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Taxation / National identification numbers / Backup withholding / Income tax in the United States / ARAG / Government / Withholding tax / Individual Taxpayer Identification Number / Employer Identification Number / Taxation in the United States / Internal Revenue Service / Universal identifiers


297112_Producer Application_0312:Layout 1.qxd
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Document Date: 2014-05-29 12:22:12

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Company

CHECK APPROPRIATE BOX INDIVIDUAL/SOLE PROPRIETOR CORPORATION LIMITED LIABILITY COMPANY / ENTER TAX CLASSIFICATION (D=DISREGARDED ENTITY C= CORPORATE P=PARTNERSHIP) PARTNERSHIP / /

Country

United States / /

/

Event

Dividend Issuance / /

/

IndustryTerm

real estate transactions / /

Organization

Internal Revenue Service / IF SO / /

/

Position

Producer / Legal@ARAGgroup.com ARAG Producer / Governor / Agent/Producer / ADMINISTRATOR / /

ProvinceOrState

STATE ZIP COUNTY / /

URL

www.irs.gov / /

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