This document is a tax election/declaration of tax status form, indicating the client's tax status as a U.S. citizen or resident alien. It includes a substitute Form W-9 for requesting a taxpayer identification number and certification. The form is incomplete with missing personal information such as name, address, and TIN. The client certifies under penalties of perjury that the information provided is correct and that they are not subject to backup withholding. The document also provides instructions for non-U.S. persons to submit Form W-8 to certify foreign status.
doj/DataSet10/EFTA01392883.pdf
{"document_date":"2013-09-11","document_type":"financial","document_subtype":"Tax Election/Declaration of Tax Status","key_organizations":["Internal Revenue Service (IRS)"],"reference_numbers":["13-AWM-0196","012145.032813","DB-SDNY-0098179","SDNY_GM_00244363","EFTA01392883"]}