________ Exhibit A Fees and Costs July 24, 2017 Summary of Fiduciary & Administrative Fees Trust (fiduciary) Set-Up Annual College $0 $0* Personal Savings $0 $0* Family $1,500 $795 Dynasty $3,500 $795 Life Insurance $1,250 $795 plus $100 per policy Other, Specialized Varies Custodial & Retirement Set-Up Annual Self-Directed IXX $0 $395 Prime Managed IXX $0 $0 Custody, Self-Directed (cash & securities) $0 $195 Fiduciary Services & Administration Assessed Fees Funds Processing - Wire $15 domestic/ $35 international - Check $10 - ACH/eCheck $0.50 - Credit Card 3% - Debit Card 1% - Returned payment fee $35 Review & Process Disbursement Requests $35 Real Estate Deposit or Purchase/Sale & Title Update $400 plus costs Real Estate Management Fee $295/yr per property Business Interest Deposit & Title Update $250 Legal as incurred Staff Costs - Trust Officer $150/hr - Sr Trust Officer $350/hr - Chief Trust Officer $750/hr - Accounting $100/hr - Administration Asst $85/hr Co-Trustee, Protector, or Investment Committee 35bps Trust Termination $495 Tax Returns for NING Trusts or Other Trusts $600 Self-Directed Asset Purchase- DTC Eligible $35 Self-Directed Asset Purchase- Private, non-DTC Eligible $65 plus costs * Fee is $0 provided the only asset deposited & managed is cash. For trusts with non-cash depos...
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: [●] Tax Identification Number: [●] Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Custodial Agreement as well as ongoing disclosures, communications, and notices. Agreed as of the date set forth above by and between: STREAMNET, INC. By: /s/ Xxxxxx Xxxxx Name: XXXXXX XXXXX Title: CEO PRIME TRUST, LLC By: Name: Title: Exhibit A Fees and Costs
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement.
Substitute Form W. 9. Each tendering stockholder is required to provide the Depositary with a correct Taxpayer Identification Number ("TIN") on the Substitute Form W-9, which is provided under "Important Tax Information" below, and to certify whether such stockholder is subject to backup withholding of federal income tax. If a tendering stockholder has been notified by the Internal Revenue Service that such stockholder is subject to backup withholding, such stockholder must cross out item (2) of the certification box of the Substitute Form W-9, unless such stockholder has since been notified by the Internal Revenue Service that such stockholder is no longer subject to backup withholding. Failure to provide the information on the Substitute Form W-9 may subject the tendering stockholder to 31% federal income tax withholding on the payment of the purchase price of all Shares purchased from such stockholder. If the tendering stockholder has not been issued a TIN and has applied for one or intends to apply for one in the near future, such stockholder should write "Applied For" in the space provided for the TIN in Part I of the Substitute Form W-9, and sign and date the Substitute Form W-9. If "Applied For" is written in Part I and the Depositary is not provided with a TIN within 60 days, the Depositary will withhold 31% on all payments of the purchase price to such stockholder until a TIN is provided to the Depositary. IMPORTANT: THIS LETTER OF TRANSMITTAL OR A FACSIMILE HEREOF, PROPERLY COMPLETED AND DULY EXECUTED (TOGETHER WITH ANY REQUIRED SIGNATURE GUARANTEES AND SHARE CERTIFICATES OR CONFIRMATION OF BOOK-ENTRY TRANSFER AND ALL OTHER REQUIRED DOCUMENTS) OR A PROPERLY COMPLETED AND DULY EXECUTED NOTICE OF GUARANTEED DELIVERY MUST BE RECEIVED BY THE DEPOSITARY PRIOR TO THE EXPIRATION DATE (AS DEFINED IN THE OFFER TO PURCHASE). IMPORTANT TAX INFORMATION Under the federal income tax law, a stockholder whose tendered Shares are accepted for payment is required by law to provide the Depositary (as payer) with such stockholder's correct TIN on Substitute Form W-9 below. If such stockholder is an individual, the TIN is such stockholder's social security number. If the Depositary is not provided with the correct TIN, the stockholder may be subject to a $50 penalty imposed by the Internal Revenue Service. In addition, payments that are made to such stockholder with respect to Shares purchased pursuant to the Offer may be subject to backup withholding. Certain stockholders (including, ...
Substitute Form W. 9: Section 6109 of the Internal Revenue Code requires Issuer to provide the correct Taxpayer Identification Number (TIN). Under penalties of Perjury, Issuer certifies that: (1) the tax identification number provided to Escrow Agent is the correct taxpayer identification number and (2) Issuer is not subject to backup withholding because: (a) Issuer is exempt from backup withholding, or, (b) Issuer has not been notified by the Internal Revenue Service that it is subject to backup withholding. Issuer agrees to immediately inform Escrow Agent in writing if it has been, or at any time in the future is, notified by the IRS that Issuer is subject to backup withholding.
Substitute Form W. 9- TAXPAYER IDENTIFICATION NUMBER CERTIFICATION
Substitute Form W. 9 — TAXPAYER IDENTIFICATION NUMBER CERTIFICATION: Section 6109 of the Internal Revenue Code requires us to provide you with our Taxpayer Identification Numbers (TIN). Company Name: Duke Robotics, Inc. Tax Identification Number: 00-0000000 Company Name: JumpStart Securities, LLC Contact: Xxxxxxxx Xxxx Address: 0000 Xxxxxxxxx Xxxx, XX 0xx Xxxxx Xxxxxxx, XX 00000 Tax ID Number (EIN): 000000000 ☒ We are exempt from backup withholding. Under penalties of perjury, JumpStart Securities hereby certifies that the number shown above is our correct taxpayer identification number, that we are not subject to backup withholding, and that we are a U.S. person.
Substitute Form W. 9: Under penalties of perjury, I certify that (1) the Social Security Number or Taxpayer Identification Number given below is correct; and (2) I am not subject to backup withholding. (INSTRUCTION: YOU MUST CROSS OUT ITEM (2) DIRECTLY ABOVE IF YOU HAVE BEEN NOTIFIED BY THE INTERNAL REVENUE SERVICE THAT YOU ARE SUBJECT TO BACKUP WITHHOLDING BECAUSE OF UNDER-REPORTING INTEREST OR DIVIDENDS ON YOUR TAX RETURN.)
