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Payer:
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| Payer's Federal Identification Number (FIN):134994650 |
| JPMORGAN CHASE BANK, N.A. | |
| P.O. BOX 182051 | |
| COLUMBUS, OH 43218-2051 | |
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Recipient:
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| Recipient's Identification Number:
551-69-3182 |
| JASON FOX | |
| 758 E WHITEHALL RD | |
| COOKEVILLE, TN 38501-0000 | |
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| Submission Type: | Original document |
| Account Number (Optional): | LA3817525067 |
| Interest: | $200.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| Investment Expense: | $0.00 |
| Interest Forfeiture: | $0.00 |
| Foreign Tax Paid: | $0.00 |
| Tax-Exempt Interest: | $0.00 |
| Specified Private Activity Bond Interest: | $0.00 |
| Market Discount: | $0.00 |
| Bond Premium: | $0.00 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
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|
Payer:
| |
| Payer's Federal Identification Number (FIN):134994650 |
| JPMORGAN CHASE BANK, N.A. | |
| P.O. BOX 182051 | |
| COLUMBUS, OH 43218-2051 | |
| |
|
Recipient:
| |
| Recipient's Identification Number:
551-69-3182 |
| JASON FOX | |
| 758 E WHITEHALL RD | |
| COOKEVILLE, TN 38501-0000 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | LA561025476 |
| Interest: | $400.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| Investment Expense: | $0.00 |
| Interest Forfeiture: | $0.00 |
| Foreign Tax Paid: | $0.00 |
| Tax-Exempt Interest: | $0.00 |
| Specified Private Activity Bond Interest: | $0.00 |
| Market Discount: | $0.00 |
| Bond Premium: | $0.00 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
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Payer:
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| Payer's Federal Identification Number (FIN):421558009 |
| CHARLES SCHWAB BANK | |
| PO BOX 982605 | |
| EL PASO, TX 79998-2605 | |
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Recipient:
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| Recipient's Identification Number:
551-69-3182 |
| JASON FOX | |
| 568 E WHITEHALL RD | |
| COOKEVILLE, TN 38501-7207 | |
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| Submission Type: | Original document |
| Account Number (Optional): | 440023815051 |
| Interest: | $43.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| Investment Expense: | $0.00 |
| Interest Forfeiture: | $0.00 |
| Foreign Tax Paid: | $0.00 |
| Tax-Exempt Interest: | $0.00 |
| Specified Private Activity Bond Interest: | $0.00 |
| Market Discount: | $0.00 |
| Bond Premium: | $0.00 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
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Payer:
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| Payer's Federal Identification Number (FIN):621310217 |
| WILSON BANK & TRUST | |
| 623 WEST MAIN STREET | |
| PO BOX 768 | |
| LEBANON, TN 37088-0768 | |
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Recipient:
| |
| Recipient's Identification Number:
551-69-3182 |
| JASON FOX | |
| 758 E WHITEHALL RD | |
| COOKEVILLE, TN 38501-0000 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 11947173D |
| Interest: | $400.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| Investment Expense: | $0.00 |
| Interest Forfeiture: | $0.00 |
| Foreign Tax Paid: | $0.00 |
| Tax-Exempt Interest: | $0.00 |
| Specified Private Activity Bond Interest: | $0.00 |
| Market Discount: | $0.00 |
| Bond Premium: | $0.00 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
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|
Payer:
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| Payer's Federal Identification Number (FIN):746393739 |
| USAA FEDERAL SAVINGS BANK | |
| TA> C O USAA SAVINGS BANK | |
| 9800 FREDERICKSBURG RD | |
| SAN ANTONIO, TX 78288-0000 | |
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Recipient:
| |
| Recipient's Identification Number:
551-69-3182 |
| JASON FOX | |
| 758 E WHITEHALL RD | |
| COOKEVILLE, TN 38501-0000 | |
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| Submission Type: | Original document |
| Account Number (Optional): | 202123000000864219 |
| Interest: | $27.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| Investment Expense: | $0.00 |
| Interest Forfeiture: | $0.00 |
| Foreign Tax Paid: | $0.00 |
| Tax-Exempt Interest: | $0.00 |
| Specified Private Activity Bond Interest: | $0.00 |
| Market Discount: | $0.00 |
| Bond Premium: | $0.00 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
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Payer:
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| Payer's Federal Identification Number (FIN):941737782 |
| CHARLES SCHWAB & CO., INC. | |
| 9800 SCHWAB WAY | |
| LONE TREE, CO 80124-0000 | |
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|
Recipient:
| |
| Recipient's Identification Number:
551-69-3182 |
| JASON FOX | |
| 758 E WHITEHALL RD | |
| COOKEVILLE, TN 38501-0000 | |
| |
| Submission Type: | Original document |
| Account Number (Optional): | 54863668 |
| Interest: | $40.00 |
| Tax Withheld: | $0.00 |
| Savings Bonds: | $0.00 |
| Investment Expense: | $0.00 |
| Interest Forfeiture: | $0.00 |
| Foreign Tax Paid: | $0.00 |
| Tax-Exempt Interest: | $0.00 |
| Specified Private Activity Bond Interest: | $0.00 |
| Market Discount: | $0.00 |
| Bond Premium: | $0.00 |
| Bond Premium on Tax Exempt Bond: | $0.00 |
| Bond Premium on Treasury Obligations: | $0.00 |
| Second Notice Indicator: | No Second Notice |
| Foreign Country or US Possession: | |
| CUSIP Number: | |
| FATCA Filing Requirement: | Box not checked no Filing Requirement |
