Fillable WITHHOLDING STATEMENT to DOCUMENT FURNISHED* EXEMPT PAYMENTS WITHHOLDING,IF (City of Oakland)

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WITHHOLDING STATEMENT to DOCUMENT FURNISHED* EXEMPT PAYMENTS WITHHOLDING,IF (City of Oakland)

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NAME ADDRESS TIN FOREIGNTIN
FOREIGN/U.S.NON‐
EXEMPT/U.S.
EXEMPT
ForeignONLY:Entity
Type
ForeignONLY:TYPEOF
RECIPIENT
COUNTRYOF
RESIDENCE
RATEOF
WITHHOLDING
BASISFOR
REDUCEDRATEOF
WITHHOLDING,IF
ANY
ALLOCATIONOF
PAYMENTS
TYPEOF
DOCUMENT
FURNISHED*
TOTAL=
*LOBandSection894statementalsoprovided.
Intermediary Name:
Ch. 3: Intermediary Status:
WITHHOLDING STATEMENT
Effective Date (MM/DD/YYYY to MM/DD/YYYY):
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WITHHOLDING STATEMENT to DOCUMENT FURNISHED* EXEMPT PAYMENTS WITHHOLDING,IF (City of Oakland)

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Completed 31 January 2021

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