Daytime Telephone Number. Evening Telephone Number: Email address (E-mail address is not required, but if you provide it you authorize the Claims Administrator to use it in providing you with information relevant to this claim.): 1 The last four digits of the taxpayer identification number (TIN), consisting of a valid Social Security Number (SSN) for individuals or Employer Identification Number (EIN) for business entities, trusts, estates, etc., and the telephone number of the beneficial owner(s) may be used in verifying this claim.
Appears in 8 contracts
Samples: Stipulation and Agreement, Stipulation and Agreement of Settlement, Stipulation and Agreement of Settlement