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. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. / / / / Signature of Investor Date Signature of Co-Investor or Custodian (If applicable) Date (MUST BE SIGNED BY CUSTODIAN OR TRUSTEE IF PLAN IS ADMINISTERED BY A THIRD PARTY)
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Samples: Nuveen Churchill Private Capital Income Fund, Nuveen Churchill Private Capital Income Fund, Nuveen Churchill Private Capital Income Fund
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. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. / / / / Signature of Investor Date Signature of Co-Investor or Custodian (If applicableSignature(s)(1) Date (MUST BE SIGNED BY CUSTODIAN OR TRUSTEE IF PLAN IS ADMINISTERED BY A THIRD PARTYArea Code and Telephone No. Signature(s)(1)
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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. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. / / / / X X Signature of Investor Date Signature of Co-Investor or Custodian (If applicable) Date (MUST BE SIGNED BY CUSTODIAN OR TRUSTEE IF PLAN IS ADMINISTERED BY A THIRD PARTY)
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Samples: Subscription Agreement (BlackRock Private Credit Fund)
Certification instructions. You must cross 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 or dividends on your tax return. Note: The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. / / / / Sign Here Signature of Investor (Trustee) Date Signature (Trustee) Date Signature (Trustee) Date Signature of Co-Investor or Custodian (If applicable) Date (MUST BE SIGNED BY CUSTODIAN OR TRUSTEE IF PLAN IS ADMINISTERED BY A THIRD PARTY)approving officer: Date
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Samples: www.fafcu.org