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· Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

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Page 1: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

Page 2: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

Page 3: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

Page 4: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

Page 5: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

Page 6: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

Page 7: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

Page 8: · Form W-8BEN-E (Rev. 4-2016) Certified Deemed-Compliant Nonregistering Local Bank Part V 18 I certify that the FFI identified in Part l: Page 3 e Operates and is licensed solely

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