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RECORDS KEEPING COMPLIANCE FORM PURSUANT TO 18 U.S.C.

2257

MODEL IDENTIFYING INFORMATION AND AFFIDAVIT: Model understands that all the information given in

this Agreement is being provided to comply with federal law and any false statement will subject Model to both a civil action by Producer as well as criminal prosecution under federal and state law.

a.

Legal Name: Jesse Jones (Full Current Legal Name First, Middle, Last)

b. Date of Birth:

06/04/1986 (Month, Day, Year)

Age: 25

c.

Primary identification document must be government issued passport, driver s license, motor vehicle department ID, or military ID.

ID Type

Driver's License

ID #

27681841

d.

All other names previously used (include previous legal names, stage names, web handles, maiden or married names, aliases, professional names and nicknames). (1) JohnnyMencini (Stage name for this production) (2) (Maiden name if applicable) (3) (Previous legal name if applicable) (a) (All other names) (b) (All other names) (c) (All other names)

e. f. g.

Address Phone

219 Clear Springs Ct., Indian Trail, NC 28079 United States 7049354907 149866879 Email amaproblog@gmail.com

Social Security #

(US Models Only)

SWORN STATEMENT: "UNDER 28 U.S.C. 1746 AND THE PENALTIES OF PERJURY UNDER THE LAWS OF THE UNITED STATES, I SWEAR THAT THE FOREGOING IS TRUE AND CORRECT AND THAT EACH OF THE IDENTIFICATION DOCUMENTS WHICH I HAVE PROVIDED AND OF WHICH I HAVE SIGNED THE ATTACHED COPY WAS LAWFULLY OBTAINED BY ME AND HAS NOT BEEN FORGED OR ALTERED."

Signature: (Models Signature)

Todays Date: 09/17/2011

VIDEO CONFERENCE MODEL AGREEMENT

This Agreement is entered into by and between V Entertainment USA, Inc. dba InternetModeling.com (the "Agency"), a Florida corporation, located at 4465 W. Gandy Blvd. Ste 600, Tampa, FL 33611, and Jesse Jones (the "Model"), residing at 219 Clear Springs Ct., Indian Trail, NC United States . WHEREAS, AGENCY is engaged in the business of Internet Video conferencing; and WHEREAS, Model is a performer in the business of originating, producing and providing original live entertainment for transmission and broadcast over the Internet; and WHEREAS, AGENCY desire to allow Model to engage in lawful performance of the live entertainment that Model originates and produces for customers accessing the Internet site, AGENCY; and WHEREAS Model desires to utilize AGENCY, on the terms and conditions stated herein; NOW, THEREFORE, for valuable consideration, the receipt of which is hereby acknowledged and in further consideration of the mutual promises set forth herein, it is hereby agreed between the parties as follows: 1. Model hereby agrees, represents and warrants: 1.1 Model will remain solely responsible for all of the Content for distribution via the AGENCY website. The term "Content" as used in this Agreement shall be meant to include all real-time or archived digital images, video chat sessions, recorded performances, audio, text, and other similar materials created by the Model. 1.2 Model agrees there is to be no nudity in any designated free areas on AGENCY. Appropriate lingerie shall be worn at all times in such designated areas. Lingerie is also acceptable in all chats including, free, semi, and private. 1.3 Model warrants and represents he/she is a consenting adult over the age of eighteen (18) years and has provided acceptable proof of age which shall consisting of a valid government photo identification document (passport, state driver license, military identification card, or state photo identification card). Model must provide AGENCY with a color, digitally scanned copy of such documentation and email such depiction to AGENCY in JPG, GIF, PDF, or TIF format. Photocopies of such documentation will not be accepted. A Model will not be issued an account at AGENCY until the age verification identification has been submitted and accepted by AGENCY. 1.4 Model shall fully complete the RECORDS KEEPING COMPLIANCE FORM PURSUANT TO 18 U.S.C. 2257 and return it to A GENCY. A Model will not be issued an account at AGENCY until the statement has been submitted and accepted by AGENCY. 1.5 Model agrees that he/she will not violate any law concerning obscenity. A Model may not portray depictions of sex involving any person under the age of eighteen (18) years of age, rape, incest, torture, bestiality, fisting, necrophilia, any form of child pornography, urination, and or defecation. 1.6 Model agrees that he/she will not solicit sexual services while using the AGENCY web site for any sexual favors either monetary or gratuitously and such behavior is grounds for immediate termination of this contract. 1.7 Model represents to AGENCY that the Content complies with the laws and regulations applicable in (i) Model s country of origin, (ii) Model s local community, and (iii) the United States. 1.8 Model will furnish, at her expense, all property, space, computers, computer equipment, furniture, clothing, lingerie, materials, etc., used in the course of the creation of the Content. 1.9 Model agrees to provide, at its sole cost and expense and solely for her own benefit, all equipment necessary to access the Web Site from the remote broadcast location. By way of example only, this may include a home computer, a video camera that connects to a home computer and an Internet connection (cable or DSL) of at least 512 Kb (kilobit) upstream and 256 Kb (kilobit) downstream per video stream. Model shall be solely obligated to ensure that any equipment purchased or otherwise acquired is in furtherance of her activities and is compatible with the Web Site. 1.10 Model hereby agrees to and expressly consents to AGENCY s right to access, monitor and/or record the video chat sessions and/or the C ontent to ensure compliance with AGENCY s policies as set forth on the AGENCY web site and/or the laws and regulations of (i) the M odel s country of origin, (ii) the Model s local communities, and (iii) the United States.

2. AGENCY hereby agrees, represents and warrants: 2.1 AGENCY hereby grants to Model a non-exclusive, non-transferable, royalty-free, and worldwide license to use and display the AGENCY trademarks and/or service marks, AGENCY for the sole purpose of advertising and promoting the Content that Model distributes via the AGENCY web site. 2.2 AGENCY shall allow Model to use the Content for her own personal portfolio or web site, provided that such use is noncommercial and prior written consent has been obtained from AGENCY whereupon such consent shall not be unreasonably withheld. 2.3 During the term of this Agreement and on the terms and conditions set forth herein, AGENCY agrees to provide Model with access to broadcast on the AGENCY Web site or network, for the purpose of providing the Performance for AGENCY s customers for a portion of the gross revenue collected for said services as published on AGENCY s website.

3. Intellectual Property 3.1 Model hereby represents that he/she created and thus owns or has obtained all intellectual property rights, interests, and licenses in the Content. Model may not reproduce in the respective Content, any copyrighted material, trademarks, service marks, or other proprietary information of third parties without obtaining the prior written consent of the owner of such proprietary rights. 3.2 Model, expressly grants to AGENCY full license to use any and all copyrights, trademarks, service marks, trade secrets, and all other proprietary rights in and to the Content, or any portion thereof, via an unlimited, perpetual, worldwide, royalty-free, irrevocable, sublicensable, transferable, exclusive license to AGENCY. With the rights granted herein, AGENCY may, without limitation, use, distribute, reproduce, display, perform, publish, modify, adapt, translate, transmit, market, import, export, promote and/or create derivative works of the Content in any medium or technology whatsoever, now known or to be developed in the future. Model further agrees that AGENCY shall be the sole owner and holder of all copyrights and all other proprietary rights in and to any and all derivative works created from the Content. 3.3 For the sole purpose of legitimately promoting AGENCY on Model s personal web site or web space as provided to Model via A GENCY, AGENCY hereby grants Model a non-exclusive, non-transferable, royalty-free, worldwide sublicense to use the designated AGENCY name, trademark or service mark and the Content. The Content shall not be used by Model for any commercial purpose, without first obtaining prior written consent of AGENCY. 3.4 Nothing contained in this Agreement shall be construed as a grant or assignment of any rights in any intellectual property owned by AGENCY, including, without limitation, any of its trademarks or service marks. No use of these marks shall be permitted except through the prior written authorization and permission of AGENCY. 3.5 Model agrees not to use the Content for any unlawful purposes. 3.6 Model may not use AGENCY to promote or solicit any URL or internet service other than that of AGENCY. 3.7 Model may not use AGENCY to promote or solicit any political or religious views and/or any form of business or service.

4. Indemnity and Limitation of Liability 4.1 Model shall indemnify and hold harmless AGENCY, its officers, directors, employees, and consultants against any and all expenses and losses (including reasonable attorney s fees and costs) directly or indirectly incurred by AGENCY in connection with any claims of any kind a rising from the breach of any terms, conditions, warranties or representations made by Model in this agreement, including but not limited to, any criminal, intellectual property disputes, agreements, model consent forms, and/or other disputes or actions that may result from either the Content or the subject matter governed by this agreement.

4.2 IN NO CIRCUMSTANCE SHALL AGENCY BE LIABLE TO MODEL, OR OTHER PERSONS WHO MAY APPEAR IN THE CONTENT, FOR LOSS OF PROFITS, LOSS OF BUSINESS, LOSS OF USE, LOSS OF DATA, INTERRUPTION OF BUSINESS, OR FOR ANY SPECIAL CONSEQUENTIAL, EXEMPLARY OR INCIDENTAL DAMAGES, ARISING OUT OF OR RELATED TO THIS AGREEMENT, HOWEVER CAUSED, AND WHETHER ARISING UNDER CONTRACT, TORT (INCLUDING NEGLIGENCE) OR ANY OTHER THEORY OF LIABILITY. THE LIMITS SET FORTH IN THIS SECTION WILL APPLY EVEN IF MODEL HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

4.3 IN THE EVENT THAT AGENCY IS HELD LIABLE TO MODEL, OR ANY OTHER PERSON IN ANY WAY, AGENCY S A GGREGATE LIABILITY UNDER THIS AGREEMENT SHALL NOT EXCEED THE AGGREGATE AMOUNTS ACTUALLY PAID TO AGENCY BY AGENCY S USERS FOR THE CONTENT ATTRIBUTABLE TO THE MODEL.

5. Relationship Between Parties 5.1 Nothing in this Agreement shall be construed as creating a partnership or joint venture between the parties or making either party an agent or employee of the other, and at all times, Model shall have no authority to make any representations or warranties on behalf of AGENCY. 5.2 Model shall conduct her online business at its own cost, expense and liability, including without limitation any and all costs, expenses, and liabilities associated who appear in and/or create the Content. 5.3 MODEL HEREBY AGREES THAT HE/SHE IS THE SELLER OF ALL GOODS AND SERVICES SOLD THROUGH AGENCY AND THAT MODEL SHALL BE SOLELY RESPONSIBLE FOR ANY AND ALL TAXES ASSOCIATED WITH THE REVENUE RECEIVED FROM THE SALE OF GOODS AND SERVICES THAT ARE GENERATED THROUGH AGENCY. AGENCY IS NOT RESPONSIBLE FOR, AND WILL NOT PAY ANY TAXES FOR THE GOODS OR SERVICES PROVIDED BY MODEL INCLUDING WITHOUT LIMITATION, FEDERAL OR STATE TAXES, INCOME WITHHOLDING TAXES, SOCIAL SECURITY TAXES, UNEMPLOYMENT TAXES, DISABILITY TAXES AND/OR DIRECT OR INDIRECT TAXES LEVIED BY FOREIGN COUNTRIES. 5.4 Model hereby appoints AGENCY as his/her exclusive representative with Streamates LTD and Leandra Enterprises Inc. (hereinafter collectively referred to as CLIENTS) for the entire duration of this agreement. Upon the termination of this agreement, Model unconditionally agrees not to work for CLIENTS or their affiliates, either directly or indirectly, for a period of one year. 5.5 Model s rights and obligations, as stated in this agreement, shall not be assigned or transferred to any other person or entity; any such a ssignment or transfer is void. 5.6 Model agrees to be in full compliance with 18 U.S.C. 2257 and to complete at signup, prior to producing Content on AGENCY, a R ECORDS KEEPING COMPLIANCE FORM PURSUANT TO 18 U.S.C. 2257. Model shall bear all risks, liabilities, and costs caused by M odel s failure to comply with these terms under any associated laws, ordinances, rules, regulations, or requirements. 5.7 Model hereby represents and warrants that each person affiliated with Model that provides services in connection with this Agreement is at least eighteen (18) years of age. Model agrees to furnish AGENCY with appropriate age documentation for each person when requested by AGENCY. 6. General Terms 6.1 Model agrees that he/she is solely responsible for the overall Content. Model acknowledges and agrees that AGENCY may, in its sole discretion, delete and/or modify any aspect of the Content, including without limitation, content, messages, photos or profiles, that, in AGENCY s sole discretion, violate the terms of any of its respective agreements or polices. 6.2 Either party to this agreement may terminate this relationship with the other party, with not less than forty-eight (48) hours written advance notice, subject to the fulfillment of any outstanding liabilities and/or remaining obligations to the other party. Without limiting any other remedies that AGENCY may have, in the event of a material breach of this agreement, reserves the right to suspend Model s account i mmediately and/or terminate this Agreement without further notice. 6.3 This agreement may be immediately terminated by AGENCY, at its sole discretion, in the event Model is investigated or prosecuted for illegal, unfair, and/or exploitive practices. 6.4 In the event that notice of termination is provided by Model to AGENCY, any sums due and owing to Model shall be payable within thirty days after AGENCY receives written notice of such termination. 6.5 MODEL AGREES AND UNDERSTANDS THAT THE AGENCY WEB SITE IS PROVIDED BY AGENCY ON AN AS IS AND A S AVAILABLE BASIS, WITHOUT WARRANTIES OR GUARANTEES OF ANY KIND WHATSOEVER, WHETHER EXPRESS OR I MPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES OF TITLE, NONINFRINGEMENT OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR WARRANTIES OR GUARANTEES OF PROFITABILITY OR CUSTOMER USAGE. NO ADVICE OR INFORMATION GIVEN BY AGENCY, ITS AFFILIATES, OFFICERS, DIRECTORS, SHAREHOLDERS, AGENTS, EMPLOYEES, CONTRACTORS, OR OTHER REPRESENTATIVES SHALL CREATE A WARRANTY OR GUARANTEE OF ANY KIND WHATSOEVER. 6.6 THIS DISCLAIMER OF LIABILITY APPLIES TO ANY DAMAGES OR INJURY CAUSED BY ANY FAILURE OF PERFORMANCE, ERROR, OMISSION, INTERRUPTION, DELETION, DEFECT, DELAY IN OPERATION OR TRANSMISSION, COMPUTER VIRUS, COMMUNICATION LINE FAILURE, THEFT OR DESTRUCTION OR UNAUTHORIZED ACCESS TO, ALTERATION OF, OR USE OF RECORD, WHETHER FOR BREACH OF CONTRACT, TORTIOUS BEHAVIOR, NEGLIGENCE, OR UNDER ANY OTHER CAUSE OF ACTION. MODEL SPECIFICALLY ACKNOWLEDGES THAT AGENCY IS NOT LIABLE FOR THE DEFAMATORY, OFFENSIVEO R ILLEGAL CONDUCT OF SUBSCRIBERS OR OTHER CONTENT PROVIDERS AND THAT THE RISK OF INJURY FROM THE FOREGOING RESTS ENTIRELY WITH MODEL.

6.7 Model acknowledges that this Agreement and all agreements incorporated by reference herein may change from time to time, via print, electronic, e-mail, link to web page, click through agreement, or any other media or method AGENCY chooses. Therefore, it is important for the Model to read all such notices as listed above when announced via the web site. For any and all notice requirements stated in this agreement, email notice is valid written notice. Notwithstanding anything to the contrary in this agreement, AGENCY s act of posting these c hanges online or e-mailing them to Model and MODEL S CONTINUED USE OF THE AGENCY WEB SITE, AND/OR MODEL.S ACT O F CASHING OR DEPOSITING THE USER REVENUE CHECKS SENT BY AGENCY, IS MODEL S MEANS OF MANIFESTING A CCEPTANCE TO THE TERMS OF THIS AGREEMENT AND/OR ANY SUCH AGENCY MODIFICATION TO THIS AGREEMENT. 6.8 Any controversy or claim arising out of, or relating to, this Agreement, or the making, performance, or interpretation thereof, shall be settled by binding arbitration in the State of Florida before one (1) arbitrator, in accordance with the commercial rules of the American Arbitration Association then existing, and judgment on all arbitration awards may be entered in any court having jurisdiction over the subject matter of the controversy. The arbitrator shall be selected by the American Arbitration Association and shall be a person experienced in negotiating, making and consummating agreements of the type of this Agreement. The Parties expressly agree that any and all disputes regarding the scope of jurisdiction of any arbitrator in any arbitration proceeding brought pursuant to this Agreement shall be resolved by the Parties through a declaratory relief action brought before a Florida State Court or United States Federal Court sitting in the State of Florida. The Parties hereby agree to stipulate to the jurisdiction of such courts for the purpose of resolving such scope of arbitration disputes. 6.9 Should any Party engage an attorney or institute any action or proceeding at law or in equity, or in connection with any arbitration, to enforce any provision of this Agreement or resolve any dispute regarding this Agreement, including, without limitation, any action for declaratory relief, or for damages by reason of an alleged breach of any provision of this Agreement, or otherwise in connection with this Agreement or any provision thereof, the prevailing Party shall be entitled to recover from the losing Party, all attorneys fees, costs and other expenses for s ervices rendered to the prevailing Party pertaining to such action or proceeding. 6.10 Should any provision of this agreement be found by an arbitration panel or a court of law to be void, invalid or unenforceable under any applicable law or equity, such a finding shall not affect the remainder of this agreement, in part or in whole, that can still be given effect without the void, invalid or unenforceable provision; to that end, the provisions of this agreement are severable. 6.11 This agreement, including the RECORDS KEEPING COMPLIANCE FORM PURSUANT TO 18 U.S.C. 2257 and those portions of t he policies stated on the AGENCY web site, are expressly incorporated by reference herein and constitute the entire agreement between Model and AGENCY relating to the subject matter of the Agreement and shall supersede any prior agreements between Model and Agency. In the event that any policy, terms of service or supplementary agreement contradict the terms stated in this Agreement, the terms of this Agreement shall prevail. 6.12 This agreement has been made in, and shall be enforced in accordance with the laws of the State of Florida. 6.13 This Agreement may be executed in counterparts, which together shall constitute one Agreement. Any signature delivered by a party via facsimile transmission shall be deemed to be an original signature hereto and binding upon receipt.

The undersigned hereby states that he/she read, understood and agrees to the terms above in their entirety.

Model Signature: Date: 09/17/2011

Print Name: Jesse Jones

Age Verification & Performer Release Form for Streamates

I warrant that the identification (I.D.) I have provided to Streamates is valid and accurately reflects and represents the fact that I am at least 18 years of age or older (19 in Canada), or the age of majority in the jurisdiction (jurisdiction) in which I reside or do business.

I agree to indemnify and hold harmless Streamates, its officers, employees, agents and affiliates, against any related (direct or indirect) administrative or legal proceedings or actions (and civil or criminal fines or damages, if any) that my arise out of the intentional or unintentional falsification, misuse or otherwise, of the Age Verification & Performer Release Form (Form) and I.D.

Streamates agrees that any decisions concerning the type of content in the Performers performances is at the sole discretion of the Performer.

I agree not to violate any local community standard of obscenity in the jurisdiction, and agree that my performances will not violate any other applicable laws or regulations. Click this link and read the information carefully.

I warrant that I have carefully read and understand that this Form (and attached I.D.) is a legal document and may affect my legal rights, and sign the Form and submit the I.D. to Streamates knowingly and voluntarily, without inducement and for valid consideration.

Contract # N/A Display/Screen Names JohnnyMencini Full Legal Name Jesse Jones Date of Birth 06/04/1986 Mailing Address 219 Clear Springs Ct. City/State/Zip Indian Trail, NC 28079 Country United States Social Security Number 149866879 (US and Canada only) Email Address amaproblog@gmail.com Signature: Date: 09/17/2011

Performer Agreement

This Performer Agreement ("Agreement") is entered into by and between Streamates, Ltd. ("Streamates"), a Cyprus corporation, and Jesse Jones ("Performer"), a resident/corporation of Indian Trail, NC United States State/Country. This Agreement is effective as of the date of signature of the Parties. Therefore, in consideration of the mutual covenants contained herein, the Parties agree to the following: I. Services Streamates agrees to provide the Performer with an electronic medium to generate revenue on a pay per minute basis, and Performer agrees to provide content to Streamates and its affiliates. Performer will have the right to set up pricing at his/her discretion, provided that the Performer agrees to abide by the minimum standard and price as determined by Streamates or its affiliates. Payment Streamates agrees to pay the Performer monies in the amount of the performer percentage of all per minute sales generated by that Performer via checks to the address provided to Streamates by the Performer contained in this Agreement. Web Interface Streamates agrees to provide Performer a proprietary web interface to be utilized on the Streamates computer systems (system). Performer understands and agrees that this web interface is and will remain the exclusive property of Streamates, and that under no circumstances will Performer distribute, make any copies of any kind for anyone, including but not limited to, Performer, his/her employees, agents, affiliates, and related and unrelated third parties, or duplicate and/or reverse engineer the interface in any way, shape, form or methodology. Warranties & Limitations of Liability Performer warrants that any content that Performer delivers via Streamates computer systems will not violate any applicable laws, rules, regulations or public policies that may govern the content so delivered. Performer further warrants that he/she is over the age of eighteen (18) (nineteen (19) in Canada) and has accurately filled out and signed the Age Verification and Model Release Form and submitted valid Identification, and understands that the terms of this Agreement may be amended or changed at the sole discretion of Streamates without notice to Performer. Streamates represents and warrants its products/services as is and disclaims all representations and warranties, including, but not limited to, all express and implied warranties of merchantability and fitness for a particular purpose. Performer agrees that Streamates will not be liable to Performer for any unforeseeable or unintentional torts or breaches of this Agreement arising out its performance under this Agreement. Term The Term of this Agreement shall be indefinite. Provided, that Streamates may terminate this Agreement with written notice to Performer for any reason whatsoever, including but not limited to breaches of this Agreement. Performer will have the right to terminate for any reason whatsoever with thirty (30) days written notice to Streamates. In case of termination, the Parties agree to remit any monies or services owed to the other within a reasonable period of time, and Performer agrees to cease any related activities, including but not limited to, accessing Streamates Performer web interface. Dispute Should any dispute arise, the Parties agree that venue, personal and subject matter jurisdiction will be in an appropriate Supreme Court in Washington State, and this Agreement will be governed under Washington State USA law. Confidentiality & Non-disclosure Performer agrees that the terms of this Agreement, and information, including but not limited to, software, business and marketing plans of Streamates, is confidential and proprietary in nature, and agrees not to disclose such information to any third parties without the express written permission of Streamates. Non-Competition Streamates agrees that Performer will be allowed to own and operate a personal website. Provided, that Performer agrees not to solicit customers and/or other Performers through his/her personal website that is or may be in direct or indirect competition with Streamates. Performer further agrees not to release any email addresses or web page addresses to anyone without the explicit approval of Streamates.

II.

III.

IV.

V.

VI.

VII.

VIII.

IX.

Content Performer understands that he/she will upload content/images to Streamates system for re-broadcast. All content/images uploaded to the system shall become the exclusive property of Streamates, and Streamates will have the sole discretion to use all such content/image in any way it deems necessary in all sales and marketing efforts, during the Term of this Agreement and upon termination. Entire Understanding The Parties acknowledge and agree that each Party has reviewed this Agreement and has had sufficient time to seek independent legal counsel. And upon review, the Parties understand the terms of this Agreement and enter into the Agreement knowingly and voluntarily without any inducements and for valid consideration, and that this Agreement is binding and accepted by Streamates upon signature by Chathost without any counter signature by Streamates.

X.

The Parties have agreed to the above as of the Chathost signed date below: Contract # Performer Date: Signature: Name: Title: Address: Jesse Jones Model 219 Clear Springs Ct. Indian Trail, NC 28079 Email: Phone: Fax: SSN: ID#*: 149866879 27681841 amaproblog@gmail.com 7049354907 09/17/2011 N/A

* Your ID number is the issuance number associated with your passport, drivers license or other government issued photographic identification document.

Form W-9 (Rev. October 2007) Department of Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification Name (as shown on your income tax return) Business name (if different from above) Check appropriate box: Individual/Sole proprietor X Corporation Partnership Limited liability company Jesse Jones

N/A

Enter the tax classification(D=diregarded entity, C=corporation, P=partnership) D Other (See instructions) Address (number, street, and apt. or suite no.) Exempt payee 219 Clear Springs Ct. X

City, state, and ZIP code Indian Trail, NC 28079 List account number(s) here (optional) Requester's name and address (optional) Part 1 Tax payer identification number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprieter, or diregarded entity, see Part 1 instrucitons on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. NOTE: If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Social Security Number: 149866879 Part 2 Employer identification number

Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the internal revenue service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends , or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certification instructions. You must cross out item 2 above 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. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment or secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividens, you are not required to sign the Certification, but you must provide your correct TIN. See the instructions on page 4. Sign Here Signature of U.S. Person

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