By checking the box below and clicking ‘Submit’, I acknowledge that I have read, understand, and agree to be bound by the Customer Agreement and all incorporated agreements and disclosures, including each of the documents listed above.
I consent to the use of an electronic version of all documents listed above. I further confirm that the information provided in this application is correct to the best of my knowledge.
IRS Tax Form
I certify under penalty of perjury that (1) The number submitted in this application is my correct taxpayer identification number; 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; and (4) The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
The IRS requires that you provide the SSN/ITIN and the above certification in order to avoid back-up withholding.