Common use of Substitute Form W-9; Qualified Settlement Fund Clause in Contracts

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. 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. 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: ESCROW AGENT: By: By: Title: Title: Date: ESCROW AGENT: By: TitleDate:

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-11 .468B-1). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under Treas. Reg. § 1.468B1 .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. 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 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 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. 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-1l.468B-l). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitation, those imposed under Treas. Treas Reg. § 1.468Bl .468B, and if requested to do so shall join in the making of the relation-back election under such regulation. COMPANY: By: Signature Printed Name Title: Date: ESCROW AGENT: By: Signature Printed Name Title:

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. 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: Signature Printed Name Title: Date: ESCROW AGENT: By: Signature Printed Name Title:

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 applicable, 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. § 0 1.468B-1). The Escrow Agent shall comply with all applicable tax filing, payment and reporting requirements, including, without limitationlimitation where applicable, those imposed under Treas. Reg. § 0 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. 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. The Company shall provide the Escrow Agent with a correct taxpayer identification number on a substitute Form W-9 or if it 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 30 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 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: