Under penalties of perjury, you (the applicant) certify that:
1. The number shown on your application for a Secured
Credit Card is your correct taxpayer identification number;
2. You ARE NOT subject to backup withholding because:
(a) You are exempt from backup withholding, or
(b) You have not been notified by the Internal Revenue Service (IRS)
that you are subject to backup withholding as a result of
failure to report all interest or dividends, or
(c) the IRS has notified you that you are no longer subject to backup withholding;
You ARE subject to backup withholding.
Certification instructions. You must check this box 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.
3. You are a U.S. person (including a resident alien).
The Internal Revenue Service does not require your consent to any provision other than
the backup withholding certifications set forth above.
By clicking the Continue button you are making the above certifications.