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S. citizen or other U.S. person defined below. You must select this check box if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return* If you make a false statement with no reasonable basis that results in no backup withholdings you are subject to a 500 penalty. Willfully falsifying certifications or affirmations on this form may subject you to criminal penalties including fines and/ ...

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