SSN. OR EIN: __ __ -- __ __ __ __ __ __ __ Check Appropriate box: Individual/Sole Prop. Other Print name as shown on your income tax return if different from «Payee»: _______________ Under penalties of perjury, I certify that:
Appears in 1 contract
Sources: Settlement Agreement (Lojack Corp)
SSN. OR EIN: __ __ -- __ __ __ __ __ __ __ Check Appropriate box: Individual/Sole Prop. Other Print name as shown on your income tax return if different from «Payee»: ________________ Under penalties of perjury, I certify that:
Appears in 1 contract
Sources: Settlement Agreement (Lojack Corp)