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Xueli Zhang China 18 Wuhuaqu Xiaotuanshan 24-1-204 Kunming, Yunnan, 650106 18 Wuhuaqu Xiaotuanshan 24-1-204
Xueli Zhang China 18 Wuhuaqu Xiaotuanshan 24-1-204 Kunming, Yunnan, 650106 18 Wuhuaqu Xiaotuanshan 24-1-204
530112199108050014
08/05/1991
Under penalties of perjury, I declare that I have examined and signed this form and that the information and certifications
contained therein for purposes of establishing tax status under chapter 3, chapter 4 and chapter 61 of the U.S. Internal
Revenue Code remained the same and unchanged from 01/01/2021 through the present, and were true, correct, and
complete for the time period.