Substitute Form W-9; Qualified Settlement Fund. The Company shall provide the Escrow Agent with a correct taxpayer identification number on a substitute Form W-9 or if it does not have such a number, a statement evidencing its status as an entity exempt from back-up withholding, within 30 days of the date hereof (and, if it supplies a Form W-9, indicate thereon that it is not subject to be treated as a Qualified Settlement Fund for federal or state tax purposes pursuant to Treas. Reg. § 1.468B-1). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under Treas. Reg. § 1.468B, and if requested to do so shall join in the making of the relation-back election under such regulation. COMPANY: By: Title: Date: ESCROW AGENT: By: Title:
Substitute Form W-9; Qualified Settlement Fund. Each signatory to this Escrow Agreement shall provide the Escrow Agent with a correct taxpayer identification number on a substitute Form W-9 or if it does not have such a number, a statement evidencing its status as an entity exempt from back-up withholding, within 30 days of the date hereof (and, if it supplies a Form W-9, indicate thereon that it is not subject to backup withholding). The escrow established pursuant to this Escrow Agreement is intended to be treated as a Qualified Settlement Fund for federal tax purposes pursuant to Treas. Reg. § 1.
Substitute Form W-9; Qualified Settlement Fund. The Company shall provide the Escrow Agent with a correct taxpayer identification number on a substitute Form W-9. If the company does not have such a number, a statement evidencing its status as an entity exempt from back-up withholding, within thirty (30) days of the date hereof (and, if it supplies a Form W-9, indicate thereon that it is not subject to be treated as a Qualified Settlement Fund for federal or state tax purposes pursuant to 26CFR1.468B-1). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under 26CFR1.468B, and if requested to do so shall join in the making of the relation-back election under such regulation.
Substitute Form W-9; Qualified Settlement Fund. The Company shall provide the Escrow Agent with a correct taxpayer identification number on the most recently published Form W-9 (or W-8 for a foreign entity) as authorized by the U.S. Internal Revenue Service (“IRS”). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under 26 CFR 1.468B, and if requested to do so shall join in the making of the relation-back election under such regulation. COMPANY: By: Title: Date: ESCROW AGENT:
Substitute Form W-9; Qualified Settlement Fund. The Company shall provide the Escrow Agent with a correct taxpayer identification number on the most recently published Form W-9 (or W-8 for a foreign entity) as authorized by the U.S. Internal Revenue Service (“IRS”). If the Company does not have such a number, a statement properly completed by it and expressly authorized by the IRS evidencing its status as an entity exempt from back-up withholding, within thirty (30) days of the date hereof (and, if it supplies a Form W-9, indicate thereon that it is not subject to be treated as a Qualified Settlement Fund for federal or state tax purposes pursuant to 26CFR1.468B-1). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under 26CFR1.468B, and if requested to do so shall join in the making of the relation-back election under such regulation. COMPANY: By: Title: Date: ESCROW AGENT: By: Title:
Substitute Form W-9; Qualified Settlement Fund. Each of the signatories to this MFN Escrow Agreement shall provide the MFN Escrow Agent with a correct taxpayer identification number on a substitute Form W-9 within 90 days of the date hereof and indicate thereon that it is not subject to backup withholding. It is anticipated that the MFN Escrow Account established pursuant to this MFN Escrow Agreement shall be treated as a Qualified Settlement Fund for federal tax purposes pursuant to Treas. Reg. ss. 1.468B-1.
Substitute Form W-9; Qualified Settlement Fund. The Company shall provide the Escrow Agent with a correct taxpayer identification number on a substitute Form W-9 or if it does not have such a number, a statement evidencing its status as an entity exempt from back-up withholding, within 30 days of the date hereof (and, if it supplies a Form W-9, indicate thereon that it is not subject to be treated as a Qualified Settlement Fund for federal or state tax purposes pursuant to Treas. Reg. § 1.468B-1). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under Treas. Reg. § 1.468B, and if requested to do so shall join in the making of the relation-back election under such regulation. COMPANY: ____________________________ BY: ________________________ TITLE: _____________________ DATE: _____________________ ESCROW AGENT: ____________________________ BY: ________________________ TITLE: _____________________ DATE: _____________________
Substitute Form W-9; Qualified Settlement Fund. The Company shall provide the Escrow Agent with a correct taxpayer identification number on a substitute Form W-9 or if it does not have such a number, a statement evidencing its status as an entity exempt from back-up withholding, within 30 days of the date hereof (and, if it supplies a Form W-9, indicate thereon that it is not subject to be treated as a Qualified Settlement Fund for federal or state tax purposes pursuant to Treas. Reg. § 1.468B-1). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under Treas Reg. § 1.468B, and if requested to do so shall join in the making of the relation-back election under such regulation. COMPANY: (Please indicate each entity that comprises the Company) Name of Company By: Signature Printed Name Printed Title Date COMPANY: Name of Company By: Signature Printed Name Printed Title Date ESCROW AGENT: By: Signature Printed Name Title:
Substitute Form W-9; Qualified Settlement Fund. Each of the signatories to this State Escrow Agreement shall provide the State Escrow Agent with a correct taxpayer identification number on a substitute Form W-9 within 90 days of the date hereof and indicate thereon that it is not subject to backup withholding. It is anticipated that the State Escrow Account established pursuant to this State Escrow Agreement shall be treated as a Qualified Settlement Fund for federal tax purposes pursuant to Treas. Reg. ss. 1.468X-x.
