1. For your protection, please choose a codeword that is easy for you to remember.*
2. By selecting the appropriate response , I certify, under penalties of perjury, that (1) I am a U.S. person (Including a U.S. resident alien), (2) the Social Security number (SSN)/Tax payer identification number (TIN) shown is my/the correct identification number and (3) I am NOT, unless designated below, subject to backup withholding as a result of failure to report all dividends or interest, or because the IRS has notified me that I am no longer subject to backup withholding.*
3. Exemption Reason:
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