Subject: Tax Exempt Notification
Date: Wednesday 17 November 2010
From: "Diane Moss" ,
Our records indicate that you are a Non-resident. As a result you are
exempted from United States of America Tax reporting and withholdings on
interest paid to you on your account and other financial benefits. To prote=
your exemption from tax on your account and other financial benefits, you
need to recertify your exemption status and enable us confirm your records=
Therefore, you are to authenticate the following by completing form W-4100=
and return to us as soon as possible through fax numbers no + 1-518-344-122=
When completing form W-4100B2, please follow the steps below:
1. We need you to provide your permanent address if different from the
current mailing address.
2. You must indicate as a Non-US resident, the country you are residing, t=
support your non-resident status and if your bank or other financial
institutions you are dealing with has a US address for mailing purposes.
3. If any joint account holder is now a US resident or citizen, or in any =
subject to US tax reporting laws: please check the box in this section.
4. Please complete 1 through 19 and have all account holder/s (if more tha=
one account holder) sign and date the form separately and fax to the
above-mentioned fax numbers.
Please complete Form W-4100B2 (attached) and return to us with one week fr=
the receipt of this letter by faxing it, to enable us confirm your records=
immediately. If your records are not confirmed on time, you will lose your=
Non-resident status tax exempt benefits and your account or any other
financial benefits will be subject to US tax reporting and back up
*If back up withholding applies, we are required to withhold 30% of the
interest/benefits paid to you.
We appreciate your cooperation in helping us protect your exempt status an=
also confirm our records.
IRS Public Relations.