Datasets:
image
imagewidth (px) 397
7.19k
| question_id
int64 339
65.4k
| question
stringlengths 11
166
| answers
sequencelengths 1
6
| data_split
stringclasses 1
value | ocr_results
dict | other_metadata
dict |
---|---|---|---|---|---|---|
9,951 | When is the contract effective date? | [
"7 - 1 - 99"
] | train | {
"page": 1,
"clockwise_orientation": 359.96,
"width": 1692,
"height": 2245,
"unit": "pixel",
"lines": [
{
"bounding_box": [
622,
138,
1137,
136,
1138,
167,
622,
168
],
"text": "R. J. REYNOLDS TOBACCO COMPANY",
"words": [
{
"bounding_box": [
622,
138,
655,
139,
656,
168,
624,
167
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
661,
139,
685,
140,
687,
168,
662,
168
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
691,
140,
847,
141,
849,
168,
692,
168
],
"text": "REYNOLDS",
"confidence": null
},
{
"bounding_box": [
855,
141,
988,
140,
991,
167,
857,
168
],
"text": "TOBACCO",
"confidence": null
},
{
"bounding_box": [
998,
140,
1135,
137,
1138,
165,
1000,
167
],
"text": "COMPANY",
"confidence": null
}
]
},
{
"bounding_box": [
534,
170,
1216,
168,
1217,
202,
535,
203
],
"text": "RETAIL PARTNERS MARKETING PLAN CONTRACT",
"words": [
{
"bounding_box": [
539,
171,
643,
174,
645,
203,
541,
202
],
"text": "RETAIL",
"confidence": null
},
{
"bounding_box": [
649,
174,
801,
175,
803,
203,
651,
203
],
"text": "PARTNERS",
"confidence": null
},
{
"bounding_box": [
808,
175,
974,
174,
977,
203,
810,
203
],
"text": "MARKETING",
"confidence": null
},
{
"bounding_box": [
980,
174,
1053,
173,
1056,
203,
983,
203
],
"text": "PLAN",
"confidence": null
},
{
"bounding_box": [
1062,
173,
1214,
169,
1217,
201,
1064,
203
],
"text": "CONTRACT",
"confidence": null
}
]
},
{
"bounding_box": [
594,
203,
1156,
204,
1155,
235,
593,
234
],
"text": "SELF-SERVICE PACK OUTLET - LEVEL 1/2",
"words": [
{
"bounding_box": [
600,
205,
801,
206,
802,
235,
600,
233
],
"text": "SELF-SERVICE",
"confidence": null
},
{
"bounding_box": [
808,
206,
885,
206,
886,
235,
809,
235
],
"text": "PACK",
"confidence": null
},
{
"bounding_box": [
894,
206,
1004,
206,
1005,
235,
895,
235
],
"text": "OUTLET",
"confidence": null
},
{
"bounding_box": [
1009,
206,
1020,
205,
1022,
235,
1011,
235
],
"text": "-",
"confidence": null
},
{
"bounding_box": [
1026,
205,
1114,
204,
1116,
234,
1028,
235
],
"text": "LEVEL",
"confidence": null
},
{
"bounding_box": [
1121,
204,
1154,
204,
1156,
233,
1123,
234
],
"text": "1/2",
"confidence": null
}
]
},
{
"bounding_box": [
143,
255,
796,
254,
797,
281,
144,
282
],
"text": "Request For Taxpayer Identification Number and Certification",
"words": [
{
"bounding_box": [
144,
256,
234,
256,
234,
282,
144,
281
],
"text": "Request",
"confidence": null
},
{
"bounding_box": [
239,
256,
278,
257,
277,
282,
239,
282
],
"text": "For",
"confidence": null
},
{
"bounding_box": [
283,
257,
376,
257,
376,
282,
282,
282
],
"text": "Taxpayer",
"confidence": null
},
{
"bounding_box": [
381,
257,
520,
256,
519,
282,
381,
282
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
525,
256,
613,
256,
613,
282,
524,
282
],
"text": "Number",
"confidence": null
},
{
"bounding_box": [
618,
256,
658,
256,
658,
281,
618,
282
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
663,
256,
797,
254,
796,
281,
663,
281
],
"text": "Certification",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
282,
1597,
281,
1598,
309,
145,
309
],
"text": "R. J. Reynolds Tobacco Company must withhold tax at the rate of 31% from payee in conformity with Internal Revenue Service backup withholding",
"words": [
{
"bounding_box": [
145,
284,
171,
283,
171,
308,
145,
308
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
176,
283,
193,
283,
193,
308,
175,
308
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
198,
283,
297,
283,
297,
308,
198,
308
],
"text": "Reynolds",
"confidence": "Low"
},
{
"bounding_box": [
302,
283,
387,
283,
387,
308,
302,
308
],
"text": "Tobacco",
"confidence": null
},
{
"bounding_box": [
392,
283,
488,
283,
488,
308,
392,
308
],
"text": "Company",
"confidence": null
},
{
"bounding_box": [
493,
283,
544,
283,
544,
308,
493,
308
],
"text": "must",
"confidence": null
},
{
"bounding_box": [
549,
283,
637,
283,
637,
308,
549,
308
],
"text": "withhold",
"confidence": null
},
{
"bounding_box": [
642,
283,
674,
283,
674,
308,
642,
308
],
"text": "tax",
"confidence": null
},
{
"bounding_box": [
679,
283,
700,
283,
699,
308,
679,
308
],
"text": "at",
"confidence": null
},
{
"bounding_box": [
704,
283,
736,
283,
736,
308,
704,
308
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
741,
283,
783,
283,
783,
308,
741,
308
],
"text": "rate",
"confidence": null
},
{
"bounding_box": [
788,
283,
809,
283,
808,
308,
788,
308
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
813,
283,
858,
283,
858,
308,
813,
308
],
"text": "31%",
"confidence": "Low"
},
{
"bounding_box": [
863,
283,
906,
283,
906,
308,
863,
308
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
913,
283,
974,
283,
974,
308,
913,
308
],
"text": "payee",
"confidence": "Low"
},
{
"bounding_box": [
978,
283,
999,
283,
999,
309,
978,
308
],
"text": "in",
"confidence": null
},
{
"bounding_box": [
1004,
283,
1106,
283,
1107,
309,
1004,
309
],
"text": "conformity",
"confidence": null
},
{
"bounding_box": [
1111,
283,
1151,
283,
1151,
309,
1111,
309
],
"text": "with",
"confidence": null
},
{
"bounding_box": [
1156,
283,
1231,
283,
1232,
309,
1156,
309
],
"text": "Internal",
"confidence": null
},
{
"bounding_box": [
1236,
283,
1328,
283,
1328,
309,
1236,
309
],
"text": "Revenue",
"confidence": null
},
{
"bounding_box": [
1332,
283,
1404,
283,
1405,
309,
1332,
309
],
"text": "Service",
"confidence": null
},
{
"bounding_box": [
1409,
283,
1480,
282,
1480,
309,
1409,
309
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
1485,
282,
1597,
282,
1597,
309,
1485,
309
],
"text": "withholding",
"confidence": null
}
]
},
{
"bounding_box": [
143,
307,
1593,
306,
1594,
333,
144,
334
],
"text": "requirements, if the payee fails to provide R. J. Reynolds Tobacco Company with sufficient correct information to issue a Form 1099 to such payee for",
"words": [
{
"bounding_box": [
145,
308,
281,
307,
280,
334,
144,
334
],
"text": "requirements,",
"confidence": null
},
{
"bounding_box": [
286,
307,
298,
307,
298,
333,
286,
334
],
"text": "if",
"confidence": null
},
{
"bounding_box": [
304,
307,
334,
307,
333,
333,
303,
333
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
339,
307,
401,
307,
401,
333,
339,
333
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
406,
307,
447,
307,
447,
333,
406,
333
],
"text": "fails",
"confidence": null
},
{
"bounding_box": [
452,
307,
470,
307,
470,
333,
452,
333
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
475,
307,
551,
307,
551,
332,
475,
333
],
"text": "provide",
"confidence": null
},
{
"bounding_box": [
556,
307,
581,
307,
581,
332,
556,
332
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
586,
307,
602,
307,
602,
332,
586,
332
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
608,
307,
707,
307,
706,
332,
607,
332
],
"text": "Reynolds",
"confidence": "Low"
},
{
"bounding_box": [
712,
307,
795,
307,
795,
332,
712,
332
],
"text": "Tobacco",
"confidence": "Low"
},
{
"bounding_box": [
800,
307,
894,
307,
894,
331,
800,
332
],
"text": "Company",
"confidence": null
},
{
"bounding_box": [
899,
307,
940,
307,
939,
331,
899,
331
],
"text": "with",
"confidence": null
},
{
"bounding_box": [
945,
307,
1032,
307,
1031,
331,
945,
331
],
"text": "sufficient",
"confidence": null
},
{
"bounding_box": [
1037,
307,
1102,
307,
1102,
331,
1037,
331
],
"text": "correct",
"confidence": null
},
{
"bounding_box": [
1108,
307,
1215,
307,
1215,
332,
1107,
331
],
"text": "information",
"confidence": null
},
{
"bounding_box": [
1221,
307,
1240,
307,
1240,
332,
1220,
332
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1245,
307,
1298,
307,
1298,
332,
1245,
332
],
"text": "issue",
"confidence": null
},
{
"bounding_box": [
1304,
307,
1316,
307,
1316,
332,
1303,
332
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
1321,
308,
1371,
308,
1371,
332,
1321,
332
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
1378,
308,
1424,
308,
1424,
332,
1378,
332
],
"text": "1099",
"confidence": null
},
{
"bounding_box": [
1429,
308,
1449,
308,
1448,
332,
1429,
332
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1454,
308,
1496,
308,
1496,
332,
1454,
332
],
"text": "such",
"confidence": null
},
{
"bounding_box": [
1502,
308,
1560,
308,
1560,
333,
1501,
332
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
1565,
308,
1593,
309,
1593,
333,
1565,
333
],
"text": "for",
"confidence": null
}
]
},
{
"bounding_box": [
138,
330,
1595,
329,
1596,
357,
139,
358
],
"text": "any calendar year. With individual proprietorship, this information is the person's individual name and either his/her social security number (S.S. No.)",
"words": [
{
"bounding_box": [
144,
331,
182,
331,
183,
359,
145,
359
],
"text": "any",
"confidence": null
},
{
"bounding_box": [
188,
331,
273,
331,
274,
358,
188,
359
],
"text": "calendar",
"confidence": "Low"
},
{
"bounding_box": [
279,
331,
335,
331,
335,
358,
279,
358
],
"text": "year.",
"confidence": null
},
{
"bounding_box": [
340,
331,
386,
331,
386,
358,
341,
358
],
"text": "With",
"confidence": null
},
{
"bounding_box": [
391,
331,
484,
330,
484,
358,
392,
358
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
489,
330,
636,
330,
637,
358,
490,
358
],
"text": "proprietorship,",
"confidence": null
},
{
"bounding_box": [
642,
330,
678,
330,
679,
357,
642,
358
],
"text": "this",
"confidence": null
},
{
"bounding_box": [
684,
330,
795,
330,
795,
357,
684,
357
],
"text": "information",
"confidence": null
},
{
"bounding_box": [
800,
330,
818,
330,
818,
357,
800,
357
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
824,
330,
855,
330,
855,
357,
824,
357
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
860,
330,
944,
330,
944,
357,
860,
357
],
"text": "person's",
"confidence": null
},
{
"bounding_box": [
949,
330,
1040,
330,
1040,
357,
949,
357
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
1045,
330,
1102,
330,
1102,
357,
1045,
357
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
1107,
330,
1143,
330,
1144,
357,
1107,
357
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
1149,
330,
1203,
331,
1203,
357,
1149,
357
],
"text": "either",
"confidence": "Low"
},
{
"bounding_box": [
1209,
331,
1276,
331,
1276,
357,
1209,
357
],
"text": "his/her",
"confidence": null
},
{
"bounding_box": [
1282,
331,
1338,
331,
1338,
357,
1282,
357
],
"text": "social",
"confidence": null
},
{
"bounding_box": [
1343,
331,
1416,
331,
1416,
358,
1343,
357
],
"text": "security",
"confidence": null
},
{
"bounding_box": [
1421,
331,
1494,
331,
1494,
358,
1421,
358
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
1500,
331,
1547,
331,
1547,
358,
1500,
358
],
"text": "(S.S.",
"confidence": null
},
{
"bounding_box": [
1552,
331,
1596,
331,
1596,
358,
1552,
358
],
"text": "No.)",
"confidence": null
}
]
},
{
"bounding_box": [
144,
356,
1601,
355,
1602,
385,
145,
386
],
"text": "or the employer identification number (EIN) for the proprietorship. In addition to the payee's individual name, the payee may also provide the business",
"words": [
{
"bounding_box": [
145,
357,
164,
357,
164,
386,
145,
386
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
169,
357,
202,
357,
202,
386,
169,
386
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
208,
357,
297,
357,
297,
386,
208,
386
],
"text": "employer",
"confidence": null
},
{
"bounding_box": [
303,
357,
427,
357,
427,
386,
303,
386
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
433,
357,
507,
357,
507,
385,
433,
386
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
513,
357,
566,
357,
566,
385,
513,
385
],
"text": "(EIN)",
"confidence": null
},
{
"bounding_box": [
572,
357,
599,
356,
598,
385,
572,
385
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
604,
356,
637,
356,
637,
385,
604,
385
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
642,
356,
791,
356,
791,
385,
642,
385
],
"text": "proprietorship.",
"confidence": null
},
{
"bounding_box": [
797,
356,
818,
356,
818,
385,
797,
385
],
"text": "In",
"confidence": null
},
{
"bounding_box": [
824,
356,
900,
357,
900,
385,
823,
385
],
"text": "addition",
"confidence": null
},
{
"bounding_box": [
906,
357,
925,
357,
924,
385,
905,
385
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
930,
357,
961,
357,
961,
385,
930,
385
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
967,
357,
1039,
357,
1039,
384,
966,
385
],
"text": "payee's",
"confidence": null
},
{
"bounding_box": [
1045,
357,
1132,
357,
1132,
384,
1045,
384
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
1138,
357,
1201,
357,
1201,
384,
1138,
384
],
"text": "name,",
"confidence": null
},
{
"bounding_box": [
1207,
357,
1237,
357,
1237,
384,
1207,
384
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1243,
357,
1302,
357,
1302,
384,
1243,
384
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
1308,
357,
1350,
357,
1350,
384,
1308,
384
],
"text": "may",
"confidence": null
},
{
"bounding_box": [
1356,
357,
1394,
358,
1393,
384,
1355,
384
],
"text": "also",
"confidence": null
},
{
"bounding_box": [
1399,
358,
1468,
358,
1468,
384,
1399,
384
],
"text": "provide",
"confidence": null
},
{
"bounding_box": [
1474,
358,
1502,
358,
1502,
384,
1473,
384
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1508,
358,
1602,
358,
1601,
384,
1508,
384
],
"text": "business",
"confidence": null
}
]
},
{
"bounding_box": [
145,
381,
1598,
382,
1597,
409,
144,
408
],
"text": "name for the sole proprietorship, provided the individual name is listed before the business name. (Sole proprietors may not fumish only the business",
"words": [
{
"bounding_box": [
145,
383,
202,
383,
203,
410,
146,
410
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
208,
383,
235,
383,
235,
410,
208,
410
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
240,
383,
273,
383,
273,
410,
241,
410
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
278,
383,
318,
383,
318,
410,
278,
410
],
"text": "sole",
"confidence": null
},
{
"bounding_box": [
323,
383,
463,
382,
463,
409,
323,
410
],
"text": "proprietorship,",
"confidence": null
},
{
"bounding_box": [
468,
382,
556,
382,
556,
409,
468,
409
],
"text": "provided",
"confidence": null
},
{
"bounding_box": [
561,
382,
594,
382,
594,
409,
561,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
599,
382,
694,
382,
694,
409,
599,
409
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
699,
382,
756,
382,
756,
409,
699,
409
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
762,
382,
781,
382,
780,
409,
761,
409
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
786,
382,
839,
382,
839,
409,
786,
409
],
"text": "listed",
"confidence": null
},
{
"bounding_box": [
844,
382,
906,
382,
906,
409,
844,
409
],
"text": "before",
"confidence": null
},
{
"bounding_box": [
912,
382,
943,
382,
943,
409,
912,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
948,
382,
1034,
382,
1034,
409,
948,
409
],
"text": "business",
"confidence": null
},
{
"bounding_box": [
1039,
382,
1108,
382,
1108,
409,
1039,
409
],
"text": "name.",
"confidence": null
},
{
"bounding_box": [
1114,
382,
1164,
382,
1163,
409,
1113,
409
],
"text": "(Sole",
"confidence": null
},
{
"bounding_box": [
1169,
382,
1272,
383,
1272,
409,
1169,
409
],
"text": "proprietors",
"confidence": null
},
{
"bounding_box": [
1278,
383,
1321,
383,
1320,
409,
1277,
409
],
"text": "may",
"confidence": null
},
{
"bounding_box": [
1326,
383,
1355,
383,
1355,
409,
1326,
409
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
1360,
383,
1426,
383,
1426,
409,
1360,
409
],
"text": "fumish",
"confidence": null
},
{
"bounding_box": [
1431,
383,
1472,
384,
1472,
409,
1431,
409
],
"text": "only",
"confidence": null
},
{
"bounding_box": [
1478,
384,
1505,
384,
1505,
409,
1477,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1510,
384,
1598,
384,
1598,
409,
1510,
409
],
"text": "business",
"confidence": null
}
]
},
{
"bounding_box": [
143,
407,
1593,
406,
1594,
435,
144,
436
],
"text": "name.) With respect to corporations, partnerships, estates, trusts, and similar entities, the necessary information is the entity's name and employer",
"words": [
{
"bounding_box": [
144,
409,
222,
409,
223,
436,
144,
436
],
"text": "name.)",
"confidence": null
},
{
"bounding_box": [
228,
409,
273,
409,
273,
436,
228,
436
],
"text": "With",
"confidence": null
},
{
"bounding_box": [
278,
409,
352,
408,
352,
436,
279,
436
],
"text": "respect",
"confidence": null
},
{
"bounding_box": [
357,
408,
378,
408,
378,
436,
357,
436
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
383,
408,
513,
408,
513,
436,
383,
436
],
"text": "corporations,",
"confidence": "Low"
},
{
"bounding_box": [
518,
408,
654,
408,
654,
436,
518,
436
],
"text": "partnerships,",
"confidence": "Low"
},
{
"bounding_box": [
659,
407,
741,
407,
741,
436,
659,
436
],
"text": "estates,",
"confidence": "Low"
},
{
"bounding_box": [
747,
407,
811,
407,
811,
436,
746,
436
],
"text": "trusts,",
"confidence": null
},
{
"bounding_box": [
817,
407,
855,
407,
855,
436,
816,
436
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
860,
407,
927,
407,
926,
436,
860,
436
],
"text": "similar",
"confidence": null
},
{
"bounding_box": [
932,
407,
1007,
407,
1007,
436,
931,
436
],
"text": "entities,",
"confidence": null
},
{
"bounding_box": [
1012,
407,
1042,
407,
1041,
436,
1012,
436
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1047,
407,
1148,
407,
1148,
436,
1047,
436
],
"text": "necessary",
"confidence": null
},
{
"bounding_box": [
1154,
407,
1264,
408,
1263,
435,
1153,
436
],
"text": "information",
"confidence": "Low"
},
{
"bounding_box": [
1269,
408,
1288,
408,
1288,
435,
1268,
435
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
1293,
408,
1325,
408,
1324,
435,
1293,
435
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1330,
408,
1397,
408,
1396,
435,
1329,
435
],
"text": "entity's",
"confidence": null
},
{
"bounding_box": [
1402,
408,
1458,
408,
1457,
435,
1401,
435
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
1463,
408,
1498,
408,
1497,
435,
1462,
435
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
1503,
408,
1594,
409,
1593,
435,
1502,
435
],
"text": "employer",
"confidence": null
}
]
},
{
"bounding_box": [
143,
430,
1174,
428,
1175,
461,
144,
463
],
"text": "identification number (EIN) as it appears on IRS Form 575 (Assignment of Employer Identification Number",
"words": [
{
"bounding_box": [
145,
434,
269,
433,
268,
462,
144,
462
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
275,
433,
347,
432,
346,
462,
274,
462
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
353,
432,
407,
431,
406,
462,
352,
462
],
"text": "(EIN)",
"confidence": null
},
{
"bounding_box": [
412,
431,
433,
431,
432,
462,
411,
462
],
"text": "as",
"confidence": null
},
{
"bounding_box": [
438,
431,
453,
431,
452,
462,
437,
462
],
"text": "it",
"confidence": null
},
{
"bounding_box": [
459,
431,
539,
431,
537,
462,
458,
462
],
"text": "appears",
"confidence": null
},
{
"bounding_box": [
544,
431,
568,
430,
567,
462,
543,
462
],
"text": "on",
"confidence": null
},
{
"bounding_box": [
574,
430,
613,
430,
612,
462,
573,
462
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
619,
430,
671,
430,
669,
462,
617,
462
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
678,
430,
715,
430,
714,
462,
677,
462
],
"text": "575",
"confidence": null
},
{
"bounding_box": [
721,
430,
843,
430,
842,
462,
719,
462
],
"text": "(Assignment",
"confidence": null
},
{
"bounding_box": [
849,
430,
868,
430,
866,
462,
847,
462
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
873,
430,
964,
430,
962,
462,
872,
462
],
"text": "Employer",
"confidence": null
},
{
"bounding_box": [
970,
430,
1091,
430,
1089,
462,
968,
462
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
1096,
430,
1174,
430,
1172,
462,
1094,
462
],
"text": "Number",
"confidence": null
}
]
},
{
"bounding_box": [
139,
476,
571,
471,
571,
521,
140,
527
],
"text": "Type of Organization: Corporation",
"words": [
{
"bounding_box": [
142,
486,
191,
484,
192,
517,
144,
516
],
"text": "Type",
"confidence": null
},
{
"bounding_box": [
197,
484,
217,
483,
217,
517,
198,
517
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
223,
483,
366,
477,
363,
520,
223,
518
],
"text": "Organization:",
"confidence": null
},
{
"bounding_box": [
423,
475,
542,
472,
537,
523,
419,
521
],
"text": "Corporation",
"confidence": null
}
]
},
{
"bounding_box": [
528,
464,
775,
471,
773,
525,
527,
519
],
"text": "sole Proprietor",
"words": [
{
"bounding_box": [
623,
471,
659,
472,
657,
520,
621,
520
],
"text": "sole",
"confidence": "Low"
},
{
"bounding_box": [
670,
473,
774,
478,
772,
519,
667,
520
],
"text": "Proprietor",
"confidence": null
}
]
},
{
"bounding_box": [
139,
529,
893,
515,
894,
562,
140,
577
],
"text": "Is this a corporation exempt from backup withholding? Yes No",
"words": [
{
"bounding_box": [
141,
540,
161,
540,
162,
566,
142,
565
],
"text": "Is",
"confidence": null
},
{
"bounding_box": [
166,
540,
203,
540,
204,
566,
167,
566
],
"text": "this",
"confidence": null
},
{
"bounding_box": [
208,
540,
221,
539,
222,
566,
209,
566
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
226,
539,
336,
537,
337,
567,
227,
566
],
"text": "corporation",
"confidence": null
},
{
"bounding_box": [
341,
537,
414,
535,
415,
568,
342,
567
],
"text": "exempt",
"confidence": null
},
{
"bounding_box": [
419,
535,
460,
534,
460,
568,
420,
568
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
468,
534,
541,
531,
541,
568,
468,
568
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
546,
531,
676,
526,
676,
567,
546,
568
],
"text": "withholding?",
"confidence": null
},
{
"bounding_box": [
743,
523,
785,
521,
785,
565,
742,
566
],
"text": "Yes",
"confidence": "Low"
},
{
"bounding_box": [
869,
516,
894,
515,
893,
563,
869,
564
],
"text": "No",
"confidence": "Low"
}
]
},
{
"bounding_box": [
813,
470,
1165,
474,
1164,
525,
813,
522
],
"text": "Partnership, Estate, Trust, etc.",
"words": [
{
"bounding_box": [
868,
475,
980,
480,
977,
517,
864,
520
],
"text": "Partnership,",
"confidence": "Low"
},
{
"bounding_box": [
990,
481,
1054,
482,
1052,
517,
987,
516
],
"text": "Estate,",
"confidence": null
},
{
"bounding_box": [
1064,
482,
1112,
482,
1110,
518,
1062,
517
],
"text": "Trust,",
"confidence": "Low"
},
{
"bounding_box": [
1122,
482,
1163,
481,
1161,
521,
1120,
519
],
"text": "etc.",
"confidence": null
}
]
},
{
"bounding_box": [
140,
588,
980,
585,
981,
616,
141,
619
],
"text": "Please use the appropriate line to fill in the name and Taxpayer Identification Number:",
"words": [
{
"bounding_box": [
141,
592,
211,
591,
211,
617,
141,
616
],
"text": "Please",
"confidence": null
},
{
"bounding_box": [
215,
590,
253,
590,
254,
617,
216,
617
],
"text": "use",
"confidence": null
},
{
"bounding_box": [
258,
590,
290,
589,
290,
618,
258,
617
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
295,
589,
406,
588,
406,
618,
295,
618
],
"text": "appropriate",
"confidence": null
},
{
"bounding_box": [
410,
588,
445,
588,
445,
618,
410,
618
],
"text": "line",
"confidence": null
},
{
"bounding_box": [
450,
588,
469,
587,
469,
618,
450,
618
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
474,
587,
496,
587,
496,
618,
474,
618
],
"text": "fill",
"confidence": null
},
{
"bounding_box": [
501,
587,
520,
587,
520,
618,
501,
618
],
"text": "in",
"confidence": null
},
{
"bounding_box": [
524,
587,
558,
587,
558,
618,
525,
618
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
562,
587,
621,
587,
621,
618,
563,
618
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
626,
587,
665,
587,
666,
618,
626,
618
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
670,
587,
762,
587,
762,
617,
670,
618
],
"text": "Taxpayer",
"confidence": null
},
{
"bounding_box": [
767,
587,
892,
588,
892,
616,
767,
617
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
897,
588,
981,
589,
981,
615,
897,
616
],
"text": "Number:",
"confidence": "Low"
}
]
},
{
"bounding_box": [
139,
642,
328,
640,
329,
667,
140,
670
],
"text": "Corporation Name",
"words": [
{
"bounding_box": [
142,
643,
260,
642,
259,
669,
142,
670
],
"text": "Corporation",
"confidence": null
},
{
"bounding_box": [
265,
642,
328,
641,
327,
668,
265,
669
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
361,
614,
752,
616,
751,
671,
361,
669
],
"text": "USA PETROLEUM",
"words": [
{
"bounding_box": [
362,
616,
440,
615,
439,
669,
361,
670
],
"text": "USA",
"confidence": "Low"
},
{
"bounding_box": [
490,
615,
744,
621,
742,
669,
488,
668
],
"text": "PETROLEUM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
690,
375,
691,
374,
716,
143,
715
],
"text": "Sole Proprietor's Name",
"words": [
{
"bounding_box": [
144,
691,
187,
691,
188,
717,
145,
716
],
"text": "Sole",
"confidence": null
},
{
"bounding_box": [
192,
691,
305,
692,
306,
717,
193,
717
],
"text": "Proprietor's",
"confidence": null
},
{
"bounding_box": [
310,
692,
373,
692,
374,
716,
311,
717
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
1096,
679,
1609,
682,
1608,
721,
1095,
718
],
"text": "S. S. No. WILTQUILLLY",
"words": [
{
"bounding_box": [
1102,
682,
1117,
683,
1119,
715,
1104,
715
],
"text": "S.",
"confidence": null
},
{
"bounding_box": [
1124,
683,
1139,
683,
1140,
715,
1125,
715
],
"text": "S.",
"confidence": "Low"
},
{
"bounding_box": [
1145,
683,
1186,
683,
1187,
715,
1146,
715
],
"text": "No.",
"confidence": null
},
{
"bounding_box": [
1193,
683,
1578,
682,
1577,
721,
1193,
715
],
"text": "WILTQUILLLY",
"confidence": "Low"
}
]
},
{
"bounding_box": [
142,
758,
469,
760,
468,
788,
141,
787
],
"text": "Sole Proprietor's Business Name",
"words": [
{
"bounding_box": [
145,
760,
188,
761,
188,
787,
146,
786
],
"text": "Sole",
"confidence": null
},
{
"bounding_box": [
193,
761,
307,
761,
308,
788,
193,
787
],
"text": "Proprietor's",
"confidence": null
},
{
"bounding_box": [
312,
761,
401,
761,
402,
788,
313,
788
],
"text": "Business",
"confidence": null
},
{
"bounding_box": [
407,
761,
469,
760,
470,
788,
407,
788
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
1140,
749,
1447,
747,
1448,
782,
1141,
785
],
"text": "EIN LUGLLLL",
"words": [
{
"bounding_box": [
1145,
751,
1188,
750,
1189,
785,
1146,
786
],
"text": "EIN",
"confidence": "Low"
},
{
"bounding_box": [
1195,
750,
1439,
748,
1438,
784,
1195,
785
],
"text": "LUGLLLL",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
787,
171,
789,
170,
812,
143,
810
],
"text": "or",
"words": [
{
"bounding_box": [
143,
786,
169,
788,
168,
811,
142,
809
],
"text": "or",
"confidence": null
}
]
},
{
"bounding_box": [
140,
806,
442,
807,
441,
839,
139,
837
],
"text": "Partnership, Estate, Trust, etc.",
"words": [
{
"bounding_box": [
142,
806,
263,
809,
264,
838,
143,
837
],
"text": "Partnership,",
"confidence": null
},
{
"bounding_box": [
269,
809,
338,
810,
339,
838,
270,
838
],
"text": "Estate,",
"confidence": null
},
{
"bounding_box": [
344,
810,
399,
810,
399,
837,
345,
838
],
"text": "Trust,",
"confidence": null
},
{
"bounding_box": [
405,
810,
442,
810,
442,
836,
406,
837
],
"text": "etc.",
"confidence": null
}
]
},
{
"bounding_box": [
143,
858,
612,
857,
612,
888,
144,
890
],
"text": "Address (Number, Street and Apt or Suite No.)",
"words": [
{
"bounding_box": [
144,
861,
226,
862,
226,
888,
144,
889
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
231,
862,
324,
863,
324,
888,
231,
888
],
"text": "(Number,",
"confidence": null
},
{
"bounding_box": [
329,
863,
389,
862,
389,
888,
329,
888
],
"text": "Street",
"confidence": null
},
{
"bounding_box": [
395,
862,
431,
862,
431,
888,
394,
888
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
436,
862,
476,
861,
476,
889,
436,
888
],
"text": "Apt",
"confidence": null
},
{
"bounding_box": [
482,
861,
503,
860,
503,
889,
481,
889
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
509,
860,
558,
859,
557,
889,
509,
889
],
"text": "Suite",
"confidence": null
},
{
"bounding_box": [
563,
859,
612,
857,
612,
889,
563,
889
],
"text": "No.)",
"confidence": null
}
]
},
{
"bounding_box": [
142,
912,
482,
910,
483,
937,
142,
939
],
"text": "Address (City, State and Zip Code)",
"words": [
{
"bounding_box": [
144,
912,
225,
912,
226,
939,
144,
939
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
231,
912,
285,
912,
286,
938,
231,
938
],
"text": "(City,",
"confidence": null
},
{
"bounding_box": [
291,
912,
341,
912,
342,
937,
291,
938
],
"text": "State",
"confidence": null
},
{
"bounding_box": [
347,
912,
383,
912,
384,
937,
347,
937
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
388,
912,
419,
912,
420,
937,
389,
937
],
"text": "Zip",
"confidence": null
},
{
"bounding_box": [
425,
912,
483,
911,
483,
936,
425,
937
],
"text": "Code)",
"confidence": null
}
]
},
{
"bounding_box": [
143,
951,
293,
950,
293,
976,
144,
977
],
"text": "Certification:",
"words": [
{
"bounding_box": [
148,
951,
292,
952,
292,
976,
148,
978
],
"text": "Certification:",
"confidence": null
}
]
},
{
"bounding_box": [
145,
975,
531,
972,
531,
998,
146,
1002
],
"text": "Under penalties of perjury, I certify that",
"words": [
{
"bounding_box": [
147,
977,
207,
977,
207,
1001,
146,
1002
],
"text": "Under",
"confidence": null
},
{
"bounding_box": [
212,
977,
303,
977,
302,
1000,
211,
1001
],
"text": "penalties",
"confidence": null
},
{
"bounding_box": [
308,
977,
326,
977,
325,
1000,
307,
1000
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
331,
977,
405,
976,
405,
1000,
330,
1000
],
"text": "perjury,",
"confidence": null
},
{
"bounding_box": [
410,
975,
418,
975,
418,
1000,
410,
1000
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
423,
975,
481,
973,
481,
999,
423,
1000
],
"text": "certify",
"confidence": null
},
{
"bounding_box": [
486,
973,
532,
972,
532,
999,
486,
999
],
"text": "that",
"confidence": null
}
]
},
{
"bounding_box": [
139,
1002,
1380,
996,
1381,
1023,
140,
1029
],
"text": "1. The number shown above is my correct taxpayer identification number (or I am waiting for a number to be issued to me) and",
"words": [
{
"bounding_box": [
148,
1002,
177,
1002,
176,
1030,
147,
1030
],
"text": "1.",
"confidence": null
},
{
"bounding_box": [
187,
1002,
225,
1002,
224,
1029,
187,
1030
],
"text": "The",
"confidence": null
},
{
"bounding_box": [
230,
1002,
305,
1002,
305,
1029,
230,
1029
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
311,
1002,
373,
1001,
373,
1028,
310,
1029
],
"text": "shown",
"confidence": null
},
{
"bounding_box": [
379,
1001,
438,
1001,
437,
1028,
378,
1028
],
"text": "above",
"confidence": null
},
{
"bounding_box": [
443,
1001,
461,
1001,
460,
1028,
442,
1028
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
466,
1001,
496,
1001,
496,
1028,
466,
1028
],
"text": "my",
"confidence": null
},
{
"bounding_box": [
502,
1001,
570,
1000,
569,
1027,
501,
1028
],
"text": "correct",
"confidence": null
},
{
"bounding_box": [
575,
1000,
663,
1000,
662,
1027,
575,
1027
],
"text": "taxpayer",
"confidence": null
},
{
"bounding_box": [
668,
1000,
793,
999,
793,
1026,
668,
1027
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
798,
999,
873,
999,
873,
1026,
798,
1026
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
879,
999,
904,
999,
904,
1026,
879,
1026
],
"text": "(or",
"confidence": null
},
{
"bounding_box": [
909,
999,
918,
999,
918,
1026,
909,
1026
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
923,
999,
952,
999,
952,
1026,
923,
1026
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
959,
999,
1025,
999,
1025,
1025,
959,
1026
],
"text": "waiting",
"confidence": null
},
{
"bounding_box": [
1031,
999,
1056,
999,
1056,
1025,
1030,
1025
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
1061,
998,
1072,
998,
1072,
1025,
1061,
1025
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
1077,
998,
1150,
998,
1150,
1025,
1077,
1025
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
1156,
998,
1174,
998,
1173,
1025,
1156,
1025
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1179,
998,
1204,
998,
1204,
1024,
1179,
1025
],
"text": "be",
"confidence": null
},
{
"bounding_box": [
1209,
998,
1274,
998,
1274,
1024,
1209,
1024
],
"text": "issued",
"confidence": null
},
{
"bounding_box": [
1279,
998,
1297,
998,
1297,
1024,
1279,
1024
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1302,
998,
1340,
998,
1340,
1024,
1302,
1024
],
"text": "me)",
"confidence": null
},
{
"bounding_box": [
1345,
998,
1381,
998,
1381,
1024,
1345,
1024
],
"text": "and",
"confidence": null
}
]
},
{
"bounding_box": [
146,
1029,
170,
1027,
172,
1049,
147,
1051
],
"text": "2.",
"words": [
{
"bounding_box": [
148,
1027,
169,
1026,
171,
1048,
149,
1050
],
"text": "2.",
"confidence": null
}
]
},
{
"bounding_box": [
184,
1026,
1571,
1022,
1571,
1050,
185,
1055
],
"text": "I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue",
"words": [
{
"bounding_box": [
186,
1027,
193,
1027,
192,
1054,
185,
1054
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
198,
1027,
228,
1027,
227,
1054,
197,
1054
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
235,
1027,
268,
1027,
268,
1054,
234,
1054
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
273,
1027,
342,
1027,
341,
1054,
273,
1054
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
347,
1027,
365,
1027,
364,
1054,
347,
1054
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
370,
1027,
442,
1027,
442,
1054,
370,
1054
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
447,
1027,
558,
1027,
557,
1054,
447,
1054
],
"text": "withholding",
"confidence": null
},
{
"bounding_box": [
563,
1027,
656,
1027,
656,
1053,
563,
1054
],
"text": "because:",
"confidence": null
},
{
"bounding_box": [
662,
1027,
690,
1027,
689,
1053,
661,
1053
],
"text": "(a)",
"confidence": null
},
{
"bounding_box": [
695,
1027,
704,
1027,
703,
1053,
694,
1053
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
709,
1027,
737,
1027,
737,
1053,
709,
1053
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
746,
1027,
818,
1027,
817,
1053,
745,
1053
],
"text": "exempt",
"confidence": null
},
{
"bounding_box": [
823,
1027,
865,
1026,
865,
1053,
823,
1053
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
872,
1026,
943,
1026,
942,
1053,
872,
1053
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
948,
1026,
1062,
1026,
1062,
1052,
947,
1053
],
"text": "withholding,",
"confidence": null
},
{
"bounding_box": [
1067,
1025,
1085,
1025,
1084,
1052,
1067,
1052
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1090,
1025,
1118,
1025,
1118,
1052,
1090,
1052
],
"text": "(b)",
"confidence": null
},
{
"bounding_box": [
1124,
1025,
1127,
1025,
1127,
1052,
1123,
1052
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
1132,
1025,
1182,
1025,
1181,
1052,
1132,
1052
],
"text": "have",
"confidence": null
},
{
"bounding_box": [
1187,
1025,
1217,
1025,
1216,
1052,
1186,
1052
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
1222,
1025,
1271,
1024,
1271,
1051,
1221,
1052
],
"text": "been",
"confidence": null
},
{
"bounding_box": [
1277,
1024,
1345,
1024,
1344,
1051,
1276,
1051
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
1350,
1024,
1375,
1024,
1374,
1051,
1350,
1051
],
"text": "by",
"confidence": null
},
{
"bounding_box": [
1380,
1023,
1408,
1023,
1407,
1051,
1379,
1051
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1414,
1023,
1484,
1023,
1483,
1050,
1413,
1051
],
"text": "Internal",
"confidence": "Low"
},
{
"bounding_box": [
1489,
1023,
1572,
1022,
1571,
1050,
1488,
1050
],
"text": "Revenue",
"confidence": null
}
]
},
{
"bounding_box": [
187,
1052,
1580,
1049,
1580,
1076,
188,
1080
],
"text": "Service that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no",
"words": [
{
"bounding_box": [
188,
1055,
263,
1055,
263,
1079,
188,
1079
],
"text": "Service",
"confidence": null
},
{
"bounding_box": [
268,
1055,
304,
1055,
304,
1079,
268,
1079
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
308,
1055,
316,
1055,
316,
1079,
308,
1079
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
321,
1055,
347,
1054,
347,
1079,
321,
1079
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
357,
1054,
427,
1054,
427,
1079,
356,
1079
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
432,
1054,
452,
1054,
451,
1079,
431,
1079
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
456,
1054,
528,
1054,
528,
1079,
456,
1079
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
533,
1054,
648,
1054,
648,
1078,
532,
1079
],
"text": "withholding",
"confidence": null
},
{
"bounding_box": [
653,
1054,
678,
1054,
677,
1078,
652,
1078
],
"text": "as",
"confidence": null
},
{
"bounding_box": [
683,
1054,
695,
1054,
694,
1078,
682,
1078
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
700,
1053,
757,
1053,
757,
1078,
699,
1078
],
"text": "result",
"confidence": null
},
{
"bounding_box": [
762,
1053,
782,
1053,
782,
1078,
761,
1078
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
787,
1053,
798,
1053,
797,
1078,
786,
1078
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
803,
1053,
865,
1053,
864,
1078,
802,
1078
],
"text": "failure",
"confidence": null
},
{
"bounding_box": [
870,
1053,
887,
1053,
886,
1078,
869,
1078
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
892,
1053,
951,
1053,
950,
1078,
890,
1078
],
"text": "report",
"confidence": null
},
{
"bounding_box": [
956,
1053,
977,
1052,
976,
1078,
954,
1078
],
"text": "all",
"confidence": null
},
{
"bounding_box": [
982,
1052,
1054,
1052,
1052,
1078,
981,
1078
],
"text": "interest",
"confidence": null
},
{
"bounding_box": [
1058,
1052,
1080,
1052,
1079,
1078,
1057,
1078
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1085,
1052,
1180,
1051,
1179,
1078,
1084,
1078
],
"text": "dividends,",
"confidence": null
},
{
"bounding_box": [
1185,
1051,
1207,
1051,
1205,
1078,
1183,
1078
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1211,
1051,
1236,
1051,
1235,
1078,
1210,
1078
],
"text": "(c)",
"confidence": null
},
{
"bounding_box": [
1241,
1051,
1271,
1051,
1269,
1078,
1239,
1078
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1275,
1051,
1313,
1051,
1311,
1078,
1273,
1078
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
1317,
1051,
1353,
1050,
1351,
1078,
1316,
1078
],
"text": "has",
"confidence": null
},
{
"bounding_box": [
1358,
1050,
1426,
1050,
1424,
1077,
1356,
1078
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
1431,
1050,
1462,
1050,
1460,
1077,
1429,
1077
],
"text": "me",
"confidence": null
},
{
"bounding_box": [
1467,
1050,
1503,
1049,
1501,
1077,
1465,
1077
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
1508,
1049,
1514,
1049,
1512,
1077,
1505,
1077
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
1518,
1049,
1547,
1049,
1544,
1077,
1516,
1077
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
1554,
1049,
1579,
1049,
1577,
1077,
1552,
1077
],
"text": "no",
"confidence": null
}
]
},
{
"bounding_box": [
193,
1079,
541,
1080,
540,
1106,
192,
1105
],
"text": "onger subject to backup withholding.",
"words": [
{
"bounding_box": [
194,
1081,
250,
1081,
249,
1105,
193,
1105
],
"text": "onger",
"confidence": null
},
{
"bounding_box": [
255,
1080,
324,
1080,
323,
1105,
254,
1105
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
328,
1080,
347,
1080,
346,
1105,
328,
1105
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
352,
1080,
424,
1080,
424,
1106,
351,
1105
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
429,
1080,
539,
1081,
540,
1107,
428,
1106
],
"text": "withholding.",
"confidence": "Low"
}
]
},
{
"bounding_box": [
145,
1103,
1587,
1095,
1588,
1126,
146,
1134
],
"text": "Certification Instructions: You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding",
"words": [
{
"bounding_box": [
148,
1107,
274,
1106,
273,
1132,
148,
1132
],
"text": "Certification",
"confidence": "Low"
},
{
"bounding_box": [
279,
1106,
419,
1104,
418,
1132,
278,
1132
],
"text": "Instructions:",
"confidence": null
},
{
"bounding_box": [
424,
1104,
463,
1103,
462,
1132,
423,
1132
],
"text": "You",
"confidence": null
},
{
"bounding_box": [
468,
1103,
517,
1103,
516,
1132,
467,
1132
],
"text": "must",
"confidence": null
},
{
"bounding_box": [
522,
1103,
577,
1102,
576,
1132,
521,
1132
],
"text": "cross",
"confidence": null
},
{
"bounding_box": [
582,
1102,
615,
1102,
614,
1132,
581,
1132
],
"text": "out",
"confidence": null
},
{
"bounding_box": [
620,
1102,
662,
1101,
661,
1132,
619,
1132
],
"text": "Item",
"confidence": "Low"
},
{
"bounding_box": [
670,
1101,
685,
1101,
684,
1132,
669,
1132
],
"text": "2",
"confidence": null
},
{
"bounding_box": [
690,
1101,
750,
1101,
749,
1132,
689,
1132
],
"text": "above",
"confidence": null
},
{
"bounding_box": [
755,
1101,
768,
1100,
767,
1132,
754,
1132
],
"text": "if",
"confidence": null
},
{
"bounding_box": [
773,
1100,
807,
1100,
806,
1131,
772,
1131
],
"text": "you",
"confidence": null
},
{
"bounding_box": [
812,
1100,
861,
1100,
860,
1131,
811,
1131
],
"text": "have",
"confidence": null
},
{
"bounding_box": [
866,
1100,
916,
1099,
915,
1131,
865,
1131
],
"text": "been",
"confidence": null
},
{
"bounding_box": [
921,
1099,
990,
1099,
989,
1131,
920,
1131
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
995,
1099,
1019,
1099,
1018,
1131,
993,
1131
],
"text": "by",
"confidence": null
},
{
"bounding_box": [
1024,
1099,
1053,
1099,
1052,
1131,
1023,
1131
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1058,
1098,
1096,
1098,
1094,
1130,
1057,
1130
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
1101,
1098,
1137,
1098,
1135,
1130,
1099,
1130
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
1142,
1098,
1179,
1098,
1178,
1130,
1140,
1130
],
"text": "you",
"confidence": null
},
{
"bounding_box": [
1184,
1098,
1217,
1098,
1215,
1130,
1182,
1130
],
"text": "are",
"confidence": null
},
{
"bounding_box": [
1221,
1098,
1305,
1097,
1303,
1129,
1220,
1130
],
"text": "currently",
"confidence": null
},
{
"bounding_box": [
1310,
1097,
1376,
1097,
1375,
1129,
1308,
1129
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
1381,
1097,
1401,
1097,
1399,
1129,
1380,
1129
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1406,
1097,
1473,
1097,
1471,
1128,
1404,
1129
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
1478,
1097,
1588,
1097,
1586,
1128,
1476,
1128
],
"text": "withholding",
"confidence": null
}
]
},
{
"bounding_box": [
144,
1132,
680,
1130,
681,
1158,
145,
1160
],
"text": "because of under reporting interest on your tax return.",
"words": [
{
"bounding_box": [
147,
1133,
232,
1133,
231,
1159,
145,
1157
],
"text": "because",
"confidence": null
},
{
"bounding_box": [
237,
1133,
256,
1133,
255,
1159,
235,
1159
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
261,
1133,
317,
1132,
316,
1160,
260,
1159
],
"text": "under",
"confidence": null
},
{
"bounding_box": [
322,
1132,
409,
1132,
408,
1160,
321,
1160
],
"text": "reporting",
"confidence": null
},
{
"bounding_box": [
414,
1132,
488,
1132,
487,
1160,
413,
1160
],
"text": "interest",
"confidence": null
},
{
"bounding_box": [
493,
1132,
517,
1132,
516,
1159,
491,
1160
],
"text": "on",
"confidence": null
},
{
"bounding_box": [
522,
1132,
567,
1132,
566,
1159,
520,
1159
],
"text": "your",
"confidence": null
},
{
"bounding_box": [
571,
1132,
604,
1131,
603,
1158,
570,
1159
],
"text": "tax",
"confidence": null
},
{
"bounding_box": [
608,
1131,
681,
1131,
680,
1157,
607,
1158
],
"text": "return.",
"confidence": "Low"
}
]
},
{
"bounding_box": [
143,
1181,
408,
1179,
408,
1211,
144,
1213
],
"text": "Store Name (Please Print).",
"words": [
{
"bounding_box": [
147,
1184,
196,
1183,
196,
1212,
146,
1212
],
"text": "Store",
"confidence": null
},
{
"bounding_box": [
202,
1183,
263,
1181,
262,
1212,
201,
1212
],
"text": "Name",
"confidence": null
},
{
"bounding_box": [
268,
1181,
342,
1180,
341,
1212,
268,
1212
],
"text": "(Please",
"confidence": null
},
{
"bounding_box": [
347,
1180,
408,
1179,
407,
1211,
347,
1212
],
"text": "Print).",
"confidence": "Low"
}
]
},
{
"bounding_box": [
416,
1158,
837,
1152,
838,
1206,
417,
1212
],
"text": "USA PETROLEUM",
"words": [
{
"bounding_box": [
433,
1163,
511,
1159,
511,
1209,
432,
1210
],
"text": "USA",
"confidence": null
},
{
"bounding_box": [
571,
1157,
819,
1153,
822,
1207,
571,
1209
],
"text": "PETROLEUM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1103,
1177,
1281,
1181,
1280,
1208,
1102,
1205
],
"text": "RJR Account No.",
"words": [
{
"bounding_box": [
1108,
1180,
1149,
1180,
1150,
1205,
1108,
1204
],
"text": "RJR",
"confidence": null
},
{
"bounding_box": [
1156,
1180,
1235,
1181,
1235,
1208,
1156,
1206
],
"text": "Account",
"confidence": null
},
{
"bounding_box": [
1239,
1181,
1280,
1181,
1280,
1209,
1240,
1208
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
141,
1233,
299,
1232,
300,
1259,
142,
1260
],
"text": "Street Address .",
"words": [
{
"bounding_box": [
145,
1235,
204,
1235,
204,
1260,
145,
1259
],
"text": "Street",
"confidence": null
},
{
"bounding_box": [
208,
1235,
290,
1233,
291,
1260,
209,
1260
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
295,
1233,
298,
1233,
299,
1260,
296,
1260
],
"text": ".",
"confidence": null
}
]
},
{
"bounding_box": [
325,
1213,
1010,
1214,
1010,
1261,
324,
1260
],
"text": "30101 DECOR OF STE 240",
"words": [
{
"bounding_box": [
328,
1217,
452,
1215,
452,
1260,
328,
1260
],
"text": "30101",
"confidence": "Low"
},
{
"bounding_box": [
498,
1214,
636,
1214,
636,
1260,
498,
1260
],
"text": "DECOR",
"confidence": "Low"
},
{
"bounding_box": [
687,
1214,
753,
1214,
755,
1261,
688,
1260
],
"text": "OF",
"confidence": "Low"
},
{
"bounding_box": [
831,
1215,
906,
1216,
907,
1261,
832,
1261
],
"text": "STE",
"confidence": "Low"
},
{
"bounding_box": [
926,
1216,
1006,
1218,
1008,
1261,
928,
1261
],
"text": "240",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1105,
1228,
1277,
1234,
1277,
1262,
1104,
1256
],
"text": "RJR Territory No.",
"words": [
{
"bounding_box": [
1109,
1230,
1151,
1231,
1151,
1257,
1108,
1257
],
"text": "RJR",
"confidence": null
},
{
"bounding_box": [
1158,
1231,
1237,
1232,
1237,
1260,
1158,
1257
],
"text": "Territory",
"confidence": null
},
{
"bounding_box": [
1242,
1233,
1275,
1234,
1276,
1262,
1243,
1260
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
141,
1284,
249,
1286,
249,
1313,
140,
1311
],
"text": "City/State",
"words": [
{
"bounding_box": [
143,
1286,
246,
1286,
247,
1313,
143,
1312
],
"text": "City/State",
"confidence": null
}
]
},
{
"bounding_box": [
295,
1263,
687,
1265,
686,
1313,
294,
1312
],
"text": "PLOVEA HILLS",
"words": [
{
"bounding_box": [
298,
1264,
465,
1266,
466,
1313,
299,
1311
],
"text": "PLOVEA",
"confidence": "Low"
},
{
"bounding_box": [
507,
1266,
641,
1265,
642,
1313,
508,
1313
],
"text": "HILLS",
"confidence": "Low"
}
]
},
{
"bounding_box": [
724,
1261,
833,
1265,
833,
1302,
726,
1305
],
"text": "CA .",
"words": [
{
"bounding_box": [
741,
1260,
803,
1260,
803,
1304,
741,
1304
],
"text": "CA",
"confidence": null
},
{
"bounding_box": [
817,
1260,
832,
1260,
832,
1304,
817,
1304
],
"text": ".",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1102,
1275,
1206,
1279,
1205,
1311,
1101,
1308
],
"text": "Zip Code",
"words": [
{
"bounding_box": [
1108,
1277,
1137,
1278,
1138,
1310,
1109,
1309
],
"text": "Zip",
"confidence": null
},
{
"bounding_box": [
1143,
1279,
1203,
1279,
1203,
1311,
1144,
1310
],
"text": "Code",
"confidence": null
}
]
},
{
"bounding_box": [
143,
1334,
331,
1335,
331,
1365,
142,
1364
],
"text": "Call Classification .",
"words": [
{
"bounding_box": [
144,
1336,
181,
1336,
181,
1363,
145,
1363
],
"text": "Call",
"confidence": null
},
{
"bounding_box": [
186,
1336,
320,
1335,
319,
1365,
187,
1363
],
"text": "Classification",
"confidence": null
},
{
"bounding_box": [
325,
1335,
330,
1335,
330,
1365,
325,
1365
],
"text": ".",
"confidence": null
}
]
},
{
"bounding_box": [
1103,
1326,
1552,
1315,
1553,
1354,
1104,
1366
],
"text": "Brand (if Chain) (2520) . XXXX",
"words": [
{
"bounding_box": [
1108,
1334,
1167,
1331,
1167,
1359,
1109,
1358
],
"text": "Brand",
"confidence": null
},
{
"bounding_box": [
1171,
1330,
1191,
1329,
1192,
1359,
1172,
1359
],
"text": "(if",
"confidence": null
},
{
"bounding_box": [
1196,
1329,
1268,
1325,
1269,
1359,
1196,
1359
],
"text": "Chain)",
"confidence": "Low"
},
{
"bounding_box": [
1282,
1324,
1396,
1320,
1397,
1358,
1283,
1359
],
"text": "(2520)",
"confidence": "Low"
},
{
"bounding_box": [
1407,
1319,
1421,
1319,
1422,
1358,
1408,
1358
],
"text": ".",
"confidence": "Low"
},
{
"bounding_box": [
1426,
1319,
1535,
1316,
1536,
1356,
1426,
1358
],
"text": "XXXX",
"confidence": "Low"
}
]
},
{
"bounding_box": [
201,
1372,
285,
1379,
283,
1403,
199,
1396
],
"text": "Current",
"words": [
{
"bounding_box": [
202,
1374,
285,
1379,
283,
1402,
202,
1395
],
"text": "Current",
"confidence": null
}
]
},
{
"bounding_box": [
943,
1374,
985,
1378,
985,
1398,
943,
1394
],
"text": "No.",
"words": [
{
"bounding_box": [
952,
1374,
986,
1378,
984,
1397,
950,
1394
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
1404,
1366,
1550,
1369,
1549,
1396,
1403,
1393
],
"text": "Total Quartert",
"words": [
{
"bounding_box": [
1412,
1368,
1462,
1369,
1462,
1395,
1412,
1394
],
"text": "Total",
"confidence": null
},
{
"bounding_box": [
1467,
1369,
1550,
1369,
1550,
1396,
1467,
1395
],
"text": "Quartert",
"confidence": "Low"
}
]
},
{
"bounding_box": [
170,
1402,
311,
1404,
310,
1428,
169,
1427
],
"text": "RJR Volume",
"words": [
{
"bounding_box": [
173,
1404,
217,
1404,
218,
1428,
174,
1427
],
"text": "RJR",
"confidence": "Low"
},
{
"bounding_box": [
224,
1404,
307,
1404,
308,
1429,
225,
1428
],
"text": "Volume",
"confidence": "Low"
}
]
},
{
"bounding_box": [
590,
1381,
644,
1386,
646,
1413,
592,
1408
],
"text": "Type",
"words": [
{
"bounding_box": [
596,
1381,
646,
1385,
644,
1411,
594,
1407
],
"text": "Type",
"confidence": null
}
]
},
{
"bounding_box": [
924,
1401,
1016,
1400,
1017,
1425,
925,
1426
],
"text": "Stores",
"words": [
{
"bounding_box": [
937,
1403,
1007,
1403,
1006,
1425,
936,
1425
],
"text": "Stores",
"confidence": null
}
]
},
{
"bounding_box": [
1079,
1383,
1271,
1385,
1270,
1411,
1078,
1409
],
"text": "Monthly Payment",
"words": [
{
"bounding_box": [
1085,
1384,
1168,
1386,
1167,
1411,
1084,
1410
],
"text": "Monthly",
"confidence": null
},
{
"bounding_box": [
1173,
1386,
1270,
1387,
1270,
1411,
1172,
1411
],
"text": "Payment",
"confidence": null
}
]
},
{
"bounding_box": [
1410,
1397,
1563,
1398,
1562,
1424,
1409,
1423
],
"text": "Dollar Amount",
"words": [
{
"bounding_box": [
1413,
1400,
1475,
1398,
1474,
1421,
1411,
1422
],
"text": "Dollar",
"confidence": null
},
{
"bounding_box": [
1479,
1398,
1562,
1400,
1562,
1424,
1478,
1421
],
"text": "Amount",
"confidence": null
}
]
},
{
"bounding_box": [
1299,
1537,
1374,
1534,
1375,
1560,
1301,
1564
],
"text": "TOTAL",
"words": [
{
"bounding_box": [
1300,
1539,
1368,
1535,
1368,
1561,
1301,
1562
],
"text": "TOTAL",
"confidence": null
}
]
},
{
"bounding_box": [
194,
1616,
435,
1618,
435,
1668,
193,
1666
],
"text": "7. 36 . 29",
"words": [
{
"bounding_box": [
200,
1618,
259,
1619,
260,
1666,
200,
1666
],
"text": "7.",
"confidence": null
},
{
"bounding_box": [
268,
1619,
328,
1619,
328,
1667,
269,
1666
],
"text": "36",
"confidence": "Low"
},
{
"bounding_box": [
346,
1619,
368,
1619,
368,
1667,
347,
1667
],
"text": ".",
"confidence": null
},
{
"bounding_box": [
378,
1619,
434,
1618,
434,
1669,
378,
1668
],
"text": "29",
"confidence": "Low"
}
]
},
{
"bounding_box": [
541,
1624,
741,
1626,
741,
1658,
540,
1656
],
"text": "Retailer's Signature",
"words": [
{
"bounding_box": [
541,
1627,
636,
1627,
635,
1654,
541,
1655
],
"text": "Retailer's",
"confidence": null
},
{
"bounding_box": [
641,
1627,
741,
1626,
741,
1658,
641,
1654
],
"text": "Signature",
"confidence": null
}
]
},
{
"bounding_box": [
211,
1666,
424,
1666,
423,
1694,
210,
1693
],
"text": "Date Contract Signed",
"words": [
{
"bounding_box": [
211,
1666,
259,
1668,
260,
1694,
212,
1692
],
"text": "Date",
"confidence": "Low"
},
{
"bounding_box": [
264,
1668,
348,
1669,
349,
1694,
265,
1694
],
"text": "Contract",
"confidence": null
},
{
"bounding_box": [
353,
1669,
421,
1667,
423,
1691,
354,
1694
],
"text": "Signed",
"confidence": null
}
]
},
{
"bounding_box": [
539,
1675,
589,
1678,
590,
1702,
539,
1699
],
"text": "Tille",
"words": [
{
"bounding_box": [
542,
1675,
586,
1677,
585,
1701,
540,
1699
],
"text": "Tille",
"confidence": null
}
]
},
{
"bounding_box": [
709,
1639,
1412,
1630,
1413,
1688,
710,
1696
],
"text": "RETAIL MENGH . Dilation",
"words": [
{
"bounding_box": [
722,
1644,
892,
1645,
896,
1692,
726,
1688
],
"text": "RETAIL",
"confidence": "Low"
},
{
"bounding_box": [
907,
1645,
1089,
1643,
1092,
1693,
910,
1693
],
"text": "MENGH",
"confidence": "Low"
},
{
"bounding_box": [
1103,
1643,
1132,
1642,
1135,
1692,
1106,
1693
],
"text": ".",
"confidence": null
},
{
"bounding_box": [
1164,
1641,
1389,
1632,
1392,
1685,
1167,
1692
],
"text": "Dilation",
"confidence": "Low"
}
]
},
{
"bounding_box": [
206,
1766,
423,
1769,
423,
1798,
205,
1795
],
"text": "Contract Effective Date",
"words": [
{
"bounding_box": [
207,
1770,
287,
1768,
286,
1794,
206,
1795
],
"text": "Contract",
"confidence": null
},
{
"bounding_box": [
291,
1768,
376,
1769,
376,
1796,
291,
1794
],
"text": "Effective",
"confidence": null
},
{
"bounding_box": [
381,
1769,
422,
1771,
422,
1799,
381,
1796
],
"text": "Date",
"confidence": null
}
]
},
{
"bounding_box": [
538,
1797,
564,
1798,
564,
1824,
538,
1823
],
"text": "By",
"words": [
{
"bounding_box": [
541,
1797,
563,
1797,
562,
1823,
540,
1823
],
"text": "By",
"confidence": null
}
]
},
{
"bounding_box": [
1430,
1840,
1546,
1840,
1546,
1868,
1431,
1869
],
"text": "EFFECTIVE",
"words": [
{
"bounding_box": [
1431,
1844,
1546,
1840,
1546,
1869,
1432,
1867
],
"text": "EFFECTIVE",
"confidence": null
}
]
},
{
"bounding_box": [
341,
1872,
460,
1871,
461,
1898,
342,
1899
],
"text": "FUNCTION",
"words": [
{
"bounding_box": [
348,
1873,
460,
1872,
461,
1898,
349,
1898
],
"text": "FUNCTION",
"confidence": null
}
]
},
{
"bounding_box": [
582,
1870,
764,
1868,
765,
1900,
583,
1901
],
"text": "CONTRACT TYPE",
"words": [
{
"bounding_box": [
583,
1871,
705,
1870,
706,
1901,
583,
1901
],
"text": "CONTRACT",
"confidence": null
},
{
"bounding_box": [
711,
1870,
762,
1869,
764,
1899,
712,
1901
],
"text": "TYPE",
"confidence": null
}
]
},
{
"bounding_box": [
977,
1871,
1033,
1871,
1033,
1895,
977,
1896
],
"text": "TYPE",
"words": [
{
"bounding_box": [
981,
1870,
1031,
1870,
1031,
1895,
981,
1895
],
"text": "TYPE",
"confidence": null
}
]
},
{
"bounding_box": [
1146,
1870,
1215,
1871,
1214,
1894,
1145,
1893
],
"text": "UNITS",
"words": [
{
"bounding_box": [
1146,
1870,
1214,
1871,
1215,
1894,
1146,
1893
],
"text": "UNITS",
"confidence": null
}
]
},
{
"bounding_box": [
1281,
1869,
1350,
1867,
1351,
1895,
1282,
1896
],
"text": "RATE",
"words": [
{
"bounding_box": [
1285,
1867,
1347,
1866,
1348,
1894,
1286,
1895
],
"text": "RATE",
"confidence": null
}
]
},
{
"bounding_box": [
1449,
1867,
1528,
1868,
1526,
1896,
1449,
1894
],
"text": "MONYR",
"words": [
{
"bounding_box": [
1450,
1866,
1523,
1867,
1523,
1895,
1450,
1894
],
"text": "MONYR",
"confidence": "Low"
}
]
},
{
"bounding_box": [
139,
1912,
267,
1913,
267,
1941,
138,
1940
],
"text": "FUNCTION:",
"words": [
{
"bounding_box": [
144,
1916,
266,
1913,
266,
1941,
145,
1938
],
"text": "FUNCTION:",
"confidence": null
}
]
},
{
"bounding_box": [
477,
1904,
780,
1902,
781,
1954,
478,
1957
],
"text": "NO PACK",
"words": [
{
"bounding_box": [
482,
1906,
548,
1905,
548,
1957,
481,
1957
],
"text": "NO",
"confidence": "Low"
},
{
"bounding_box": [
595,
1904,
754,
1903,
754,
1956,
594,
1956
],
"text": "PACK",
"confidence": "Low"
}
]
},
{
"bounding_box": [
915,
1903,
1105,
1901,
1106,
1950,
916,
1953
],
"text": "7 5 4 2 3",
"words": [
{
"bounding_box": [
925,
1904,
948,
1904,
949,
1953,
927,
1954
],
"text": "7",
"confidence": "Low"
},
{
"bounding_box": [
958,
1904,
984,
1903,
985,
1952,
959,
1952
],
"text": "5",
"confidence": null
},
{
"bounding_box": [
993,
1903,
1023,
1903,
1023,
1951,
994,
1952
],
"text": "4",
"confidence": "Low"
},
{
"bounding_box": [
1032,
1903,
1065,
1902,
1065,
1951,
1033,
1951
],
"text": "2",
"confidence": null
},
{
"bounding_box": [
1078,
1902,
1104,
1902,
1104,
1952,
1078,
1952
],
"text": "3",
"confidence": "Low"
}
]
},
{
"bounding_box": [
138,
1967,
228,
1965,
229,
1991,
139,
1994
],
"text": "A = ADD",
"words": [
{
"bounding_box": [
143,
1970,
158,
1968,
160,
1992,
145,
1993
],
"text": "A",
"confidence": null
},
{
"bounding_box": [
164,
1968,
181,
1967,
182,
1991,
166,
1991
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
186,
1967,
228,
1967,
228,
1993,
186,
1991
],
"text": "ADD",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1407,
1953,
1558,
1946,
1560,
1995,
1410,
2003
],
"text": "47 9 7",
"words": [
{
"bounding_box": [
1418,
1953,
1488,
1950,
1490,
2000,
1420,
2002
],
"text": "47",
"confidence": "Low"
},
{
"bounding_box": [
1497,
1949,
1523,
1948,
1525,
1999,
1499,
2000
],
"text": "9",
"confidence": null
},
{
"bounding_box": [
1532,
1947,
1558,
1946,
1559,
1997,
1534,
1998
],
"text": "7",
"confidence": "Low"
}
]
},
{
"bounding_box": [
141,
2002,
232,
2003,
231,
2028,
140,
2027
],
"text": "E = END",
"words": [
{
"bounding_box": [
144,
2004,
159,
2004,
160,
2027,
145,
2028
],
"text": "E",
"confidence": null
},
{
"bounding_box": [
164,
2004,
180,
2004,
181,
2027,
165,
2027
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
184,
2003,
231,
2004,
232,
2028,
185,
2027
],
"text": "END",
"confidence": null
}
]
},
{
"bounding_box": [
587,
1956,
876,
1948,
878,
2004,
589,
2011
],
"text": "PACK EM",
"words": [
{
"bounding_box": [
599,
1959,
753,
1955,
754,
2007,
599,
2009
],
"text": "PACK",
"confidence": null
},
{
"bounding_box": [
803,
1953,
873,
1949,
875,
2005,
804,
2006
],
"text": "EM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
912,
1961,
992,
1957,
994,
2001,
914,
2004
],
"text": "MC",
"words": [
{
"bounding_box": [
916,
1959,
990,
1956,
992,
2000,
918,
2003
],
"text": "MC",
"confidence": null
}
]
},
{
"bounding_box": [
143,
2035,
276,
2036,
276,
2062,
142,
2061
],
"text": "D = DELETE",
"words": [
{
"bounding_box": [
145,
2037,
160,
2037,
161,
2061,
146,
2060
],
"text": "D",
"confidence": null
},
{
"bounding_box": [
166,
2037,
181,
2037,
183,
2061,
167,
2061
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
186,
2037,
274,
2036,
276,
2062,
187,
2061
],
"text": "DELETE",
"confidence": null
}
]
},
{
"bounding_box": [
137,
2071,
292,
2070,
293,
2096,
138,
2096
],
"text": "C = CHANGE",
"words": [
{
"bounding_box": [
143,
2072,
159,
2072,
161,
2096,
145,
2096
],
"text": "C",
"confidence": null
},
{
"bounding_box": [
166,
2072,
182,
2072,
183,
2096,
167,
2096
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
187,
2072,
285,
2071,
286,
2097,
188,
2097
],
"text": "CHANGE",
"confidence": null
}
]
},
{
"bounding_box": [
1622,
1915,
1621,
2119,
1591,
2118,
1592,
1914
],
"text": "52079 1063",
"words": [
{
"bounding_box": [
1622,
1917,
1620,
2017,
1592,
2017,
1593,
1917
],
"text": "52079",
"confidence": null
},
{
"bounding_box": [
1620,
2041,
1620,
2119,
1594,
2118,
1592,
2041
],
"text": "1063",
"confidence": null
}
]
},
{
"bounding_box": [
140,
2143,
407,
2142,
408,
2163,
141,
2165
],
"text": "RJRT Form 3804 . WML 8/21/1998",
"words": [
{
"bounding_box": [
144,
2145,
186,
2144,
187,
2165,
145,
2166
],
"text": "RJRT",
"confidence": null
},
{
"bounding_box": [
190,
2144,
230,
2143,
231,
2164,
191,
2165
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
236,
2143,
273,
2143,
273,
2164,
236,
2164
],
"text": "3804",
"confidence": "Low"
},
{
"bounding_box": [
277,
2143,
281,
2143,
282,
2164,
278,
2164
],
"text": ".",
"confidence": "Low"
},
{
"bounding_box": [
285,
2143,
323,
2143,
324,
2164,
286,
2164
],
"text": "WML",
"confidence": null
},
{
"bounding_box": [
328,
2143,
407,
2143,
408,
2164,
328,
2164
],
"text": "8/21/1998",
"confidence": "Low"
}
]
},
{
"bounding_box": [
387,
2201,
1306,
2200,
1307,
2236,
388,
2237
],
"text": "Source: https://www.industrydocuments.ucsf.edu/docs/ffbf0023",
"words": [
{
"bounding_box": [
388,
2204,
498,
2205,
500,
2236,
389,
2234
],
"text": "Source:",
"confidence": null
},
{
"bounding_box": [
504,
2205,
1305,
2201,
1307,
2236,
506,
2236
],
"text": "https://www.industrydocuments.ucsf.edu/docs/ffbf0023",
"confidence": null
}
]
}
]
} | {
"ucsf_document_id": "ffbf0023",
"ucsf_document_page_no": "4",
"doc_id": 3278,
"image": "ffbf0023_4.png"
} |
|
9,952 | What is the type of organization? | [
"Corporation"
] | train | {
"page": 1,
"clockwise_orientation": 359.96,
"width": 1692,
"height": 2245,
"unit": "pixel",
"lines": [
{
"bounding_box": [
622,
138,
1137,
136,
1138,
167,
622,
168
],
"text": "R. J. REYNOLDS TOBACCO COMPANY",
"words": [
{
"bounding_box": [
622,
138,
655,
139,
656,
168,
624,
167
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
661,
139,
685,
140,
687,
168,
662,
168
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
691,
140,
847,
141,
849,
168,
692,
168
],
"text": "REYNOLDS",
"confidence": null
},
{
"bounding_box": [
855,
141,
988,
140,
991,
167,
857,
168
],
"text": "TOBACCO",
"confidence": null
},
{
"bounding_box": [
998,
140,
1135,
137,
1138,
165,
1000,
167
],
"text": "COMPANY",
"confidence": null
}
]
},
{
"bounding_box": [
534,
170,
1216,
168,
1217,
202,
535,
203
],
"text": "RETAIL PARTNERS MARKETING PLAN CONTRACT",
"words": [
{
"bounding_box": [
539,
171,
643,
174,
645,
203,
541,
202
],
"text": "RETAIL",
"confidence": null
},
{
"bounding_box": [
649,
174,
801,
175,
803,
203,
651,
203
],
"text": "PARTNERS",
"confidence": null
},
{
"bounding_box": [
808,
175,
974,
174,
977,
203,
810,
203
],
"text": "MARKETING",
"confidence": null
},
{
"bounding_box": [
980,
174,
1053,
173,
1056,
203,
983,
203
],
"text": "PLAN",
"confidence": null
},
{
"bounding_box": [
1062,
173,
1214,
169,
1217,
201,
1064,
203
],
"text": "CONTRACT",
"confidence": null
}
]
},
{
"bounding_box": [
594,
203,
1156,
204,
1155,
235,
593,
234
],
"text": "SELF-SERVICE PACK OUTLET - LEVEL 1/2",
"words": [
{
"bounding_box": [
600,
205,
801,
206,
802,
235,
600,
233
],
"text": "SELF-SERVICE",
"confidence": null
},
{
"bounding_box": [
808,
206,
885,
206,
886,
235,
809,
235
],
"text": "PACK",
"confidence": null
},
{
"bounding_box": [
894,
206,
1004,
206,
1005,
235,
895,
235
],
"text": "OUTLET",
"confidence": null
},
{
"bounding_box": [
1009,
206,
1020,
205,
1022,
235,
1011,
235
],
"text": "-",
"confidence": null
},
{
"bounding_box": [
1026,
205,
1114,
204,
1116,
234,
1028,
235
],
"text": "LEVEL",
"confidence": null
},
{
"bounding_box": [
1121,
204,
1154,
204,
1156,
233,
1123,
234
],
"text": "1/2",
"confidence": null
}
]
},
{
"bounding_box": [
143,
255,
796,
254,
797,
281,
144,
282
],
"text": "Request For Taxpayer Identification Number and Certification",
"words": [
{
"bounding_box": [
144,
256,
234,
256,
234,
282,
144,
281
],
"text": "Request",
"confidence": null
},
{
"bounding_box": [
239,
256,
278,
257,
277,
282,
239,
282
],
"text": "For",
"confidence": null
},
{
"bounding_box": [
283,
257,
376,
257,
376,
282,
282,
282
],
"text": "Taxpayer",
"confidence": null
},
{
"bounding_box": [
381,
257,
520,
256,
519,
282,
381,
282
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
525,
256,
613,
256,
613,
282,
524,
282
],
"text": "Number",
"confidence": null
},
{
"bounding_box": [
618,
256,
658,
256,
658,
281,
618,
282
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
663,
256,
797,
254,
796,
281,
663,
281
],
"text": "Certification",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
282,
1597,
281,
1598,
309,
145,
309
],
"text": "R. J. Reynolds Tobacco Company must withhold tax at the rate of 31% from payee in conformity with Internal Revenue Service backup withholding",
"words": [
{
"bounding_box": [
145,
284,
171,
283,
171,
308,
145,
308
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
176,
283,
193,
283,
193,
308,
175,
308
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
198,
283,
297,
283,
297,
308,
198,
308
],
"text": "Reynolds",
"confidence": "Low"
},
{
"bounding_box": [
302,
283,
387,
283,
387,
308,
302,
308
],
"text": "Tobacco",
"confidence": null
},
{
"bounding_box": [
392,
283,
488,
283,
488,
308,
392,
308
],
"text": "Company",
"confidence": null
},
{
"bounding_box": [
493,
283,
544,
283,
544,
308,
493,
308
],
"text": "must",
"confidence": null
},
{
"bounding_box": [
549,
283,
637,
283,
637,
308,
549,
308
],
"text": "withhold",
"confidence": null
},
{
"bounding_box": [
642,
283,
674,
283,
674,
308,
642,
308
],
"text": "tax",
"confidence": null
},
{
"bounding_box": [
679,
283,
700,
283,
699,
308,
679,
308
],
"text": "at",
"confidence": null
},
{
"bounding_box": [
704,
283,
736,
283,
736,
308,
704,
308
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
741,
283,
783,
283,
783,
308,
741,
308
],
"text": "rate",
"confidence": null
},
{
"bounding_box": [
788,
283,
809,
283,
808,
308,
788,
308
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
813,
283,
858,
283,
858,
308,
813,
308
],
"text": "31%",
"confidence": "Low"
},
{
"bounding_box": [
863,
283,
906,
283,
906,
308,
863,
308
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
913,
283,
974,
283,
974,
308,
913,
308
],
"text": "payee",
"confidence": "Low"
},
{
"bounding_box": [
978,
283,
999,
283,
999,
309,
978,
308
],
"text": "in",
"confidence": null
},
{
"bounding_box": [
1004,
283,
1106,
283,
1107,
309,
1004,
309
],
"text": "conformity",
"confidence": null
},
{
"bounding_box": [
1111,
283,
1151,
283,
1151,
309,
1111,
309
],
"text": "with",
"confidence": null
},
{
"bounding_box": [
1156,
283,
1231,
283,
1232,
309,
1156,
309
],
"text": "Internal",
"confidence": null
},
{
"bounding_box": [
1236,
283,
1328,
283,
1328,
309,
1236,
309
],
"text": "Revenue",
"confidence": null
},
{
"bounding_box": [
1332,
283,
1404,
283,
1405,
309,
1332,
309
],
"text": "Service",
"confidence": null
},
{
"bounding_box": [
1409,
283,
1480,
282,
1480,
309,
1409,
309
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
1485,
282,
1597,
282,
1597,
309,
1485,
309
],
"text": "withholding",
"confidence": null
}
]
},
{
"bounding_box": [
143,
307,
1593,
306,
1594,
333,
144,
334
],
"text": "requirements, if the payee fails to provide R. J. Reynolds Tobacco Company with sufficient correct information to issue a Form 1099 to such payee for",
"words": [
{
"bounding_box": [
145,
308,
281,
307,
280,
334,
144,
334
],
"text": "requirements,",
"confidence": null
},
{
"bounding_box": [
286,
307,
298,
307,
298,
333,
286,
334
],
"text": "if",
"confidence": null
},
{
"bounding_box": [
304,
307,
334,
307,
333,
333,
303,
333
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
339,
307,
401,
307,
401,
333,
339,
333
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
406,
307,
447,
307,
447,
333,
406,
333
],
"text": "fails",
"confidence": null
},
{
"bounding_box": [
452,
307,
470,
307,
470,
333,
452,
333
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
475,
307,
551,
307,
551,
332,
475,
333
],
"text": "provide",
"confidence": null
},
{
"bounding_box": [
556,
307,
581,
307,
581,
332,
556,
332
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
586,
307,
602,
307,
602,
332,
586,
332
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
608,
307,
707,
307,
706,
332,
607,
332
],
"text": "Reynolds",
"confidence": "Low"
},
{
"bounding_box": [
712,
307,
795,
307,
795,
332,
712,
332
],
"text": "Tobacco",
"confidence": "Low"
},
{
"bounding_box": [
800,
307,
894,
307,
894,
331,
800,
332
],
"text": "Company",
"confidence": null
},
{
"bounding_box": [
899,
307,
940,
307,
939,
331,
899,
331
],
"text": "with",
"confidence": null
},
{
"bounding_box": [
945,
307,
1032,
307,
1031,
331,
945,
331
],
"text": "sufficient",
"confidence": null
},
{
"bounding_box": [
1037,
307,
1102,
307,
1102,
331,
1037,
331
],
"text": "correct",
"confidence": null
},
{
"bounding_box": [
1108,
307,
1215,
307,
1215,
332,
1107,
331
],
"text": "information",
"confidence": null
},
{
"bounding_box": [
1221,
307,
1240,
307,
1240,
332,
1220,
332
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1245,
307,
1298,
307,
1298,
332,
1245,
332
],
"text": "issue",
"confidence": null
},
{
"bounding_box": [
1304,
307,
1316,
307,
1316,
332,
1303,
332
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
1321,
308,
1371,
308,
1371,
332,
1321,
332
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
1378,
308,
1424,
308,
1424,
332,
1378,
332
],
"text": "1099",
"confidence": null
},
{
"bounding_box": [
1429,
308,
1449,
308,
1448,
332,
1429,
332
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1454,
308,
1496,
308,
1496,
332,
1454,
332
],
"text": "such",
"confidence": null
},
{
"bounding_box": [
1502,
308,
1560,
308,
1560,
333,
1501,
332
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
1565,
308,
1593,
309,
1593,
333,
1565,
333
],
"text": "for",
"confidence": null
}
]
},
{
"bounding_box": [
138,
330,
1595,
329,
1596,
357,
139,
358
],
"text": "any calendar year. With individual proprietorship, this information is the person's individual name and either his/her social security number (S.S. No.)",
"words": [
{
"bounding_box": [
144,
331,
182,
331,
183,
359,
145,
359
],
"text": "any",
"confidence": null
},
{
"bounding_box": [
188,
331,
273,
331,
274,
358,
188,
359
],
"text": "calendar",
"confidence": "Low"
},
{
"bounding_box": [
279,
331,
335,
331,
335,
358,
279,
358
],
"text": "year.",
"confidence": null
},
{
"bounding_box": [
340,
331,
386,
331,
386,
358,
341,
358
],
"text": "With",
"confidence": null
},
{
"bounding_box": [
391,
331,
484,
330,
484,
358,
392,
358
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
489,
330,
636,
330,
637,
358,
490,
358
],
"text": "proprietorship,",
"confidence": null
},
{
"bounding_box": [
642,
330,
678,
330,
679,
357,
642,
358
],
"text": "this",
"confidence": null
},
{
"bounding_box": [
684,
330,
795,
330,
795,
357,
684,
357
],
"text": "information",
"confidence": null
},
{
"bounding_box": [
800,
330,
818,
330,
818,
357,
800,
357
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
824,
330,
855,
330,
855,
357,
824,
357
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
860,
330,
944,
330,
944,
357,
860,
357
],
"text": "person's",
"confidence": null
},
{
"bounding_box": [
949,
330,
1040,
330,
1040,
357,
949,
357
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
1045,
330,
1102,
330,
1102,
357,
1045,
357
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
1107,
330,
1143,
330,
1144,
357,
1107,
357
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
1149,
330,
1203,
331,
1203,
357,
1149,
357
],
"text": "either",
"confidence": "Low"
},
{
"bounding_box": [
1209,
331,
1276,
331,
1276,
357,
1209,
357
],
"text": "his/her",
"confidence": null
},
{
"bounding_box": [
1282,
331,
1338,
331,
1338,
357,
1282,
357
],
"text": "social",
"confidence": null
},
{
"bounding_box": [
1343,
331,
1416,
331,
1416,
358,
1343,
357
],
"text": "security",
"confidence": null
},
{
"bounding_box": [
1421,
331,
1494,
331,
1494,
358,
1421,
358
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
1500,
331,
1547,
331,
1547,
358,
1500,
358
],
"text": "(S.S.",
"confidence": null
},
{
"bounding_box": [
1552,
331,
1596,
331,
1596,
358,
1552,
358
],
"text": "No.)",
"confidence": null
}
]
},
{
"bounding_box": [
144,
356,
1601,
355,
1602,
385,
145,
386
],
"text": "or the employer identification number (EIN) for the proprietorship. In addition to the payee's individual name, the payee may also provide the business",
"words": [
{
"bounding_box": [
145,
357,
164,
357,
164,
386,
145,
386
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
169,
357,
202,
357,
202,
386,
169,
386
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
208,
357,
297,
357,
297,
386,
208,
386
],
"text": "employer",
"confidence": null
},
{
"bounding_box": [
303,
357,
427,
357,
427,
386,
303,
386
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
433,
357,
507,
357,
507,
385,
433,
386
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
513,
357,
566,
357,
566,
385,
513,
385
],
"text": "(EIN)",
"confidence": null
},
{
"bounding_box": [
572,
357,
599,
356,
598,
385,
572,
385
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
604,
356,
637,
356,
637,
385,
604,
385
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
642,
356,
791,
356,
791,
385,
642,
385
],
"text": "proprietorship.",
"confidence": null
},
{
"bounding_box": [
797,
356,
818,
356,
818,
385,
797,
385
],
"text": "In",
"confidence": null
},
{
"bounding_box": [
824,
356,
900,
357,
900,
385,
823,
385
],
"text": "addition",
"confidence": null
},
{
"bounding_box": [
906,
357,
925,
357,
924,
385,
905,
385
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
930,
357,
961,
357,
961,
385,
930,
385
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
967,
357,
1039,
357,
1039,
384,
966,
385
],
"text": "payee's",
"confidence": null
},
{
"bounding_box": [
1045,
357,
1132,
357,
1132,
384,
1045,
384
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
1138,
357,
1201,
357,
1201,
384,
1138,
384
],
"text": "name,",
"confidence": null
},
{
"bounding_box": [
1207,
357,
1237,
357,
1237,
384,
1207,
384
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1243,
357,
1302,
357,
1302,
384,
1243,
384
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
1308,
357,
1350,
357,
1350,
384,
1308,
384
],
"text": "may",
"confidence": null
},
{
"bounding_box": [
1356,
357,
1394,
358,
1393,
384,
1355,
384
],
"text": "also",
"confidence": null
},
{
"bounding_box": [
1399,
358,
1468,
358,
1468,
384,
1399,
384
],
"text": "provide",
"confidence": null
},
{
"bounding_box": [
1474,
358,
1502,
358,
1502,
384,
1473,
384
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1508,
358,
1602,
358,
1601,
384,
1508,
384
],
"text": "business",
"confidence": null
}
]
},
{
"bounding_box": [
145,
381,
1598,
382,
1597,
409,
144,
408
],
"text": "name for the sole proprietorship, provided the individual name is listed before the business name. (Sole proprietors may not fumish only the business",
"words": [
{
"bounding_box": [
145,
383,
202,
383,
203,
410,
146,
410
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
208,
383,
235,
383,
235,
410,
208,
410
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
240,
383,
273,
383,
273,
410,
241,
410
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
278,
383,
318,
383,
318,
410,
278,
410
],
"text": "sole",
"confidence": null
},
{
"bounding_box": [
323,
383,
463,
382,
463,
409,
323,
410
],
"text": "proprietorship,",
"confidence": null
},
{
"bounding_box": [
468,
382,
556,
382,
556,
409,
468,
409
],
"text": "provided",
"confidence": null
},
{
"bounding_box": [
561,
382,
594,
382,
594,
409,
561,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
599,
382,
694,
382,
694,
409,
599,
409
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
699,
382,
756,
382,
756,
409,
699,
409
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
762,
382,
781,
382,
780,
409,
761,
409
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
786,
382,
839,
382,
839,
409,
786,
409
],
"text": "listed",
"confidence": null
},
{
"bounding_box": [
844,
382,
906,
382,
906,
409,
844,
409
],
"text": "before",
"confidence": null
},
{
"bounding_box": [
912,
382,
943,
382,
943,
409,
912,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
948,
382,
1034,
382,
1034,
409,
948,
409
],
"text": "business",
"confidence": null
},
{
"bounding_box": [
1039,
382,
1108,
382,
1108,
409,
1039,
409
],
"text": "name.",
"confidence": null
},
{
"bounding_box": [
1114,
382,
1164,
382,
1163,
409,
1113,
409
],
"text": "(Sole",
"confidence": null
},
{
"bounding_box": [
1169,
382,
1272,
383,
1272,
409,
1169,
409
],
"text": "proprietors",
"confidence": null
},
{
"bounding_box": [
1278,
383,
1321,
383,
1320,
409,
1277,
409
],
"text": "may",
"confidence": null
},
{
"bounding_box": [
1326,
383,
1355,
383,
1355,
409,
1326,
409
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
1360,
383,
1426,
383,
1426,
409,
1360,
409
],
"text": "fumish",
"confidence": null
},
{
"bounding_box": [
1431,
383,
1472,
384,
1472,
409,
1431,
409
],
"text": "only",
"confidence": null
},
{
"bounding_box": [
1478,
384,
1505,
384,
1505,
409,
1477,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1510,
384,
1598,
384,
1598,
409,
1510,
409
],
"text": "business",
"confidence": null
}
]
},
{
"bounding_box": [
143,
407,
1593,
406,
1594,
435,
144,
436
],
"text": "name.) With respect to corporations, partnerships, estates, trusts, and similar entities, the necessary information is the entity's name and employer",
"words": [
{
"bounding_box": [
144,
409,
222,
409,
223,
436,
144,
436
],
"text": "name.)",
"confidence": null
},
{
"bounding_box": [
228,
409,
273,
409,
273,
436,
228,
436
],
"text": "With",
"confidence": null
},
{
"bounding_box": [
278,
409,
352,
408,
352,
436,
279,
436
],
"text": "respect",
"confidence": null
},
{
"bounding_box": [
357,
408,
378,
408,
378,
436,
357,
436
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
383,
408,
513,
408,
513,
436,
383,
436
],
"text": "corporations,",
"confidence": "Low"
},
{
"bounding_box": [
518,
408,
654,
408,
654,
436,
518,
436
],
"text": "partnerships,",
"confidence": "Low"
},
{
"bounding_box": [
659,
407,
741,
407,
741,
436,
659,
436
],
"text": "estates,",
"confidence": "Low"
},
{
"bounding_box": [
747,
407,
811,
407,
811,
436,
746,
436
],
"text": "trusts,",
"confidence": null
},
{
"bounding_box": [
817,
407,
855,
407,
855,
436,
816,
436
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
860,
407,
927,
407,
926,
436,
860,
436
],
"text": "similar",
"confidence": null
},
{
"bounding_box": [
932,
407,
1007,
407,
1007,
436,
931,
436
],
"text": "entities,",
"confidence": null
},
{
"bounding_box": [
1012,
407,
1042,
407,
1041,
436,
1012,
436
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1047,
407,
1148,
407,
1148,
436,
1047,
436
],
"text": "necessary",
"confidence": null
},
{
"bounding_box": [
1154,
407,
1264,
408,
1263,
435,
1153,
436
],
"text": "information",
"confidence": "Low"
},
{
"bounding_box": [
1269,
408,
1288,
408,
1288,
435,
1268,
435
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
1293,
408,
1325,
408,
1324,
435,
1293,
435
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1330,
408,
1397,
408,
1396,
435,
1329,
435
],
"text": "entity's",
"confidence": null
},
{
"bounding_box": [
1402,
408,
1458,
408,
1457,
435,
1401,
435
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
1463,
408,
1498,
408,
1497,
435,
1462,
435
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
1503,
408,
1594,
409,
1593,
435,
1502,
435
],
"text": "employer",
"confidence": null
}
]
},
{
"bounding_box": [
143,
430,
1174,
428,
1175,
461,
144,
463
],
"text": "identification number (EIN) as it appears on IRS Form 575 (Assignment of Employer Identification Number",
"words": [
{
"bounding_box": [
145,
434,
269,
433,
268,
462,
144,
462
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
275,
433,
347,
432,
346,
462,
274,
462
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
353,
432,
407,
431,
406,
462,
352,
462
],
"text": "(EIN)",
"confidence": null
},
{
"bounding_box": [
412,
431,
433,
431,
432,
462,
411,
462
],
"text": "as",
"confidence": null
},
{
"bounding_box": [
438,
431,
453,
431,
452,
462,
437,
462
],
"text": "it",
"confidence": null
},
{
"bounding_box": [
459,
431,
539,
431,
537,
462,
458,
462
],
"text": "appears",
"confidence": null
},
{
"bounding_box": [
544,
431,
568,
430,
567,
462,
543,
462
],
"text": "on",
"confidence": null
},
{
"bounding_box": [
574,
430,
613,
430,
612,
462,
573,
462
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
619,
430,
671,
430,
669,
462,
617,
462
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
678,
430,
715,
430,
714,
462,
677,
462
],
"text": "575",
"confidence": null
},
{
"bounding_box": [
721,
430,
843,
430,
842,
462,
719,
462
],
"text": "(Assignment",
"confidence": null
},
{
"bounding_box": [
849,
430,
868,
430,
866,
462,
847,
462
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
873,
430,
964,
430,
962,
462,
872,
462
],
"text": "Employer",
"confidence": null
},
{
"bounding_box": [
970,
430,
1091,
430,
1089,
462,
968,
462
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
1096,
430,
1174,
430,
1172,
462,
1094,
462
],
"text": "Number",
"confidence": null
}
]
},
{
"bounding_box": [
139,
476,
571,
471,
571,
521,
140,
527
],
"text": "Type of Organization: Corporation",
"words": [
{
"bounding_box": [
142,
486,
191,
484,
192,
517,
144,
516
],
"text": "Type",
"confidence": null
},
{
"bounding_box": [
197,
484,
217,
483,
217,
517,
198,
517
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
223,
483,
366,
477,
363,
520,
223,
518
],
"text": "Organization:",
"confidence": null
},
{
"bounding_box": [
423,
475,
542,
472,
537,
523,
419,
521
],
"text": "Corporation",
"confidence": null
}
]
},
{
"bounding_box": [
528,
464,
775,
471,
773,
525,
527,
519
],
"text": "sole Proprietor",
"words": [
{
"bounding_box": [
623,
471,
659,
472,
657,
520,
621,
520
],
"text": "sole",
"confidence": "Low"
},
{
"bounding_box": [
670,
473,
774,
478,
772,
519,
667,
520
],
"text": "Proprietor",
"confidence": null
}
]
},
{
"bounding_box": [
139,
529,
893,
515,
894,
562,
140,
577
],
"text": "Is this a corporation exempt from backup withholding? Yes No",
"words": [
{
"bounding_box": [
141,
540,
161,
540,
162,
566,
142,
565
],
"text": "Is",
"confidence": null
},
{
"bounding_box": [
166,
540,
203,
540,
204,
566,
167,
566
],
"text": "this",
"confidence": null
},
{
"bounding_box": [
208,
540,
221,
539,
222,
566,
209,
566
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
226,
539,
336,
537,
337,
567,
227,
566
],
"text": "corporation",
"confidence": null
},
{
"bounding_box": [
341,
537,
414,
535,
415,
568,
342,
567
],
"text": "exempt",
"confidence": null
},
{
"bounding_box": [
419,
535,
460,
534,
460,
568,
420,
568
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
468,
534,
541,
531,
541,
568,
468,
568
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
546,
531,
676,
526,
676,
567,
546,
568
],
"text": "withholding?",
"confidence": null
},
{
"bounding_box": [
743,
523,
785,
521,
785,
565,
742,
566
],
"text": "Yes",
"confidence": "Low"
},
{
"bounding_box": [
869,
516,
894,
515,
893,
563,
869,
564
],
"text": "No",
"confidence": "Low"
}
]
},
{
"bounding_box": [
813,
470,
1165,
474,
1164,
525,
813,
522
],
"text": "Partnership, Estate, Trust, etc.",
"words": [
{
"bounding_box": [
868,
475,
980,
480,
977,
517,
864,
520
],
"text": "Partnership,",
"confidence": "Low"
},
{
"bounding_box": [
990,
481,
1054,
482,
1052,
517,
987,
516
],
"text": "Estate,",
"confidence": null
},
{
"bounding_box": [
1064,
482,
1112,
482,
1110,
518,
1062,
517
],
"text": "Trust,",
"confidence": "Low"
},
{
"bounding_box": [
1122,
482,
1163,
481,
1161,
521,
1120,
519
],
"text": "etc.",
"confidence": null
}
]
},
{
"bounding_box": [
140,
588,
980,
585,
981,
616,
141,
619
],
"text": "Please use the appropriate line to fill in the name and Taxpayer Identification Number:",
"words": [
{
"bounding_box": [
141,
592,
211,
591,
211,
617,
141,
616
],
"text": "Please",
"confidence": null
},
{
"bounding_box": [
215,
590,
253,
590,
254,
617,
216,
617
],
"text": "use",
"confidence": null
},
{
"bounding_box": [
258,
590,
290,
589,
290,
618,
258,
617
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
295,
589,
406,
588,
406,
618,
295,
618
],
"text": "appropriate",
"confidence": null
},
{
"bounding_box": [
410,
588,
445,
588,
445,
618,
410,
618
],
"text": "line",
"confidence": null
},
{
"bounding_box": [
450,
588,
469,
587,
469,
618,
450,
618
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
474,
587,
496,
587,
496,
618,
474,
618
],
"text": "fill",
"confidence": null
},
{
"bounding_box": [
501,
587,
520,
587,
520,
618,
501,
618
],
"text": "in",
"confidence": null
},
{
"bounding_box": [
524,
587,
558,
587,
558,
618,
525,
618
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
562,
587,
621,
587,
621,
618,
563,
618
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
626,
587,
665,
587,
666,
618,
626,
618
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
670,
587,
762,
587,
762,
617,
670,
618
],
"text": "Taxpayer",
"confidence": null
},
{
"bounding_box": [
767,
587,
892,
588,
892,
616,
767,
617
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
897,
588,
981,
589,
981,
615,
897,
616
],
"text": "Number:",
"confidence": "Low"
}
]
},
{
"bounding_box": [
139,
642,
328,
640,
329,
667,
140,
670
],
"text": "Corporation Name",
"words": [
{
"bounding_box": [
142,
643,
260,
642,
259,
669,
142,
670
],
"text": "Corporation",
"confidence": null
},
{
"bounding_box": [
265,
642,
328,
641,
327,
668,
265,
669
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
361,
614,
752,
616,
751,
671,
361,
669
],
"text": "USA PETROLEUM",
"words": [
{
"bounding_box": [
362,
616,
440,
615,
439,
669,
361,
670
],
"text": "USA",
"confidence": "Low"
},
{
"bounding_box": [
490,
615,
744,
621,
742,
669,
488,
668
],
"text": "PETROLEUM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
690,
375,
691,
374,
716,
143,
715
],
"text": "Sole Proprietor's Name",
"words": [
{
"bounding_box": [
144,
691,
187,
691,
188,
717,
145,
716
],
"text": "Sole",
"confidence": null
},
{
"bounding_box": [
192,
691,
305,
692,
306,
717,
193,
717
],
"text": "Proprietor's",
"confidence": null
},
{
"bounding_box": [
310,
692,
373,
692,
374,
716,
311,
717
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
1096,
679,
1609,
682,
1608,
721,
1095,
718
],
"text": "S. S. No. WILTQUILLLY",
"words": [
{
"bounding_box": [
1102,
682,
1117,
683,
1119,
715,
1104,
715
],
"text": "S.",
"confidence": null
},
{
"bounding_box": [
1124,
683,
1139,
683,
1140,
715,
1125,
715
],
"text": "S.",
"confidence": "Low"
},
{
"bounding_box": [
1145,
683,
1186,
683,
1187,
715,
1146,
715
],
"text": "No.",
"confidence": null
},
{
"bounding_box": [
1193,
683,
1578,
682,
1577,
721,
1193,
715
],
"text": "WILTQUILLLY",
"confidence": "Low"
}
]
},
{
"bounding_box": [
142,
758,
469,
760,
468,
788,
141,
787
],
"text": "Sole Proprietor's Business Name",
"words": [
{
"bounding_box": [
145,
760,
188,
761,
188,
787,
146,
786
],
"text": "Sole",
"confidence": null
},
{
"bounding_box": [
193,
761,
307,
761,
308,
788,
193,
787
],
"text": "Proprietor's",
"confidence": null
},
{
"bounding_box": [
312,
761,
401,
761,
402,
788,
313,
788
],
"text": "Business",
"confidence": null
},
{
"bounding_box": [
407,
761,
469,
760,
470,
788,
407,
788
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
1140,
749,
1447,
747,
1448,
782,
1141,
785
],
"text": "EIN LUGLLLL",
"words": [
{
"bounding_box": [
1145,
751,
1188,
750,
1189,
785,
1146,
786
],
"text": "EIN",
"confidence": "Low"
},
{
"bounding_box": [
1195,
750,
1439,
748,
1438,
784,
1195,
785
],
"text": "LUGLLLL",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
787,
171,
789,
170,
812,
143,
810
],
"text": "or",
"words": [
{
"bounding_box": [
143,
786,
169,
788,
168,
811,
142,
809
],
"text": "or",
"confidence": null
}
]
},
{
"bounding_box": [
140,
806,
442,
807,
441,
839,
139,
837
],
"text": "Partnership, Estate, Trust, etc.",
"words": [
{
"bounding_box": [
142,
806,
263,
809,
264,
838,
143,
837
],
"text": "Partnership,",
"confidence": null
},
{
"bounding_box": [
269,
809,
338,
810,
339,
838,
270,
838
],
"text": "Estate,",
"confidence": null
},
{
"bounding_box": [
344,
810,
399,
810,
399,
837,
345,
838
],
"text": "Trust,",
"confidence": null
},
{
"bounding_box": [
405,
810,
442,
810,
442,
836,
406,
837
],
"text": "etc.",
"confidence": null
}
]
},
{
"bounding_box": [
143,
858,
612,
857,
612,
888,
144,
890
],
"text": "Address (Number, Street and Apt or Suite No.)",
"words": [
{
"bounding_box": [
144,
861,
226,
862,
226,
888,
144,
889
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
231,
862,
324,
863,
324,
888,
231,
888
],
"text": "(Number,",
"confidence": null
},
{
"bounding_box": [
329,
863,
389,
862,
389,
888,
329,
888
],
"text": "Street",
"confidence": null
},
{
"bounding_box": [
395,
862,
431,
862,
431,
888,
394,
888
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
436,
862,
476,
861,
476,
889,
436,
888
],
"text": "Apt",
"confidence": null
},
{
"bounding_box": [
482,
861,
503,
860,
503,
889,
481,
889
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
509,
860,
558,
859,
557,
889,
509,
889
],
"text": "Suite",
"confidence": null
},
{
"bounding_box": [
563,
859,
612,
857,
612,
889,
563,
889
],
"text": "No.)",
"confidence": null
}
]
},
{
"bounding_box": [
142,
912,
482,
910,
483,
937,
142,
939
],
"text": "Address (City, State and Zip Code)",
"words": [
{
"bounding_box": [
144,
912,
225,
912,
226,
939,
144,
939
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
231,
912,
285,
912,
286,
938,
231,
938
],
"text": "(City,",
"confidence": null
},
{
"bounding_box": [
291,
912,
341,
912,
342,
937,
291,
938
],
"text": "State",
"confidence": null
},
{
"bounding_box": [
347,
912,
383,
912,
384,
937,
347,
937
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
388,
912,
419,
912,
420,
937,
389,
937
],
"text": "Zip",
"confidence": null
},
{
"bounding_box": [
425,
912,
483,
911,
483,
936,
425,
937
],
"text": "Code)",
"confidence": null
}
]
},
{
"bounding_box": [
143,
951,
293,
950,
293,
976,
144,
977
],
"text": "Certification:",
"words": [
{
"bounding_box": [
148,
951,
292,
952,
292,
976,
148,
978
],
"text": "Certification:",
"confidence": null
}
]
},
{
"bounding_box": [
145,
975,
531,
972,
531,
998,
146,
1002
],
"text": "Under penalties of perjury, I certify that",
"words": [
{
"bounding_box": [
147,
977,
207,
977,
207,
1001,
146,
1002
],
"text": "Under",
"confidence": null
},
{
"bounding_box": [
212,
977,
303,
977,
302,
1000,
211,
1001
],
"text": "penalties",
"confidence": null
},
{
"bounding_box": [
308,
977,
326,
977,
325,
1000,
307,
1000
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
331,
977,
405,
976,
405,
1000,
330,
1000
],
"text": "perjury,",
"confidence": null
},
{
"bounding_box": [
410,
975,
418,
975,
418,
1000,
410,
1000
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
423,
975,
481,
973,
481,
999,
423,
1000
],
"text": "certify",
"confidence": null
},
{
"bounding_box": [
486,
973,
532,
972,
532,
999,
486,
999
],
"text": "that",
"confidence": null
}
]
},
{
"bounding_box": [
139,
1002,
1380,
996,
1381,
1023,
140,
1029
],
"text": "1. The number shown above is my correct taxpayer identification number (or I am waiting for a number to be issued to me) and",
"words": [
{
"bounding_box": [
148,
1002,
177,
1002,
176,
1030,
147,
1030
],
"text": "1.",
"confidence": null
},
{
"bounding_box": [
187,
1002,
225,
1002,
224,
1029,
187,
1030
],
"text": "The",
"confidence": null
},
{
"bounding_box": [
230,
1002,
305,
1002,
305,
1029,
230,
1029
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
311,
1002,
373,
1001,
373,
1028,
310,
1029
],
"text": "shown",
"confidence": null
},
{
"bounding_box": [
379,
1001,
438,
1001,
437,
1028,
378,
1028
],
"text": "above",
"confidence": null
},
{
"bounding_box": [
443,
1001,
461,
1001,
460,
1028,
442,
1028
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
466,
1001,
496,
1001,
496,
1028,
466,
1028
],
"text": "my",
"confidence": null
},
{
"bounding_box": [
502,
1001,
570,
1000,
569,
1027,
501,
1028
],
"text": "correct",
"confidence": null
},
{
"bounding_box": [
575,
1000,
663,
1000,
662,
1027,
575,
1027
],
"text": "taxpayer",
"confidence": null
},
{
"bounding_box": [
668,
1000,
793,
999,
793,
1026,
668,
1027
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
798,
999,
873,
999,
873,
1026,
798,
1026
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
879,
999,
904,
999,
904,
1026,
879,
1026
],
"text": "(or",
"confidence": null
},
{
"bounding_box": [
909,
999,
918,
999,
918,
1026,
909,
1026
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
923,
999,
952,
999,
952,
1026,
923,
1026
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
959,
999,
1025,
999,
1025,
1025,
959,
1026
],
"text": "waiting",
"confidence": null
},
{
"bounding_box": [
1031,
999,
1056,
999,
1056,
1025,
1030,
1025
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
1061,
998,
1072,
998,
1072,
1025,
1061,
1025
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
1077,
998,
1150,
998,
1150,
1025,
1077,
1025
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
1156,
998,
1174,
998,
1173,
1025,
1156,
1025
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1179,
998,
1204,
998,
1204,
1024,
1179,
1025
],
"text": "be",
"confidence": null
},
{
"bounding_box": [
1209,
998,
1274,
998,
1274,
1024,
1209,
1024
],
"text": "issued",
"confidence": null
},
{
"bounding_box": [
1279,
998,
1297,
998,
1297,
1024,
1279,
1024
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1302,
998,
1340,
998,
1340,
1024,
1302,
1024
],
"text": "me)",
"confidence": null
},
{
"bounding_box": [
1345,
998,
1381,
998,
1381,
1024,
1345,
1024
],
"text": "and",
"confidence": null
}
]
},
{
"bounding_box": [
146,
1029,
170,
1027,
172,
1049,
147,
1051
],
"text": "2.",
"words": [
{
"bounding_box": [
148,
1027,
169,
1026,
171,
1048,
149,
1050
],
"text": "2.",
"confidence": null
}
]
},
{
"bounding_box": [
184,
1026,
1571,
1022,
1571,
1050,
185,
1055
],
"text": "I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue",
"words": [
{
"bounding_box": [
186,
1027,
193,
1027,
192,
1054,
185,
1054
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
198,
1027,
228,
1027,
227,
1054,
197,
1054
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
235,
1027,
268,
1027,
268,
1054,
234,
1054
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
273,
1027,
342,
1027,
341,
1054,
273,
1054
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
347,
1027,
365,
1027,
364,
1054,
347,
1054
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
370,
1027,
442,
1027,
442,
1054,
370,
1054
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
447,
1027,
558,
1027,
557,
1054,
447,
1054
],
"text": "withholding",
"confidence": null
},
{
"bounding_box": [
563,
1027,
656,
1027,
656,
1053,
563,
1054
],
"text": "because:",
"confidence": null
},
{
"bounding_box": [
662,
1027,
690,
1027,
689,
1053,
661,
1053
],
"text": "(a)",
"confidence": null
},
{
"bounding_box": [
695,
1027,
704,
1027,
703,
1053,
694,
1053
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
709,
1027,
737,
1027,
737,
1053,
709,
1053
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
746,
1027,
818,
1027,
817,
1053,
745,
1053
],
"text": "exempt",
"confidence": null
},
{
"bounding_box": [
823,
1027,
865,
1026,
865,
1053,
823,
1053
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
872,
1026,
943,
1026,
942,
1053,
872,
1053
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
948,
1026,
1062,
1026,
1062,
1052,
947,
1053
],
"text": "withholding,",
"confidence": null
},
{
"bounding_box": [
1067,
1025,
1085,
1025,
1084,
1052,
1067,
1052
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1090,
1025,
1118,
1025,
1118,
1052,
1090,
1052
],
"text": "(b)",
"confidence": null
},
{
"bounding_box": [
1124,
1025,
1127,
1025,
1127,
1052,
1123,
1052
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
1132,
1025,
1182,
1025,
1181,
1052,
1132,
1052
],
"text": "have",
"confidence": null
},
{
"bounding_box": [
1187,
1025,
1217,
1025,
1216,
1052,
1186,
1052
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
1222,
1025,
1271,
1024,
1271,
1051,
1221,
1052
],
"text": "been",
"confidence": null
},
{
"bounding_box": [
1277,
1024,
1345,
1024,
1344,
1051,
1276,
1051
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
1350,
1024,
1375,
1024,
1374,
1051,
1350,
1051
],
"text": "by",
"confidence": null
},
{
"bounding_box": [
1380,
1023,
1408,
1023,
1407,
1051,
1379,
1051
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1414,
1023,
1484,
1023,
1483,
1050,
1413,
1051
],
"text": "Internal",
"confidence": "Low"
},
{
"bounding_box": [
1489,
1023,
1572,
1022,
1571,
1050,
1488,
1050
],
"text": "Revenue",
"confidence": null
}
]
},
{
"bounding_box": [
187,
1052,
1580,
1049,
1580,
1076,
188,
1080
],
"text": "Service that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no",
"words": [
{
"bounding_box": [
188,
1055,
263,
1055,
263,
1079,
188,
1079
],
"text": "Service",
"confidence": null
},
{
"bounding_box": [
268,
1055,
304,
1055,
304,
1079,
268,
1079
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
308,
1055,
316,
1055,
316,
1079,
308,
1079
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
321,
1055,
347,
1054,
347,
1079,
321,
1079
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
357,
1054,
427,
1054,
427,
1079,
356,
1079
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
432,
1054,
452,
1054,
451,
1079,
431,
1079
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
456,
1054,
528,
1054,
528,
1079,
456,
1079
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
533,
1054,
648,
1054,
648,
1078,
532,
1079
],
"text": "withholding",
"confidence": null
},
{
"bounding_box": [
653,
1054,
678,
1054,
677,
1078,
652,
1078
],
"text": "as",
"confidence": null
},
{
"bounding_box": [
683,
1054,
695,
1054,
694,
1078,
682,
1078
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
700,
1053,
757,
1053,
757,
1078,
699,
1078
],
"text": "result",
"confidence": null
},
{
"bounding_box": [
762,
1053,
782,
1053,
782,
1078,
761,
1078
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
787,
1053,
798,
1053,
797,
1078,
786,
1078
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
803,
1053,
865,
1053,
864,
1078,
802,
1078
],
"text": "failure",
"confidence": null
},
{
"bounding_box": [
870,
1053,
887,
1053,
886,
1078,
869,
1078
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
892,
1053,
951,
1053,
950,
1078,
890,
1078
],
"text": "report",
"confidence": null
},
{
"bounding_box": [
956,
1053,
977,
1052,
976,
1078,
954,
1078
],
"text": "all",
"confidence": null
},
{
"bounding_box": [
982,
1052,
1054,
1052,
1052,
1078,
981,
1078
],
"text": "interest",
"confidence": null
},
{
"bounding_box": [
1058,
1052,
1080,
1052,
1079,
1078,
1057,
1078
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1085,
1052,
1180,
1051,
1179,
1078,
1084,
1078
],
"text": "dividends,",
"confidence": null
},
{
"bounding_box": [
1185,
1051,
1207,
1051,
1205,
1078,
1183,
1078
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1211,
1051,
1236,
1051,
1235,
1078,
1210,
1078
],
"text": "(c)",
"confidence": null
},
{
"bounding_box": [
1241,
1051,
1271,
1051,
1269,
1078,
1239,
1078
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1275,
1051,
1313,
1051,
1311,
1078,
1273,
1078
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
1317,
1051,
1353,
1050,
1351,
1078,
1316,
1078
],
"text": "has",
"confidence": null
},
{
"bounding_box": [
1358,
1050,
1426,
1050,
1424,
1077,
1356,
1078
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
1431,
1050,
1462,
1050,
1460,
1077,
1429,
1077
],
"text": "me",
"confidence": null
},
{
"bounding_box": [
1467,
1050,
1503,
1049,
1501,
1077,
1465,
1077
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
1508,
1049,
1514,
1049,
1512,
1077,
1505,
1077
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
1518,
1049,
1547,
1049,
1544,
1077,
1516,
1077
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
1554,
1049,
1579,
1049,
1577,
1077,
1552,
1077
],
"text": "no",
"confidence": null
}
]
},
{
"bounding_box": [
193,
1079,
541,
1080,
540,
1106,
192,
1105
],
"text": "onger subject to backup withholding.",
"words": [
{
"bounding_box": [
194,
1081,
250,
1081,
249,
1105,
193,
1105
],
"text": "onger",
"confidence": null
},
{
"bounding_box": [
255,
1080,
324,
1080,
323,
1105,
254,
1105
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
328,
1080,
347,
1080,
346,
1105,
328,
1105
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
352,
1080,
424,
1080,
424,
1106,
351,
1105
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
429,
1080,
539,
1081,
540,
1107,
428,
1106
],
"text": "withholding.",
"confidence": "Low"
}
]
},
{
"bounding_box": [
145,
1103,
1587,
1095,
1588,
1126,
146,
1134
],
"text": "Certification Instructions: You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding",
"words": [
{
"bounding_box": [
148,
1107,
274,
1106,
273,
1132,
148,
1132
],
"text": "Certification",
"confidence": "Low"
},
{
"bounding_box": [
279,
1106,
419,
1104,
418,
1132,
278,
1132
],
"text": "Instructions:",
"confidence": null
},
{
"bounding_box": [
424,
1104,
463,
1103,
462,
1132,
423,
1132
],
"text": "You",
"confidence": null
},
{
"bounding_box": [
468,
1103,
517,
1103,
516,
1132,
467,
1132
],
"text": "must",
"confidence": null
},
{
"bounding_box": [
522,
1103,
577,
1102,
576,
1132,
521,
1132
],
"text": "cross",
"confidence": null
},
{
"bounding_box": [
582,
1102,
615,
1102,
614,
1132,
581,
1132
],
"text": "out",
"confidence": null
},
{
"bounding_box": [
620,
1102,
662,
1101,
661,
1132,
619,
1132
],
"text": "Item",
"confidence": "Low"
},
{
"bounding_box": [
670,
1101,
685,
1101,
684,
1132,
669,
1132
],
"text": "2",
"confidence": null
},
{
"bounding_box": [
690,
1101,
750,
1101,
749,
1132,
689,
1132
],
"text": "above",
"confidence": null
},
{
"bounding_box": [
755,
1101,
768,
1100,
767,
1132,
754,
1132
],
"text": "if",
"confidence": null
},
{
"bounding_box": [
773,
1100,
807,
1100,
806,
1131,
772,
1131
],
"text": "you",
"confidence": null
},
{
"bounding_box": [
812,
1100,
861,
1100,
860,
1131,
811,
1131
],
"text": "have",
"confidence": null
},
{
"bounding_box": [
866,
1100,
916,
1099,
915,
1131,
865,
1131
],
"text": "been",
"confidence": null
},
{
"bounding_box": [
921,
1099,
990,
1099,
989,
1131,
920,
1131
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
995,
1099,
1019,
1099,
1018,
1131,
993,
1131
],
"text": "by",
"confidence": null
},
{
"bounding_box": [
1024,
1099,
1053,
1099,
1052,
1131,
1023,
1131
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1058,
1098,
1096,
1098,
1094,
1130,
1057,
1130
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
1101,
1098,
1137,
1098,
1135,
1130,
1099,
1130
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
1142,
1098,
1179,
1098,
1178,
1130,
1140,
1130
],
"text": "you",
"confidence": null
},
{
"bounding_box": [
1184,
1098,
1217,
1098,
1215,
1130,
1182,
1130
],
"text": "are",
"confidence": null
},
{
"bounding_box": [
1221,
1098,
1305,
1097,
1303,
1129,
1220,
1130
],
"text": "currently",
"confidence": null
},
{
"bounding_box": [
1310,
1097,
1376,
1097,
1375,
1129,
1308,
1129
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
1381,
1097,
1401,
1097,
1399,
1129,
1380,
1129
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1406,
1097,
1473,
1097,
1471,
1128,
1404,
1129
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
1478,
1097,
1588,
1097,
1586,
1128,
1476,
1128
],
"text": "withholding",
"confidence": null
}
]
},
{
"bounding_box": [
144,
1132,
680,
1130,
681,
1158,
145,
1160
],
"text": "because of under reporting interest on your tax return.",
"words": [
{
"bounding_box": [
147,
1133,
232,
1133,
231,
1159,
145,
1157
],
"text": "because",
"confidence": null
},
{
"bounding_box": [
237,
1133,
256,
1133,
255,
1159,
235,
1159
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
261,
1133,
317,
1132,
316,
1160,
260,
1159
],
"text": "under",
"confidence": null
},
{
"bounding_box": [
322,
1132,
409,
1132,
408,
1160,
321,
1160
],
"text": "reporting",
"confidence": null
},
{
"bounding_box": [
414,
1132,
488,
1132,
487,
1160,
413,
1160
],
"text": "interest",
"confidence": null
},
{
"bounding_box": [
493,
1132,
517,
1132,
516,
1159,
491,
1160
],
"text": "on",
"confidence": null
},
{
"bounding_box": [
522,
1132,
567,
1132,
566,
1159,
520,
1159
],
"text": "your",
"confidence": null
},
{
"bounding_box": [
571,
1132,
604,
1131,
603,
1158,
570,
1159
],
"text": "tax",
"confidence": null
},
{
"bounding_box": [
608,
1131,
681,
1131,
680,
1157,
607,
1158
],
"text": "return.",
"confidence": "Low"
}
]
},
{
"bounding_box": [
143,
1181,
408,
1179,
408,
1211,
144,
1213
],
"text": "Store Name (Please Print).",
"words": [
{
"bounding_box": [
147,
1184,
196,
1183,
196,
1212,
146,
1212
],
"text": "Store",
"confidence": null
},
{
"bounding_box": [
202,
1183,
263,
1181,
262,
1212,
201,
1212
],
"text": "Name",
"confidence": null
},
{
"bounding_box": [
268,
1181,
342,
1180,
341,
1212,
268,
1212
],
"text": "(Please",
"confidence": null
},
{
"bounding_box": [
347,
1180,
408,
1179,
407,
1211,
347,
1212
],
"text": "Print).",
"confidence": "Low"
}
]
},
{
"bounding_box": [
416,
1158,
837,
1152,
838,
1206,
417,
1212
],
"text": "USA PETROLEUM",
"words": [
{
"bounding_box": [
433,
1163,
511,
1159,
511,
1209,
432,
1210
],
"text": "USA",
"confidence": null
},
{
"bounding_box": [
571,
1157,
819,
1153,
822,
1207,
571,
1209
],
"text": "PETROLEUM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1103,
1177,
1281,
1181,
1280,
1208,
1102,
1205
],
"text": "RJR Account No.",
"words": [
{
"bounding_box": [
1108,
1180,
1149,
1180,
1150,
1205,
1108,
1204
],
"text": "RJR",
"confidence": null
},
{
"bounding_box": [
1156,
1180,
1235,
1181,
1235,
1208,
1156,
1206
],
"text": "Account",
"confidence": null
},
{
"bounding_box": [
1239,
1181,
1280,
1181,
1280,
1209,
1240,
1208
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
141,
1233,
299,
1232,
300,
1259,
142,
1260
],
"text": "Street Address .",
"words": [
{
"bounding_box": [
145,
1235,
204,
1235,
204,
1260,
145,
1259
],
"text": "Street",
"confidence": null
},
{
"bounding_box": [
208,
1235,
290,
1233,
291,
1260,
209,
1260
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
295,
1233,
298,
1233,
299,
1260,
296,
1260
],
"text": ".",
"confidence": null
}
]
},
{
"bounding_box": [
325,
1213,
1010,
1214,
1010,
1261,
324,
1260
],
"text": "30101 DECOR OF STE 240",
"words": [
{
"bounding_box": [
328,
1217,
452,
1215,
452,
1260,
328,
1260
],
"text": "30101",
"confidence": "Low"
},
{
"bounding_box": [
498,
1214,
636,
1214,
636,
1260,
498,
1260
],
"text": "DECOR",
"confidence": "Low"
},
{
"bounding_box": [
687,
1214,
753,
1214,
755,
1261,
688,
1260
],
"text": "OF",
"confidence": "Low"
},
{
"bounding_box": [
831,
1215,
906,
1216,
907,
1261,
832,
1261
],
"text": "STE",
"confidence": "Low"
},
{
"bounding_box": [
926,
1216,
1006,
1218,
1008,
1261,
928,
1261
],
"text": "240",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1105,
1228,
1277,
1234,
1277,
1262,
1104,
1256
],
"text": "RJR Territory No.",
"words": [
{
"bounding_box": [
1109,
1230,
1151,
1231,
1151,
1257,
1108,
1257
],
"text": "RJR",
"confidence": null
},
{
"bounding_box": [
1158,
1231,
1237,
1232,
1237,
1260,
1158,
1257
],
"text": "Territory",
"confidence": null
},
{
"bounding_box": [
1242,
1233,
1275,
1234,
1276,
1262,
1243,
1260
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
141,
1284,
249,
1286,
249,
1313,
140,
1311
],
"text": "City/State",
"words": [
{
"bounding_box": [
143,
1286,
246,
1286,
247,
1313,
143,
1312
],
"text": "City/State",
"confidence": null
}
]
},
{
"bounding_box": [
295,
1263,
687,
1265,
686,
1313,
294,
1312
],
"text": "PLOVEA HILLS",
"words": [
{
"bounding_box": [
298,
1264,
465,
1266,
466,
1313,
299,
1311
],
"text": "PLOVEA",
"confidence": "Low"
},
{
"bounding_box": [
507,
1266,
641,
1265,
642,
1313,
508,
1313
],
"text": "HILLS",
"confidence": "Low"
}
]
},
{
"bounding_box": [
724,
1261,
833,
1265,
833,
1302,
726,
1305
],
"text": "CA .",
"words": [
{
"bounding_box": [
741,
1260,
803,
1260,
803,
1304,
741,
1304
],
"text": "CA",
"confidence": null
},
{
"bounding_box": [
817,
1260,
832,
1260,
832,
1304,
817,
1304
],
"text": ".",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1102,
1275,
1206,
1279,
1205,
1311,
1101,
1308
],
"text": "Zip Code",
"words": [
{
"bounding_box": [
1108,
1277,
1137,
1278,
1138,
1310,
1109,
1309
],
"text": "Zip",
"confidence": null
},
{
"bounding_box": [
1143,
1279,
1203,
1279,
1203,
1311,
1144,
1310
],
"text": "Code",
"confidence": null
}
]
},
{
"bounding_box": [
143,
1334,
331,
1335,
331,
1365,
142,
1364
],
"text": "Call Classification .",
"words": [
{
"bounding_box": [
144,
1336,
181,
1336,
181,
1363,
145,
1363
],
"text": "Call",
"confidence": null
},
{
"bounding_box": [
186,
1336,
320,
1335,
319,
1365,
187,
1363
],
"text": "Classification",
"confidence": null
},
{
"bounding_box": [
325,
1335,
330,
1335,
330,
1365,
325,
1365
],
"text": ".",
"confidence": null
}
]
},
{
"bounding_box": [
1103,
1326,
1552,
1315,
1553,
1354,
1104,
1366
],
"text": "Brand (if Chain) (2520) . XXXX",
"words": [
{
"bounding_box": [
1108,
1334,
1167,
1331,
1167,
1359,
1109,
1358
],
"text": "Brand",
"confidence": null
},
{
"bounding_box": [
1171,
1330,
1191,
1329,
1192,
1359,
1172,
1359
],
"text": "(if",
"confidence": null
},
{
"bounding_box": [
1196,
1329,
1268,
1325,
1269,
1359,
1196,
1359
],
"text": "Chain)",
"confidence": "Low"
},
{
"bounding_box": [
1282,
1324,
1396,
1320,
1397,
1358,
1283,
1359
],
"text": "(2520)",
"confidence": "Low"
},
{
"bounding_box": [
1407,
1319,
1421,
1319,
1422,
1358,
1408,
1358
],
"text": ".",
"confidence": "Low"
},
{
"bounding_box": [
1426,
1319,
1535,
1316,
1536,
1356,
1426,
1358
],
"text": "XXXX",
"confidence": "Low"
}
]
},
{
"bounding_box": [
201,
1372,
285,
1379,
283,
1403,
199,
1396
],
"text": "Current",
"words": [
{
"bounding_box": [
202,
1374,
285,
1379,
283,
1402,
202,
1395
],
"text": "Current",
"confidence": null
}
]
},
{
"bounding_box": [
943,
1374,
985,
1378,
985,
1398,
943,
1394
],
"text": "No.",
"words": [
{
"bounding_box": [
952,
1374,
986,
1378,
984,
1397,
950,
1394
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
1404,
1366,
1550,
1369,
1549,
1396,
1403,
1393
],
"text": "Total Quartert",
"words": [
{
"bounding_box": [
1412,
1368,
1462,
1369,
1462,
1395,
1412,
1394
],
"text": "Total",
"confidence": null
},
{
"bounding_box": [
1467,
1369,
1550,
1369,
1550,
1396,
1467,
1395
],
"text": "Quartert",
"confidence": "Low"
}
]
},
{
"bounding_box": [
170,
1402,
311,
1404,
310,
1428,
169,
1427
],
"text": "RJR Volume",
"words": [
{
"bounding_box": [
173,
1404,
217,
1404,
218,
1428,
174,
1427
],
"text": "RJR",
"confidence": "Low"
},
{
"bounding_box": [
224,
1404,
307,
1404,
308,
1429,
225,
1428
],
"text": "Volume",
"confidence": "Low"
}
]
},
{
"bounding_box": [
590,
1381,
644,
1386,
646,
1413,
592,
1408
],
"text": "Type",
"words": [
{
"bounding_box": [
596,
1381,
646,
1385,
644,
1411,
594,
1407
],
"text": "Type",
"confidence": null
}
]
},
{
"bounding_box": [
924,
1401,
1016,
1400,
1017,
1425,
925,
1426
],
"text": "Stores",
"words": [
{
"bounding_box": [
937,
1403,
1007,
1403,
1006,
1425,
936,
1425
],
"text": "Stores",
"confidence": null
}
]
},
{
"bounding_box": [
1079,
1383,
1271,
1385,
1270,
1411,
1078,
1409
],
"text": "Monthly Payment",
"words": [
{
"bounding_box": [
1085,
1384,
1168,
1386,
1167,
1411,
1084,
1410
],
"text": "Monthly",
"confidence": null
},
{
"bounding_box": [
1173,
1386,
1270,
1387,
1270,
1411,
1172,
1411
],
"text": "Payment",
"confidence": null
}
]
},
{
"bounding_box": [
1410,
1397,
1563,
1398,
1562,
1424,
1409,
1423
],
"text": "Dollar Amount",
"words": [
{
"bounding_box": [
1413,
1400,
1475,
1398,
1474,
1421,
1411,
1422
],
"text": "Dollar",
"confidence": null
},
{
"bounding_box": [
1479,
1398,
1562,
1400,
1562,
1424,
1478,
1421
],
"text": "Amount",
"confidence": null
}
]
},
{
"bounding_box": [
1299,
1537,
1374,
1534,
1375,
1560,
1301,
1564
],
"text": "TOTAL",
"words": [
{
"bounding_box": [
1300,
1539,
1368,
1535,
1368,
1561,
1301,
1562
],
"text": "TOTAL",
"confidence": null
}
]
},
{
"bounding_box": [
194,
1616,
435,
1618,
435,
1668,
193,
1666
],
"text": "7. 36 . 29",
"words": [
{
"bounding_box": [
200,
1618,
259,
1619,
260,
1666,
200,
1666
],
"text": "7.",
"confidence": null
},
{
"bounding_box": [
268,
1619,
328,
1619,
328,
1667,
269,
1666
],
"text": "36",
"confidence": "Low"
},
{
"bounding_box": [
346,
1619,
368,
1619,
368,
1667,
347,
1667
],
"text": ".",
"confidence": null
},
{
"bounding_box": [
378,
1619,
434,
1618,
434,
1669,
378,
1668
],
"text": "29",
"confidence": "Low"
}
]
},
{
"bounding_box": [
541,
1624,
741,
1626,
741,
1658,
540,
1656
],
"text": "Retailer's Signature",
"words": [
{
"bounding_box": [
541,
1627,
636,
1627,
635,
1654,
541,
1655
],
"text": "Retailer's",
"confidence": null
},
{
"bounding_box": [
641,
1627,
741,
1626,
741,
1658,
641,
1654
],
"text": "Signature",
"confidence": null
}
]
},
{
"bounding_box": [
211,
1666,
424,
1666,
423,
1694,
210,
1693
],
"text": "Date Contract Signed",
"words": [
{
"bounding_box": [
211,
1666,
259,
1668,
260,
1694,
212,
1692
],
"text": "Date",
"confidence": "Low"
},
{
"bounding_box": [
264,
1668,
348,
1669,
349,
1694,
265,
1694
],
"text": "Contract",
"confidence": null
},
{
"bounding_box": [
353,
1669,
421,
1667,
423,
1691,
354,
1694
],
"text": "Signed",
"confidence": null
}
]
},
{
"bounding_box": [
539,
1675,
589,
1678,
590,
1702,
539,
1699
],
"text": "Tille",
"words": [
{
"bounding_box": [
542,
1675,
586,
1677,
585,
1701,
540,
1699
],
"text": "Tille",
"confidence": null
}
]
},
{
"bounding_box": [
709,
1639,
1412,
1630,
1413,
1688,
710,
1696
],
"text": "RETAIL MENGH . Dilation",
"words": [
{
"bounding_box": [
722,
1644,
892,
1645,
896,
1692,
726,
1688
],
"text": "RETAIL",
"confidence": "Low"
},
{
"bounding_box": [
907,
1645,
1089,
1643,
1092,
1693,
910,
1693
],
"text": "MENGH",
"confidence": "Low"
},
{
"bounding_box": [
1103,
1643,
1132,
1642,
1135,
1692,
1106,
1693
],
"text": ".",
"confidence": null
},
{
"bounding_box": [
1164,
1641,
1389,
1632,
1392,
1685,
1167,
1692
],
"text": "Dilation",
"confidence": "Low"
}
]
},
{
"bounding_box": [
206,
1766,
423,
1769,
423,
1798,
205,
1795
],
"text": "Contract Effective Date",
"words": [
{
"bounding_box": [
207,
1770,
287,
1768,
286,
1794,
206,
1795
],
"text": "Contract",
"confidence": null
},
{
"bounding_box": [
291,
1768,
376,
1769,
376,
1796,
291,
1794
],
"text": "Effective",
"confidence": null
},
{
"bounding_box": [
381,
1769,
422,
1771,
422,
1799,
381,
1796
],
"text": "Date",
"confidence": null
}
]
},
{
"bounding_box": [
538,
1797,
564,
1798,
564,
1824,
538,
1823
],
"text": "By",
"words": [
{
"bounding_box": [
541,
1797,
563,
1797,
562,
1823,
540,
1823
],
"text": "By",
"confidence": null
}
]
},
{
"bounding_box": [
1430,
1840,
1546,
1840,
1546,
1868,
1431,
1869
],
"text": "EFFECTIVE",
"words": [
{
"bounding_box": [
1431,
1844,
1546,
1840,
1546,
1869,
1432,
1867
],
"text": "EFFECTIVE",
"confidence": null
}
]
},
{
"bounding_box": [
341,
1872,
460,
1871,
461,
1898,
342,
1899
],
"text": "FUNCTION",
"words": [
{
"bounding_box": [
348,
1873,
460,
1872,
461,
1898,
349,
1898
],
"text": "FUNCTION",
"confidence": null
}
]
},
{
"bounding_box": [
582,
1870,
764,
1868,
765,
1900,
583,
1901
],
"text": "CONTRACT TYPE",
"words": [
{
"bounding_box": [
583,
1871,
705,
1870,
706,
1901,
583,
1901
],
"text": "CONTRACT",
"confidence": null
},
{
"bounding_box": [
711,
1870,
762,
1869,
764,
1899,
712,
1901
],
"text": "TYPE",
"confidence": null
}
]
},
{
"bounding_box": [
977,
1871,
1033,
1871,
1033,
1895,
977,
1896
],
"text": "TYPE",
"words": [
{
"bounding_box": [
981,
1870,
1031,
1870,
1031,
1895,
981,
1895
],
"text": "TYPE",
"confidence": null
}
]
},
{
"bounding_box": [
1146,
1870,
1215,
1871,
1214,
1894,
1145,
1893
],
"text": "UNITS",
"words": [
{
"bounding_box": [
1146,
1870,
1214,
1871,
1215,
1894,
1146,
1893
],
"text": "UNITS",
"confidence": null
}
]
},
{
"bounding_box": [
1281,
1869,
1350,
1867,
1351,
1895,
1282,
1896
],
"text": "RATE",
"words": [
{
"bounding_box": [
1285,
1867,
1347,
1866,
1348,
1894,
1286,
1895
],
"text": "RATE",
"confidence": null
}
]
},
{
"bounding_box": [
1449,
1867,
1528,
1868,
1526,
1896,
1449,
1894
],
"text": "MONYR",
"words": [
{
"bounding_box": [
1450,
1866,
1523,
1867,
1523,
1895,
1450,
1894
],
"text": "MONYR",
"confidence": "Low"
}
]
},
{
"bounding_box": [
139,
1912,
267,
1913,
267,
1941,
138,
1940
],
"text": "FUNCTION:",
"words": [
{
"bounding_box": [
144,
1916,
266,
1913,
266,
1941,
145,
1938
],
"text": "FUNCTION:",
"confidence": null
}
]
},
{
"bounding_box": [
477,
1904,
780,
1902,
781,
1954,
478,
1957
],
"text": "NO PACK",
"words": [
{
"bounding_box": [
482,
1906,
548,
1905,
548,
1957,
481,
1957
],
"text": "NO",
"confidence": "Low"
},
{
"bounding_box": [
595,
1904,
754,
1903,
754,
1956,
594,
1956
],
"text": "PACK",
"confidence": "Low"
}
]
},
{
"bounding_box": [
915,
1903,
1105,
1901,
1106,
1950,
916,
1953
],
"text": "7 5 4 2 3",
"words": [
{
"bounding_box": [
925,
1904,
948,
1904,
949,
1953,
927,
1954
],
"text": "7",
"confidence": "Low"
},
{
"bounding_box": [
958,
1904,
984,
1903,
985,
1952,
959,
1952
],
"text": "5",
"confidence": null
},
{
"bounding_box": [
993,
1903,
1023,
1903,
1023,
1951,
994,
1952
],
"text": "4",
"confidence": "Low"
},
{
"bounding_box": [
1032,
1903,
1065,
1902,
1065,
1951,
1033,
1951
],
"text": "2",
"confidence": null
},
{
"bounding_box": [
1078,
1902,
1104,
1902,
1104,
1952,
1078,
1952
],
"text": "3",
"confidence": "Low"
}
]
},
{
"bounding_box": [
138,
1967,
228,
1965,
229,
1991,
139,
1994
],
"text": "A = ADD",
"words": [
{
"bounding_box": [
143,
1970,
158,
1968,
160,
1992,
145,
1993
],
"text": "A",
"confidence": null
},
{
"bounding_box": [
164,
1968,
181,
1967,
182,
1991,
166,
1991
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
186,
1967,
228,
1967,
228,
1993,
186,
1991
],
"text": "ADD",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1407,
1953,
1558,
1946,
1560,
1995,
1410,
2003
],
"text": "47 9 7",
"words": [
{
"bounding_box": [
1418,
1953,
1488,
1950,
1490,
2000,
1420,
2002
],
"text": "47",
"confidence": "Low"
},
{
"bounding_box": [
1497,
1949,
1523,
1948,
1525,
1999,
1499,
2000
],
"text": "9",
"confidence": null
},
{
"bounding_box": [
1532,
1947,
1558,
1946,
1559,
1997,
1534,
1998
],
"text": "7",
"confidence": "Low"
}
]
},
{
"bounding_box": [
141,
2002,
232,
2003,
231,
2028,
140,
2027
],
"text": "E = END",
"words": [
{
"bounding_box": [
144,
2004,
159,
2004,
160,
2027,
145,
2028
],
"text": "E",
"confidence": null
},
{
"bounding_box": [
164,
2004,
180,
2004,
181,
2027,
165,
2027
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
184,
2003,
231,
2004,
232,
2028,
185,
2027
],
"text": "END",
"confidence": null
}
]
},
{
"bounding_box": [
587,
1956,
876,
1948,
878,
2004,
589,
2011
],
"text": "PACK EM",
"words": [
{
"bounding_box": [
599,
1959,
753,
1955,
754,
2007,
599,
2009
],
"text": "PACK",
"confidence": null
},
{
"bounding_box": [
803,
1953,
873,
1949,
875,
2005,
804,
2006
],
"text": "EM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
912,
1961,
992,
1957,
994,
2001,
914,
2004
],
"text": "MC",
"words": [
{
"bounding_box": [
916,
1959,
990,
1956,
992,
2000,
918,
2003
],
"text": "MC",
"confidence": null
}
]
},
{
"bounding_box": [
143,
2035,
276,
2036,
276,
2062,
142,
2061
],
"text": "D = DELETE",
"words": [
{
"bounding_box": [
145,
2037,
160,
2037,
161,
2061,
146,
2060
],
"text": "D",
"confidence": null
},
{
"bounding_box": [
166,
2037,
181,
2037,
183,
2061,
167,
2061
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
186,
2037,
274,
2036,
276,
2062,
187,
2061
],
"text": "DELETE",
"confidence": null
}
]
},
{
"bounding_box": [
137,
2071,
292,
2070,
293,
2096,
138,
2096
],
"text": "C = CHANGE",
"words": [
{
"bounding_box": [
143,
2072,
159,
2072,
161,
2096,
145,
2096
],
"text": "C",
"confidence": null
},
{
"bounding_box": [
166,
2072,
182,
2072,
183,
2096,
167,
2096
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
187,
2072,
285,
2071,
286,
2097,
188,
2097
],
"text": "CHANGE",
"confidence": null
}
]
},
{
"bounding_box": [
1622,
1915,
1621,
2119,
1591,
2118,
1592,
1914
],
"text": "52079 1063",
"words": [
{
"bounding_box": [
1622,
1917,
1620,
2017,
1592,
2017,
1593,
1917
],
"text": "52079",
"confidence": null
},
{
"bounding_box": [
1620,
2041,
1620,
2119,
1594,
2118,
1592,
2041
],
"text": "1063",
"confidence": null
}
]
},
{
"bounding_box": [
140,
2143,
407,
2142,
408,
2163,
141,
2165
],
"text": "RJRT Form 3804 . WML 8/21/1998",
"words": [
{
"bounding_box": [
144,
2145,
186,
2144,
187,
2165,
145,
2166
],
"text": "RJRT",
"confidence": null
},
{
"bounding_box": [
190,
2144,
230,
2143,
231,
2164,
191,
2165
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
236,
2143,
273,
2143,
273,
2164,
236,
2164
],
"text": "3804",
"confidence": "Low"
},
{
"bounding_box": [
277,
2143,
281,
2143,
282,
2164,
278,
2164
],
"text": ".",
"confidence": "Low"
},
{
"bounding_box": [
285,
2143,
323,
2143,
324,
2164,
286,
2164
],
"text": "WML",
"confidence": null
},
{
"bounding_box": [
328,
2143,
407,
2143,
408,
2164,
328,
2164
],
"text": "8/21/1998",
"confidence": "Low"
}
]
},
{
"bounding_box": [
387,
2201,
1306,
2200,
1307,
2236,
388,
2237
],
"text": "Source: https://www.industrydocuments.ucsf.edu/docs/ffbf0023",
"words": [
{
"bounding_box": [
388,
2204,
498,
2205,
500,
2236,
389,
2234
],
"text": "Source:",
"confidence": null
},
{
"bounding_box": [
504,
2205,
1305,
2201,
1307,
2236,
506,
2236
],
"text": "https://www.industrydocuments.ucsf.edu/docs/ffbf0023",
"confidence": null
}
]
}
]
} | {
"ucsf_document_id": "ffbf0023",
"ucsf_document_page_no": "4",
"doc_id": 3278,
"image": "ffbf0023_4.png"
} |
|
9,953 | What is the corporation name? | [
"USA Petroleum",
"USA PETROLEUM"
] | train | {
"page": 1,
"clockwise_orientation": 359.96,
"width": 1692,
"height": 2245,
"unit": "pixel",
"lines": [
{
"bounding_box": [
622,
138,
1137,
136,
1138,
167,
622,
168
],
"text": "R. J. REYNOLDS TOBACCO COMPANY",
"words": [
{
"bounding_box": [
622,
138,
655,
139,
656,
168,
624,
167
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
661,
139,
685,
140,
687,
168,
662,
168
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
691,
140,
847,
141,
849,
168,
692,
168
],
"text": "REYNOLDS",
"confidence": null
},
{
"bounding_box": [
855,
141,
988,
140,
991,
167,
857,
168
],
"text": "TOBACCO",
"confidence": null
},
{
"bounding_box": [
998,
140,
1135,
137,
1138,
165,
1000,
167
],
"text": "COMPANY",
"confidence": null
}
]
},
{
"bounding_box": [
534,
170,
1216,
168,
1217,
202,
535,
203
],
"text": "RETAIL PARTNERS MARKETING PLAN CONTRACT",
"words": [
{
"bounding_box": [
539,
171,
643,
174,
645,
203,
541,
202
],
"text": "RETAIL",
"confidence": null
},
{
"bounding_box": [
649,
174,
801,
175,
803,
203,
651,
203
],
"text": "PARTNERS",
"confidence": null
},
{
"bounding_box": [
808,
175,
974,
174,
977,
203,
810,
203
],
"text": "MARKETING",
"confidence": null
},
{
"bounding_box": [
980,
174,
1053,
173,
1056,
203,
983,
203
],
"text": "PLAN",
"confidence": null
},
{
"bounding_box": [
1062,
173,
1214,
169,
1217,
201,
1064,
203
],
"text": "CONTRACT",
"confidence": null
}
]
},
{
"bounding_box": [
594,
203,
1156,
204,
1155,
235,
593,
234
],
"text": "SELF-SERVICE PACK OUTLET - LEVEL 1/2",
"words": [
{
"bounding_box": [
600,
205,
801,
206,
802,
235,
600,
233
],
"text": "SELF-SERVICE",
"confidence": null
},
{
"bounding_box": [
808,
206,
885,
206,
886,
235,
809,
235
],
"text": "PACK",
"confidence": null
},
{
"bounding_box": [
894,
206,
1004,
206,
1005,
235,
895,
235
],
"text": "OUTLET",
"confidence": null
},
{
"bounding_box": [
1009,
206,
1020,
205,
1022,
235,
1011,
235
],
"text": "-",
"confidence": null
},
{
"bounding_box": [
1026,
205,
1114,
204,
1116,
234,
1028,
235
],
"text": "LEVEL",
"confidence": null
},
{
"bounding_box": [
1121,
204,
1154,
204,
1156,
233,
1123,
234
],
"text": "1/2",
"confidence": null
}
]
},
{
"bounding_box": [
143,
255,
796,
254,
797,
281,
144,
282
],
"text": "Request For Taxpayer Identification Number and Certification",
"words": [
{
"bounding_box": [
144,
256,
234,
256,
234,
282,
144,
281
],
"text": "Request",
"confidence": null
},
{
"bounding_box": [
239,
256,
278,
257,
277,
282,
239,
282
],
"text": "For",
"confidence": null
},
{
"bounding_box": [
283,
257,
376,
257,
376,
282,
282,
282
],
"text": "Taxpayer",
"confidence": null
},
{
"bounding_box": [
381,
257,
520,
256,
519,
282,
381,
282
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
525,
256,
613,
256,
613,
282,
524,
282
],
"text": "Number",
"confidence": null
},
{
"bounding_box": [
618,
256,
658,
256,
658,
281,
618,
282
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
663,
256,
797,
254,
796,
281,
663,
281
],
"text": "Certification",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
282,
1597,
281,
1598,
309,
145,
309
],
"text": "R. J. Reynolds Tobacco Company must withhold tax at the rate of 31% from payee in conformity with Internal Revenue Service backup withholding",
"words": [
{
"bounding_box": [
145,
284,
171,
283,
171,
308,
145,
308
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
176,
283,
193,
283,
193,
308,
175,
308
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
198,
283,
297,
283,
297,
308,
198,
308
],
"text": "Reynolds",
"confidence": "Low"
},
{
"bounding_box": [
302,
283,
387,
283,
387,
308,
302,
308
],
"text": "Tobacco",
"confidence": null
},
{
"bounding_box": [
392,
283,
488,
283,
488,
308,
392,
308
],
"text": "Company",
"confidence": null
},
{
"bounding_box": [
493,
283,
544,
283,
544,
308,
493,
308
],
"text": "must",
"confidence": null
},
{
"bounding_box": [
549,
283,
637,
283,
637,
308,
549,
308
],
"text": "withhold",
"confidence": null
},
{
"bounding_box": [
642,
283,
674,
283,
674,
308,
642,
308
],
"text": "tax",
"confidence": null
},
{
"bounding_box": [
679,
283,
700,
283,
699,
308,
679,
308
],
"text": "at",
"confidence": null
},
{
"bounding_box": [
704,
283,
736,
283,
736,
308,
704,
308
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
741,
283,
783,
283,
783,
308,
741,
308
],
"text": "rate",
"confidence": null
},
{
"bounding_box": [
788,
283,
809,
283,
808,
308,
788,
308
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
813,
283,
858,
283,
858,
308,
813,
308
],
"text": "31%",
"confidence": "Low"
},
{
"bounding_box": [
863,
283,
906,
283,
906,
308,
863,
308
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
913,
283,
974,
283,
974,
308,
913,
308
],
"text": "payee",
"confidence": "Low"
},
{
"bounding_box": [
978,
283,
999,
283,
999,
309,
978,
308
],
"text": "in",
"confidence": null
},
{
"bounding_box": [
1004,
283,
1106,
283,
1107,
309,
1004,
309
],
"text": "conformity",
"confidence": null
},
{
"bounding_box": [
1111,
283,
1151,
283,
1151,
309,
1111,
309
],
"text": "with",
"confidence": null
},
{
"bounding_box": [
1156,
283,
1231,
283,
1232,
309,
1156,
309
],
"text": "Internal",
"confidence": null
},
{
"bounding_box": [
1236,
283,
1328,
283,
1328,
309,
1236,
309
],
"text": "Revenue",
"confidence": null
},
{
"bounding_box": [
1332,
283,
1404,
283,
1405,
309,
1332,
309
],
"text": "Service",
"confidence": null
},
{
"bounding_box": [
1409,
283,
1480,
282,
1480,
309,
1409,
309
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
1485,
282,
1597,
282,
1597,
309,
1485,
309
],
"text": "withholding",
"confidence": null
}
]
},
{
"bounding_box": [
143,
307,
1593,
306,
1594,
333,
144,
334
],
"text": "requirements, if the payee fails to provide R. J. Reynolds Tobacco Company with sufficient correct information to issue a Form 1099 to such payee for",
"words": [
{
"bounding_box": [
145,
308,
281,
307,
280,
334,
144,
334
],
"text": "requirements,",
"confidence": null
},
{
"bounding_box": [
286,
307,
298,
307,
298,
333,
286,
334
],
"text": "if",
"confidence": null
},
{
"bounding_box": [
304,
307,
334,
307,
333,
333,
303,
333
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
339,
307,
401,
307,
401,
333,
339,
333
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
406,
307,
447,
307,
447,
333,
406,
333
],
"text": "fails",
"confidence": null
},
{
"bounding_box": [
452,
307,
470,
307,
470,
333,
452,
333
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
475,
307,
551,
307,
551,
332,
475,
333
],
"text": "provide",
"confidence": null
},
{
"bounding_box": [
556,
307,
581,
307,
581,
332,
556,
332
],
"text": "R.",
"confidence": null
},
{
"bounding_box": [
586,
307,
602,
307,
602,
332,
586,
332
],
"text": "J.",
"confidence": null
},
{
"bounding_box": [
608,
307,
707,
307,
706,
332,
607,
332
],
"text": "Reynolds",
"confidence": "Low"
},
{
"bounding_box": [
712,
307,
795,
307,
795,
332,
712,
332
],
"text": "Tobacco",
"confidence": "Low"
},
{
"bounding_box": [
800,
307,
894,
307,
894,
331,
800,
332
],
"text": "Company",
"confidence": null
},
{
"bounding_box": [
899,
307,
940,
307,
939,
331,
899,
331
],
"text": "with",
"confidence": null
},
{
"bounding_box": [
945,
307,
1032,
307,
1031,
331,
945,
331
],
"text": "sufficient",
"confidence": null
},
{
"bounding_box": [
1037,
307,
1102,
307,
1102,
331,
1037,
331
],
"text": "correct",
"confidence": null
},
{
"bounding_box": [
1108,
307,
1215,
307,
1215,
332,
1107,
331
],
"text": "information",
"confidence": null
},
{
"bounding_box": [
1221,
307,
1240,
307,
1240,
332,
1220,
332
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1245,
307,
1298,
307,
1298,
332,
1245,
332
],
"text": "issue",
"confidence": null
},
{
"bounding_box": [
1304,
307,
1316,
307,
1316,
332,
1303,
332
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
1321,
308,
1371,
308,
1371,
332,
1321,
332
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
1378,
308,
1424,
308,
1424,
332,
1378,
332
],
"text": "1099",
"confidence": null
},
{
"bounding_box": [
1429,
308,
1449,
308,
1448,
332,
1429,
332
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1454,
308,
1496,
308,
1496,
332,
1454,
332
],
"text": "such",
"confidence": null
},
{
"bounding_box": [
1502,
308,
1560,
308,
1560,
333,
1501,
332
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
1565,
308,
1593,
309,
1593,
333,
1565,
333
],
"text": "for",
"confidence": null
}
]
},
{
"bounding_box": [
138,
330,
1595,
329,
1596,
357,
139,
358
],
"text": "any calendar year. With individual proprietorship, this information is the person's individual name and either his/her social security number (S.S. No.)",
"words": [
{
"bounding_box": [
144,
331,
182,
331,
183,
359,
145,
359
],
"text": "any",
"confidence": null
},
{
"bounding_box": [
188,
331,
273,
331,
274,
358,
188,
359
],
"text": "calendar",
"confidence": "Low"
},
{
"bounding_box": [
279,
331,
335,
331,
335,
358,
279,
358
],
"text": "year.",
"confidence": null
},
{
"bounding_box": [
340,
331,
386,
331,
386,
358,
341,
358
],
"text": "With",
"confidence": null
},
{
"bounding_box": [
391,
331,
484,
330,
484,
358,
392,
358
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
489,
330,
636,
330,
637,
358,
490,
358
],
"text": "proprietorship,",
"confidence": null
},
{
"bounding_box": [
642,
330,
678,
330,
679,
357,
642,
358
],
"text": "this",
"confidence": null
},
{
"bounding_box": [
684,
330,
795,
330,
795,
357,
684,
357
],
"text": "information",
"confidence": null
},
{
"bounding_box": [
800,
330,
818,
330,
818,
357,
800,
357
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
824,
330,
855,
330,
855,
357,
824,
357
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
860,
330,
944,
330,
944,
357,
860,
357
],
"text": "person's",
"confidence": null
},
{
"bounding_box": [
949,
330,
1040,
330,
1040,
357,
949,
357
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
1045,
330,
1102,
330,
1102,
357,
1045,
357
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
1107,
330,
1143,
330,
1144,
357,
1107,
357
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
1149,
330,
1203,
331,
1203,
357,
1149,
357
],
"text": "either",
"confidence": "Low"
},
{
"bounding_box": [
1209,
331,
1276,
331,
1276,
357,
1209,
357
],
"text": "his/her",
"confidence": null
},
{
"bounding_box": [
1282,
331,
1338,
331,
1338,
357,
1282,
357
],
"text": "social",
"confidence": null
},
{
"bounding_box": [
1343,
331,
1416,
331,
1416,
358,
1343,
357
],
"text": "security",
"confidence": null
},
{
"bounding_box": [
1421,
331,
1494,
331,
1494,
358,
1421,
358
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
1500,
331,
1547,
331,
1547,
358,
1500,
358
],
"text": "(S.S.",
"confidence": null
},
{
"bounding_box": [
1552,
331,
1596,
331,
1596,
358,
1552,
358
],
"text": "No.)",
"confidence": null
}
]
},
{
"bounding_box": [
144,
356,
1601,
355,
1602,
385,
145,
386
],
"text": "or the employer identification number (EIN) for the proprietorship. In addition to the payee's individual name, the payee may also provide the business",
"words": [
{
"bounding_box": [
145,
357,
164,
357,
164,
386,
145,
386
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
169,
357,
202,
357,
202,
386,
169,
386
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
208,
357,
297,
357,
297,
386,
208,
386
],
"text": "employer",
"confidence": null
},
{
"bounding_box": [
303,
357,
427,
357,
427,
386,
303,
386
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
433,
357,
507,
357,
507,
385,
433,
386
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
513,
357,
566,
357,
566,
385,
513,
385
],
"text": "(EIN)",
"confidence": null
},
{
"bounding_box": [
572,
357,
599,
356,
598,
385,
572,
385
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
604,
356,
637,
356,
637,
385,
604,
385
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
642,
356,
791,
356,
791,
385,
642,
385
],
"text": "proprietorship.",
"confidence": null
},
{
"bounding_box": [
797,
356,
818,
356,
818,
385,
797,
385
],
"text": "In",
"confidence": null
},
{
"bounding_box": [
824,
356,
900,
357,
900,
385,
823,
385
],
"text": "addition",
"confidence": null
},
{
"bounding_box": [
906,
357,
925,
357,
924,
385,
905,
385
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
930,
357,
961,
357,
961,
385,
930,
385
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
967,
357,
1039,
357,
1039,
384,
966,
385
],
"text": "payee's",
"confidence": null
},
{
"bounding_box": [
1045,
357,
1132,
357,
1132,
384,
1045,
384
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
1138,
357,
1201,
357,
1201,
384,
1138,
384
],
"text": "name,",
"confidence": null
},
{
"bounding_box": [
1207,
357,
1237,
357,
1237,
384,
1207,
384
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1243,
357,
1302,
357,
1302,
384,
1243,
384
],
"text": "payee",
"confidence": null
},
{
"bounding_box": [
1308,
357,
1350,
357,
1350,
384,
1308,
384
],
"text": "may",
"confidence": null
},
{
"bounding_box": [
1356,
357,
1394,
358,
1393,
384,
1355,
384
],
"text": "also",
"confidence": null
},
{
"bounding_box": [
1399,
358,
1468,
358,
1468,
384,
1399,
384
],
"text": "provide",
"confidence": null
},
{
"bounding_box": [
1474,
358,
1502,
358,
1502,
384,
1473,
384
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1508,
358,
1602,
358,
1601,
384,
1508,
384
],
"text": "business",
"confidence": null
}
]
},
{
"bounding_box": [
145,
381,
1598,
382,
1597,
409,
144,
408
],
"text": "name for the sole proprietorship, provided the individual name is listed before the business name. (Sole proprietors may not fumish only the business",
"words": [
{
"bounding_box": [
145,
383,
202,
383,
203,
410,
146,
410
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
208,
383,
235,
383,
235,
410,
208,
410
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
240,
383,
273,
383,
273,
410,
241,
410
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
278,
383,
318,
383,
318,
410,
278,
410
],
"text": "sole",
"confidence": null
},
{
"bounding_box": [
323,
383,
463,
382,
463,
409,
323,
410
],
"text": "proprietorship,",
"confidence": null
},
{
"bounding_box": [
468,
382,
556,
382,
556,
409,
468,
409
],
"text": "provided",
"confidence": null
},
{
"bounding_box": [
561,
382,
594,
382,
594,
409,
561,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
599,
382,
694,
382,
694,
409,
599,
409
],
"text": "individual",
"confidence": null
},
{
"bounding_box": [
699,
382,
756,
382,
756,
409,
699,
409
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
762,
382,
781,
382,
780,
409,
761,
409
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
786,
382,
839,
382,
839,
409,
786,
409
],
"text": "listed",
"confidence": null
},
{
"bounding_box": [
844,
382,
906,
382,
906,
409,
844,
409
],
"text": "before",
"confidence": null
},
{
"bounding_box": [
912,
382,
943,
382,
943,
409,
912,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
948,
382,
1034,
382,
1034,
409,
948,
409
],
"text": "business",
"confidence": null
},
{
"bounding_box": [
1039,
382,
1108,
382,
1108,
409,
1039,
409
],
"text": "name.",
"confidence": null
},
{
"bounding_box": [
1114,
382,
1164,
382,
1163,
409,
1113,
409
],
"text": "(Sole",
"confidence": null
},
{
"bounding_box": [
1169,
382,
1272,
383,
1272,
409,
1169,
409
],
"text": "proprietors",
"confidence": null
},
{
"bounding_box": [
1278,
383,
1321,
383,
1320,
409,
1277,
409
],
"text": "may",
"confidence": null
},
{
"bounding_box": [
1326,
383,
1355,
383,
1355,
409,
1326,
409
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
1360,
383,
1426,
383,
1426,
409,
1360,
409
],
"text": "fumish",
"confidence": null
},
{
"bounding_box": [
1431,
383,
1472,
384,
1472,
409,
1431,
409
],
"text": "only",
"confidence": null
},
{
"bounding_box": [
1478,
384,
1505,
384,
1505,
409,
1477,
409
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1510,
384,
1598,
384,
1598,
409,
1510,
409
],
"text": "business",
"confidence": null
}
]
},
{
"bounding_box": [
143,
407,
1593,
406,
1594,
435,
144,
436
],
"text": "name.) With respect to corporations, partnerships, estates, trusts, and similar entities, the necessary information is the entity's name and employer",
"words": [
{
"bounding_box": [
144,
409,
222,
409,
223,
436,
144,
436
],
"text": "name.)",
"confidence": null
},
{
"bounding_box": [
228,
409,
273,
409,
273,
436,
228,
436
],
"text": "With",
"confidence": null
},
{
"bounding_box": [
278,
409,
352,
408,
352,
436,
279,
436
],
"text": "respect",
"confidence": null
},
{
"bounding_box": [
357,
408,
378,
408,
378,
436,
357,
436
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
383,
408,
513,
408,
513,
436,
383,
436
],
"text": "corporations,",
"confidence": "Low"
},
{
"bounding_box": [
518,
408,
654,
408,
654,
436,
518,
436
],
"text": "partnerships,",
"confidence": "Low"
},
{
"bounding_box": [
659,
407,
741,
407,
741,
436,
659,
436
],
"text": "estates,",
"confidence": "Low"
},
{
"bounding_box": [
747,
407,
811,
407,
811,
436,
746,
436
],
"text": "trusts,",
"confidence": null
},
{
"bounding_box": [
817,
407,
855,
407,
855,
436,
816,
436
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
860,
407,
927,
407,
926,
436,
860,
436
],
"text": "similar",
"confidence": null
},
{
"bounding_box": [
932,
407,
1007,
407,
1007,
436,
931,
436
],
"text": "entities,",
"confidence": null
},
{
"bounding_box": [
1012,
407,
1042,
407,
1041,
436,
1012,
436
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1047,
407,
1148,
407,
1148,
436,
1047,
436
],
"text": "necessary",
"confidence": null
},
{
"bounding_box": [
1154,
407,
1264,
408,
1263,
435,
1153,
436
],
"text": "information",
"confidence": "Low"
},
{
"bounding_box": [
1269,
408,
1288,
408,
1288,
435,
1268,
435
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
1293,
408,
1325,
408,
1324,
435,
1293,
435
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1330,
408,
1397,
408,
1396,
435,
1329,
435
],
"text": "entity's",
"confidence": null
},
{
"bounding_box": [
1402,
408,
1458,
408,
1457,
435,
1401,
435
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
1463,
408,
1498,
408,
1497,
435,
1462,
435
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
1503,
408,
1594,
409,
1593,
435,
1502,
435
],
"text": "employer",
"confidence": null
}
]
},
{
"bounding_box": [
143,
430,
1174,
428,
1175,
461,
144,
463
],
"text": "identification number (EIN) as it appears on IRS Form 575 (Assignment of Employer Identification Number",
"words": [
{
"bounding_box": [
145,
434,
269,
433,
268,
462,
144,
462
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
275,
433,
347,
432,
346,
462,
274,
462
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
353,
432,
407,
431,
406,
462,
352,
462
],
"text": "(EIN)",
"confidence": null
},
{
"bounding_box": [
412,
431,
433,
431,
432,
462,
411,
462
],
"text": "as",
"confidence": null
},
{
"bounding_box": [
438,
431,
453,
431,
452,
462,
437,
462
],
"text": "it",
"confidence": null
},
{
"bounding_box": [
459,
431,
539,
431,
537,
462,
458,
462
],
"text": "appears",
"confidence": null
},
{
"bounding_box": [
544,
431,
568,
430,
567,
462,
543,
462
],
"text": "on",
"confidence": null
},
{
"bounding_box": [
574,
430,
613,
430,
612,
462,
573,
462
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
619,
430,
671,
430,
669,
462,
617,
462
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
678,
430,
715,
430,
714,
462,
677,
462
],
"text": "575",
"confidence": null
},
{
"bounding_box": [
721,
430,
843,
430,
842,
462,
719,
462
],
"text": "(Assignment",
"confidence": null
},
{
"bounding_box": [
849,
430,
868,
430,
866,
462,
847,
462
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
873,
430,
964,
430,
962,
462,
872,
462
],
"text": "Employer",
"confidence": null
},
{
"bounding_box": [
970,
430,
1091,
430,
1089,
462,
968,
462
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
1096,
430,
1174,
430,
1172,
462,
1094,
462
],
"text": "Number",
"confidence": null
}
]
},
{
"bounding_box": [
139,
476,
571,
471,
571,
521,
140,
527
],
"text": "Type of Organization: Corporation",
"words": [
{
"bounding_box": [
142,
486,
191,
484,
192,
517,
144,
516
],
"text": "Type",
"confidence": null
},
{
"bounding_box": [
197,
484,
217,
483,
217,
517,
198,
517
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
223,
483,
366,
477,
363,
520,
223,
518
],
"text": "Organization:",
"confidence": null
},
{
"bounding_box": [
423,
475,
542,
472,
537,
523,
419,
521
],
"text": "Corporation",
"confidence": null
}
]
},
{
"bounding_box": [
528,
464,
775,
471,
773,
525,
527,
519
],
"text": "sole Proprietor",
"words": [
{
"bounding_box": [
623,
471,
659,
472,
657,
520,
621,
520
],
"text": "sole",
"confidence": "Low"
},
{
"bounding_box": [
670,
473,
774,
478,
772,
519,
667,
520
],
"text": "Proprietor",
"confidence": null
}
]
},
{
"bounding_box": [
139,
529,
893,
515,
894,
562,
140,
577
],
"text": "Is this a corporation exempt from backup withholding? Yes No",
"words": [
{
"bounding_box": [
141,
540,
161,
540,
162,
566,
142,
565
],
"text": "Is",
"confidence": null
},
{
"bounding_box": [
166,
540,
203,
540,
204,
566,
167,
566
],
"text": "this",
"confidence": null
},
{
"bounding_box": [
208,
540,
221,
539,
222,
566,
209,
566
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
226,
539,
336,
537,
337,
567,
227,
566
],
"text": "corporation",
"confidence": null
},
{
"bounding_box": [
341,
537,
414,
535,
415,
568,
342,
567
],
"text": "exempt",
"confidence": null
},
{
"bounding_box": [
419,
535,
460,
534,
460,
568,
420,
568
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
468,
534,
541,
531,
541,
568,
468,
568
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
546,
531,
676,
526,
676,
567,
546,
568
],
"text": "withholding?",
"confidence": null
},
{
"bounding_box": [
743,
523,
785,
521,
785,
565,
742,
566
],
"text": "Yes",
"confidence": "Low"
},
{
"bounding_box": [
869,
516,
894,
515,
893,
563,
869,
564
],
"text": "No",
"confidence": "Low"
}
]
},
{
"bounding_box": [
813,
470,
1165,
474,
1164,
525,
813,
522
],
"text": "Partnership, Estate, Trust, etc.",
"words": [
{
"bounding_box": [
868,
475,
980,
480,
977,
517,
864,
520
],
"text": "Partnership,",
"confidence": "Low"
},
{
"bounding_box": [
990,
481,
1054,
482,
1052,
517,
987,
516
],
"text": "Estate,",
"confidence": null
},
{
"bounding_box": [
1064,
482,
1112,
482,
1110,
518,
1062,
517
],
"text": "Trust,",
"confidence": "Low"
},
{
"bounding_box": [
1122,
482,
1163,
481,
1161,
521,
1120,
519
],
"text": "etc.",
"confidence": null
}
]
},
{
"bounding_box": [
140,
588,
980,
585,
981,
616,
141,
619
],
"text": "Please use the appropriate line to fill in the name and Taxpayer Identification Number:",
"words": [
{
"bounding_box": [
141,
592,
211,
591,
211,
617,
141,
616
],
"text": "Please",
"confidence": null
},
{
"bounding_box": [
215,
590,
253,
590,
254,
617,
216,
617
],
"text": "use",
"confidence": null
},
{
"bounding_box": [
258,
590,
290,
589,
290,
618,
258,
617
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
295,
589,
406,
588,
406,
618,
295,
618
],
"text": "appropriate",
"confidence": null
},
{
"bounding_box": [
410,
588,
445,
588,
445,
618,
410,
618
],
"text": "line",
"confidence": null
},
{
"bounding_box": [
450,
588,
469,
587,
469,
618,
450,
618
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
474,
587,
496,
587,
496,
618,
474,
618
],
"text": "fill",
"confidence": null
},
{
"bounding_box": [
501,
587,
520,
587,
520,
618,
501,
618
],
"text": "in",
"confidence": null
},
{
"bounding_box": [
524,
587,
558,
587,
558,
618,
525,
618
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
562,
587,
621,
587,
621,
618,
563,
618
],
"text": "name",
"confidence": null
},
{
"bounding_box": [
626,
587,
665,
587,
666,
618,
626,
618
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
670,
587,
762,
587,
762,
617,
670,
618
],
"text": "Taxpayer",
"confidence": null
},
{
"bounding_box": [
767,
587,
892,
588,
892,
616,
767,
617
],
"text": "Identification",
"confidence": null
},
{
"bounding_box": [
897,
588,
981,
589,
981,
615,
897,
616
],
"text": "Number:",
"confidence": "Low"
}
]
},
{
"bounding_box": [
139,
642,
328,
640,
329,
667,
140,
670
],
"text": "Corporation Name",
"words": [
{
"bounding_box": [
142,
643,
260,
642,
259,
669,
142,
670
],
"text": "Corporation",
"confidence": null
},
{
"bounding_box": [
265,
642,
328,
641,
327,
668,
265,
669
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
361,
614,
752,
616,
751,
671,
361,
669
],
"text": "USA PETROLEUM",
"words": [
{
"bounding_box": [
362,
616,
440,
615,
439,
669,
361,
670
],
"text": "USA",
"confidence": "Low"
},
{
"bounding_box": [
490,
615,
744,
621,
742,
669,
488,
668
],
"text": "PETROLEUM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
690,
375,
691,
374,
716,
143,
715
],
"text": "Sole Proprietor's Name",
"words": [
{
"bounding_box": [
144,
691,
187,
691,
188,
717,
145,
716
],
"text": "Sole",
"confidence": null
},
{
"bounding_box": [
192,
691,
305,
692,
306,
717,
193,
717
],
"text": "Proprietor's",
"confidence": null
},
{
"bounding_box": [
310,
692,
373,
692,
374,
716,
311,
717
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
1096,
679,
1609,
682,
1608,
721,
1095,
718
],
"text": "S. S. No. WILTQUILLLY",
"words": [
{
"bounding_box": [
1102,
682,
1117,
683,
1119,
715,
1104,
715
],
"text": "S.",
"confidence": null
},
{
"bounding_box": [
1124,
683,
1139,
683,
1140,
715,
1125,
715
],
"text": "S.",
"confidence": "Low"
},
{
"bounding_box": [
1145,
683,
1186,
683,
1187,
715,
1146,
715
],
"text": "No.",
"confidence": null
},
{
"bounding_box": [
1193,
683,
1578,
682,
1577,
721,
1193,
715
],
"text": "WILTQUILLLY",
"confidence": "Low"
}
]
},
{
"bounding_box": [
142,
758,
469,
760,
468,
788,
141,
787
],
"text": "Sole Proprietor's Business Name",
"words": [
{
"bounding_box": [
145,
760,
188,
761,
188,
787,
146,
786
],
"text": "Sole",
"confidence": null
},
{
"bounding_box": [
193,
761,
307,
761,
308,
788,
193,
787
],
"text": "Proprietor's",
"confidence": null
},
{
"bounding_box": [
312,
761,
401,
761,
402,
788,
313,
788
],
"text": "Business",
"confidence": null
},
{
"bounding_box": [
407,
761,
469,
760,
470,
788,
407,
788
],
"text": "Name",
"confidence": null
}
]
},
{
"bounding_box": [
1140,
749,
1447,
747,
1448,
782,
1141,
785
],
"text": "EIN LUGLLLL",
"words": [
{
"bounding_box": [
1145,
751,
1188,
750,
1189,
785,
1146,
786
],
"text": "EIN",
"confidence": "Low"
},
{
"bounding_box": [
1195,
750,
1439,
748,
1438,
784,
1195,
785
],
"text": "LUGLLLL",
"confidence": "Low"
}
]
},
{
"bounding_box": [
144,
787,
171,
789,
170,
812,
143,
810
],
"text": "or",
"words": [
{
"bounding_box": [
143,
786,
169,
788,
168,
811,
142,
809
],
"text": "or",
"confidence": null
}
]
},
{
"bounding_box": [
140,
806,
442,
807,
441,
839,
139,
837
],
"text": "Partnership, Estate, Trust, etc.",
"words": [
{
"bounding_box": [
142,
806,
263,
809,
264,
838,
143,
837
],
"text": "Partnership,",
"confidence": null
},
{
"bounding_box": [
269,
809,
338,
810,
339,
838,
270,
838
],
"text": "Estate,",
"confidence": null
},
{
"bounding_box": [
344,
810,
399,
810,
399,
837,
345,
838
],
"text": "Trust,",
"confidence": null
},
{
"bounding_box": [
405,
810,
442,
810,
442,
836,
406,
837
],
"text": "etc.",
"confidence": null
}
]
},
{
"bounding_box": [
143,
858,
612,
857,
612,
888,
144,
890
],
"text": "Address (Number, Street and Apt or Suite No.)",
"words": [
{
"bounding_box": [
144,
861,
226,
862,
226,
888,
144,
889
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
231,
862,
324,
863,
324,
888,
231,
888
],
"text": "(Number,",
"confidence": null
},
{
"bounding_box": [
329,
863,
389,
862,
389,
888,
329,
888
],
"text": "Street",
"confidence": null
},
{
"bounding_box": [
395,
862,
431,
862,
431,
888,
394,
888
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
436,
862,
476,
861,
476,
889,
436,
888
],
"text": "Apt",
"confidence": null
},
{
"bounding_box": [
482,
861,
503,
860,
503,
889,
481,
889
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
509,
860,
558,
859,
557,
889,
509,
889
],
"text": "Suite",
"confidence": null
},
{
"bounding_box": [
563,
859,
612,
857,
612,
889,
563,
889
],
"text": "No.)",
"confidence": null
}
]
},
{
"bounding_box": [
142,
912,
482,
910,
483,
937,
142,
939
],
"text": "Address (City, State and Zip Code)",
"words": [
{
"bounding_box": [
144,
912,
225,
912,
226,
939,
144,
939
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
231,
912,
285,
912,
286,
938,
231,
938
],
"text": "(City,",
"confidence": null
},
{
"bounding_box": [
291,
912,
341,
912,
342,
937,
291,
938
],
"text": "State",
"confidence": null
},
{
"bounding_box": [
347,
912,
383,
912,
384,
937,
347,
937
],
"text": "and",
"confidence": null
},
{
"bounding_box": [
388,
912,
419,
912,
420,
937,
389,
937
],
"text": "Zip",
"confidence": null
},
{
"bounding_box": [
425,
912,
483,
911,
483,
936,
425,
937
],
"text": "Code)",
"confidence": null
}
]
},
{
"bounding_box": [
143,
951,
293,
950,
293,
976,
144,
977
],
"text": "Certification:",
"words": [
{
"bounding_box": [
148,
951,
292,
952,
292,
976,
148,
978
],
"text": "Certification:",
"confidence": null
}
]
},
{
"bounding_box": [
145,
975,
531,
972,
531,
998,
146,
1002
],
"text": "Under penalties of perjury, I certify that",
"words": [
{
"bounding_box": [
147,
977,
207,
977,
207,
1001,
146,
1002
],
"text": "Under",
"confidence": null
},
{
"bounding_box": [
212,
977,
303,
977,
302,
1000,
211,
1001
],
"text": "penalties",
"confidence": null
},
{
"bounding_box": [
308,
977,
326,
977,
325,
1000,
307,
1000
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
331,
977,
405,
976,
405,
1000,
330,
1000
],
"text": "perjury,",
"confidence": null
},
{
"bounding_box": [
410,
975,
418,
975,
418,
1000,
410,
1000
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
423,
975,
481,
973,
481,
999,
423,
1000
],
"text": "certify",
"confidence": null
},
{
"bounding_box": [
486,
973,
532,
972,
532,
999,
486,
999
],
"text": "that",
"confidence": null
}
]
},
{
"bounding_box": [
139,
1002,
1380,
996,
1381,
1023,
140,
1029
],
"text": "1. The number shown above is my correct taxpayer identification number (or I am waiting for a number to be issued to me) and",
"words": [
{
"bounding_box": [
148,
1002,
177,
1002,
176,
1030,
147,
1030
],
"text": "1.",
"confidence": null
},
{
"bounding_box": [
187,
1002,
225,
1002,
224,
1029,
187,
1030
],
"text": "The",
"confidence": null
},
{
"bounding_box": [
230,
1002,
305,
1002,
305,
1029,
230,
1029
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
311,
1002,
373,
1001,
373,
1028,
310,
1029
],
"text": "shown",
"confidence": null
},
{
"bounding_box": [
379,
1001,
438,
1001,
437,
1028,
378,
1028
],
"text": "above",
"confidence": null
},
{
"bounding_box": [
443,
1001,
461,
1001,
460,
1028,
442,
1028
],
"text": "is",
"confidence": null
},
{
"bounding_box": [
466,
1001,
496,
1001,
496,
1028,
466,
1028
],
"text": "my",
"confidence": null
},
{
"bounding_box": [
502,
1001,
570,
1000,
569,
1027,
501,
1028
],
"text": "correct",
"confidence": null
},
{
"bounding_box": [
575,
1000,
663,
1000,
662,
1027,
575,
1027
],
"text": "taxpayer",
"confidence": null
},
{
"bounding_box": [
668,
1000,
793,
999,
793,
1026,
668,
1027
],
"text": "identification",
"confidence": null
},
{
"bounding_box": [
798,
999,
873,
999,
873,
1026,
798,
1026
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
879,
999,
904,
999,
904,
1026,
879,
1026
],
"text": "(or",
"confidence": null
},
{
"bounding_box": [
909,
999,
918,
999,
918,
1026,
909,
1026
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
923,
999,
952,
999,
952,
1026,
923,
1026
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
959,
999,
1025,
999,
1025,
1025,
959,
1026
],
"text": "waiting",
"confidence": null
},
{
"bounding_box": [
1031,
999,
1056,
999,
1056,
1025,
1030,
1025
],
"text": "for",
"confidence": null
},
{
"bounding_box": [
1061,
998,
1072,
998,
1072,
1025,
1061,
1025
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
1077,
998,
1150,
998,
1150,
1025,
1077,
1025
],
"text": "number",
"confidence": null
},
{
"bounding_box": [
1156,
998,
1174,
998,
1173,
1025,
1156,
1025
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1179,
998,
1204,
998,
1204,
1024,
1179,
1025
],
"text": "be",
"confidence": null
},
{
"bounding_box": [
1209,
998,
1274,
998,
1274,
1024,
1209,
1024
],
"text": "issued",
"confidence": null
},
{
"bounding_box": [
1279,
998,
1297,
998,
1297,
1024,
1279,
1024
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1302,
998,
1340,
998,
1340,
1024,
1302,
1024
],
"text": "me)",
"confidence": null
},
{
"bounding_box": [
1345,
998,
1381,
998,
1381,
1024,
1345,
1024
],
"text": "and",
"confidence": null
}
]
},
{
"bounding_box": [
146,
1029,
170,
1027,
172,
1049,
147,
1051
],
"text": "2.",
"words": [
{
"bounding_box": [
148,
1027,
169,
1026,
171,
1048,
149,
1050
],
"text": "2.",
"confidence": null
}
]
},
{
"bounding_box": [
184,
1026,
1571,
1022,
1571,
1050,
185,
1055
],
"text": "I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue",
"words": [
{
"bounding_box": [
186,
1027,
193,
1027,
192,
1054,
185,
1054
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
198,
1027,
228,
1027,
227,
1054,
197,
1054
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
235,
1027,
268,
1027,
268,
1054,
234,
1054
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
273,
1027,
342,
1027,
341,
1054,
273,
1054
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
347,
1027,
365,
1027,
364,
1054,
347,
1054
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
370,
1027,
442,
1027,
442,
1054,
370,
1054
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
447,
1027,
558,
1027,
557,
1054,
447,
1054
],
"text": "withholding",
"confidence": null
},
{
"bounding_box": [
563,
1027,
656,
1027,
656,
1053,
563,
1054
],
"text": "because:",
"confidence": null
},
{
"bounding_box": [
662,
1027,
690,
1027,
689,
1053,
661,
1053
],
"text": "(a)",
"confidence": null
},
{
"bounding_box": [
695,
1027,
704,
1027,
703,
1053,
694,
1053
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
709,
1027,
737,
1027,
737,
1053,
709,
1053
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
746,
1027,
818,
1027,
817,
1053,
745,
1053
],
"text": "exempt",
"confidence": null
},
{
"bounding_box": [
823,
1027,
865,
1026,
865,
1053,
823,
1053
],
"text": "from",
"confidence": null
},
{
"bounding_box": [
872,
1026,
943,
1026,
942,
1053,
872,
1053
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
948,
1026,
1062,
1026,
1062,
1052,
947,
1053
],
"text": "withholding,",
"confidence": null
},
{
"bounding_box": [
1067,
1025,
1085,
1025,
1084,
1052,
1067,
1052
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1090,
1025,
1118,
1025,
1118,
1052,
1090,
1052
],
"text": "(b)",
"confidence": null
},
{
"bounding_box": [
1124,
1025,
1127,
1025,
1127,
1052,
1123,
1052
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
1132,
1025,
1182,
1025,
1181,
1052,
1132,
1052
],
"text": "have",
"confidence": null
},
{
"bounding_box": [
1187,
1025,
1217,
1025,
1216,
1052,
1186,
1052
],
"text": "not",
"confidence": null
},
{
"bounding_box": [
1222,
1025,
1271,
1024,
1271,
1051,
1221,
1052
],
"text": "been",
"confidence": null
},
{
"bounding_box": [
1277,
1024,
1345,
1024,
1344,
1051,
1276,
1051
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
1350,
1024,
1375,
1024,
1374,
1051,
1350,
1051
],
"text": "by",
"confidence": null
},
{
"bounding_box": [
1380,
1023,
1408,
1023,
1407,
1051,
1379,
1051
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1414,
1023,
1484,
1023,
1483,
1050,
1413,
1051
],
"text": "Internal",
"confidence": "Low"
},
{
"bounding_box": [
1489,
1023,
1572,
1022,
1571,
1050,
1488,
1050
],
"text": "Revenue",
"confidence": null
}
]
},
{
"bounding_box": [
187,
1052,
1580,
1049,
1580,
1076,
188,
1080
],
"text": "Service that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no",
"words": [
{
"bounding_box": [
188,
1055,
263,
1055,
263,
1079,
188,
1079
],
"text": "Service",
"confidence": null
},
{
"bounding_box": [
268,
1055,
304,
1055,
304,
1079,
268,
1079
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
308,
1055,
316,
1055,
316,
1079,
308,
1079
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
321,
1055,
347,
1054,
347,
1079,
321,
1079
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
357,
1054,
427,
1054,
427,
1079,
356,
1079
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
432,
1054,
452,
1054,
451,
1079,
431,
1079
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
456,
1054,
528,
1054,
528,
1079,
456,
1079
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
533,
1054,
648,
1054,
648,
1078,
532,
1079
],
"text": "withholding",
"confidence": null
},
{
"bounding_box": [
653,
1054,
678,
1054,
677,
1078,
652,
1078
],
"text": "as",
"confidence": null
},
{
"bounding_box": [
683,
1054,
695,
1054,
694,
1078,
682,
1078
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
700,
1053,
757,
1053,
757,
1078,
699,
1078
],
"text": "result",
"confidence": null
},
{
"bounding_box": [
762,
1053,
782,
1053,
782,
1078,
761,
1078
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
787,
1053,
798,
1053,
797,
1078,
786,
1078
],
"text": "a",
"confidence": null
},
{
"bounding_box": [
803,
1053,
865,
1053,
864,
1078,
802,
1078
],
"text": "failure",
"confidence": null
},
{
"bounding_box": [
870,
1053,
887,
1053,
886,
1078,
869,
1078
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
892,
1053,
951,
1053,
950,
1078,
890,
1078
],
"text": "report",
"confidence": null
},
{
"bounding_box": [
956,
1053,
977,
1052,
976,
1078,
954,
1078
],
"text": "all",
"confidence": null
},
{
"bounding_box": [
982,
1052,
1054,
1052,
1052,
1078,
981,
1078
],
"text": "interest",
"confidence": null
},
{
"bounding_box": [
1058,
1052,
1080,
1052,
1079,
1078,
1057,
1078
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1085,
1052,
1180,
1051,
1179,
1078,
1084,
1078
],
"text": "dividends,",
"confidence": null
},
{
"bounding_box": [
1185,
1051,
1207,
1051,
1205,
1078,
1183,
1078
],
"text": "or",
"confidence": null
},
{
"bounding_box": [
1211,
1051,
1236,
1051,
1235,
1078,
1210,
1078
],
"text": "(c)",
"confidence": null
},
{
"bounding_box": [
1241,
1051,
1271,
1051,
1269,
1078,
1239,
1078
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1275,
1051,
1313,
1051,
1311,
1078,
1273,
1078
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
1317,
1051,
1353,
1050,
1351,
1078,
1316,
1078
],
"text": "has",
"confidence": null
},
{
"bounding_box": [
1358,
1050,
1426,
1050,
1424,
1077,
1356,
1078
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
1431,
1050,
1462,
1050,
1460,
1077,
1429,
1077
],
"text": "me",
"confidence": null
},
{
"bounding_box": [
1467,
1050,
1503,
1049,
1501,
1077,
1465,
1077
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
1508,
1049,
1514,
1049,
1512,
1077,
1505,
1077
],
"text": "I",
"confidence": null
},
{
"bounding_box": [
1518,
1049,
1547,
1049,
1544,
1077,
1516,
1077
],
"text": "am",
"confidence": null
},
{
"bounding_box": [
1554,
1049,
1579,
1049,
1577,
1077,
1552,
1077
],
"text": "no",
"confidence": null
}
]
},
{
"bounding_box": [
193,
1079,
541,
1080,
540,
1106,
192,
1105
],
"text": "onger subject to backup withholding.",
"words": [
{
"bounding_box": [
194,
1081,
250,
1081,
249,
1105,
193,
1105
],
"text": "onger",
"confidence": null
},
{
"bounding_box": [
255,
1080,
324,
1080,
323,
1105,
254,
1105
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
328,
1080,
347,
1080,
346,
1105,
328,
1105
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
352,
1080,
424,
1080,
424,
1106,
351,
1105
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
429,
1080,
539,
1081,
540,
1107,
428,
1106
],
"text": "withholding.",
"confidence": "Low"
}
]
},
{
"bounding_box": [
145,
1103,
1587,
1095,
1588,
1126,
146,
1134
],
"text": "Certification Instructions: You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding",
"words": [
{
"bounding_box": [
148,
1107,
274,
1106,
273,
1132,
148,
1132
],
"text": "Certification",
"confidence": "Low"
},
{
"bounding_box": [
279,
1106,
419,
1104,
418,
1132,
278,
1132
],
"text": "Instructions:",
"confidence": null
},
{
"bounding_box": [
424,
1104,
463,
1103,
462,
1132,
423,
1132
],
"text": "You",
"confidence": null
},
{
"bounding_box": [
468,
1103,
517,
1103,
516,
1132,
467,
1132
],
"text": "must",
"confidence": null
},
{
"bounding_box": [
522,
1103,
577,
1102,
576,
1132,
521,
1132
],
"text": "cross",
"confidence": null
},
{
"bounding_box": [
582,
1102,
615,
1102,
614,
1132,
581,
1132
],
"text": "out",
"confidence": null
},
{
"bounding_box": [
620,
1102,
662,
1101,
661,
1132,
619,
1132
],
"text": "Item",
"confidence": "Low"
},
{
"bounding_box": [
670,
1101,
685,
1101,
684,
1132,
669,
1132
],
"text": "2",
"confidence": null
},
{
"bounding_box": [
690,
1101,
750,
1101,
749,
1132,
689,
1132
],
"text": "above",
"confidence": null
},
{
"bounding_box": [
755,
1101,
768,
1100,
767,
1132,
754,
1132
],
"text": "if",
"confidence": null
},
{
"bounding_box": [
773,
1100,
807,
1100,
806,
1131,
772,
1131
],
"text": "you",
"confidence": null
},
{
"bounding_box": [
812,
1100,
861,
1100,
860,
1131,
811,
1131
],
"text": "have",
"confidence": null
},
{
"bounding_box": [
866,
1100,
916,
1099,
915,
1131,
865,
1131
],
"text": "been",
"confidence": null
},
{
"bounding_box": [
921,
1099,
990,
1099,
989,
1131,
920,
1131
],
"text": "notified",
"confidence": null
},
{
"bounding_box": [
995,
1099,
1019,
1099,
1018,
1131,
993,
1131
],
"text": "by",
"confidence": null
},
{
"bounding_box": [
1024,
1099,
1053,
1099,
1052,
1131,
1023,
1131
],
"text": "the",
"confidence": null
},
{
"bounding_box": [
1058,
1098,
1096,
1098,
1094,
1130,
1057,
1130
],
"text": "IRS",
"confidence": null
},
{
"bounding_box": [
1101,
1098,
1137,
1098,
1135,
1130,
1099,
1130
],
"text": "that",
"confidence": null
},
{
"bounding_box": [
1142,
1098,
1179,
1098,
1178,
1130,
1140,
1130
],
"text": "you",
"confidence": null
},
{
"bounding_box": [
1184,
1098,
1217,
1098,
1215,
1130,
1182,
1130
],
"text": "are",
"confidence": null
},
{
"bounding_box": [
1221,
1098,
1305,
1097,
1303,
1129,
1220,
1130
],
"text": "currently",
"confidence": null
},
{
"bounding_box": [
1310,
1097,
1376,
1097,
1375,
1129,
1308,
1129
],
"text": "subject",
"confidence": null
},
{
"bounding_box": [
1381,
1097,
1401,
1097,
1399,
1129,
1380,
1129
],
"text": "to",
"confidence": null
},
{
"bounding_box": [
1406,
1097,
1473,
1097,
1471,
1128,
1404,
1129
],
"text": "backup",
"confidence": null
},
{
"bounding_box": [
1478,
1097,
1588,
1097,
1586,
1128,
1476,
1128
],
"text": "withholding",
"confidence": null
}
]
},
{
"bounding_box": [
144,
1132,
680,
1130,
681,
1158,
145,
1160
],
"text": "because of under reporting interest on your tax return.",
"words": [
{
"bounding_box": [
147,
1133,
232,
1133,
231,
1159,
145,
1157
],
"text": "because",
"confidence": null
},
{
"bounding_box": [
237,
1133,
256,
1133,
255,
1159,
235,
1159
],
"text": "of",
"confidence": null
},
{
"bounding_box": [
261,
1133,
317,
1132,
316,
1160,
260,
1159
],
"text": "under",
"confidence": null
},
{
"bounding_box": [
322,
1132,
409,
1132,
408,
1160,
321,
1160
],
"text": "reporting",
"confidence": null
},
{
"bounding_box": [
414,
1132,
488,
1132,
487,
1160,
413,
1160
],
"text": "interest",
"confidence": null
},
{
"bounding_box": [
493,
1132,
517,
1132,
516,
1159,
491,
1160
],
"text": "on",
"confidence": null
},
{
"bounding_box": [
522,
1132,
567,
1132,
566,
1159,
520,
1159
],
"text": "your",
"confidence": null
},
{
"bounding_box": [
571,
1132,
604,
1131,
603,
1158,
570,
1159
],
"text": "tax",
"confidence": null
},
{
"bounding_box": [
608,
1131,
681,
1131,
680,
1157,
607,
1158
],
"text": "return.",
"confidence": "Low"
}
]
},
{
"bounding_box": [
143,
1181,
408,
1179,
408,
1211,
144,
1213
],
"text": "Store Name (Please Print).",
"words": [
{
"bounding_box": [
147,
1184,
196,
1183,
196,
1212,
146,
1212
],
"text": "Store",
"confidence": null
},
{
"bounding_box": [
202,
1183,
263,
1181,
262,
1212,
201,
1212
],
"text": "Name",
"confidence": null
},
{
"bounding_box": [
268,
1181,
342,
1180,
341,
1212,
268,
1212
],
"text": "(Please",
"confidence": null
},
{
"bounding_box": [
347,
1180,
408,
1179,
407,
1211,
347,
1212
],
"text": "Print).",
"confidence": "Low"
}
]
},
{
"bounding_box": [
416,
1158,
837,
1152,
838,
1206,
417,
1212
],
"text": "USA PETROLEUM",
"words": [
{
"bounding_box": [
433,
1163,
511,
1159,
511,
1209,
432,
1210
],
"text": "USA",
"confidence": null
},
{
"bounding_box": [
571,
1157,
819,
1153,
822,
1207,
571,
1209
],
"text": "PETROLEUM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1103,
1177,
1281,
1181,
1280,
1208,
1102,
1205
],
"text": "RJR Account No.",
"words": [
{
"bounding_box": [
1108,
1180,
1149,
1180,
1150,
1205,
1108,
1204
],
"text": "RJR",
"confidence": null
},
{
"bounding_box": [
1156,
1180,
1235,
1181,
1235,
1208,
1156,
1206
],
"text": "Account",
"confidence": null
},
{
"bounding_box": [
1239,
1181,
1280,
1181,
1280,
1209,
1240,
1208
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
141,
1233,
299,
1232,
300,
1259,
142,
1260
],
"text": "Street Address .",
"words": [
{
"bounding_box": [
145,
1235,
204,
1235,
204,
1260,
145,
1259
],
"text": "Street",
"confidence": null
},
{
"bounding_box": [
208,
1235,
290,
1233,
291,
1260,
209,
1260
],
"text": "Address",
"confidence": null
},
{
"bounding_box": [
295,
1233,
298,
1233,
299,
1260,
296,
1260
],
"text": ".",
"confidence": null
}
]
},
{
"bounding_box": [
325,
1213,
1010,
1214,
1010,
1261,
324,
1260
],
"text": "30101 DECOR OF STE 240",
"words": [
{
"bounding_box": [
328,
1217,
452,
1215,
452,
1260,
328,
1260
],
"text": "30101",
"confidence": "Low"
},
{
"bounding_box": [
498,
1214,
636,
1214,
636,
1260,
498,
1260
],
"text": "DECOR",
"confidence": "Low"
},
{
"bounding_box": [
687,
1214,
753,
1214,
755,
1261,
688,
1260
],
"text": "OF",
"confidence": "Low"
},
{
"bounding_box": [
831,
1215,
906,
1216,
907,
1261,
832,
1261
],
"text": "STE",
"confidence": "Low"
},
{
"bounding_box": [
926,
1216,
1006,
1218,
1008,
1261,
928,
1261
],
"text": "240",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1105,
1228,
1277,
1234,
1277,
1262,
1104,
1256
],
"text": "RJR Territory No.",
"words": [
{
"bounding_box": [
1109,
1230,
1151,
1231,
1151,
1257,
1108,
1257
],
"text": "RJR",
"confidence": null
},
{
"bounding_box": [
1158,
1231,
1237,
1232,
1237,
1260,
1158,
1257
],
"text": "Territory",
"confidence": null
},
{
"bounding_box": [
1242,
1233,
1275,
1234,
1276,
1262,
1243,
1260
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
141,
1284,
249,
1286,
249,
1313,
140,
1311
],
"text": "City/State",
"words": [
{
"bounding_box": [
143,
1286,
246,
1286,
247,
1313,
143,
1312
],
"text": "City/State",
"confidence": null
}
]
},
{
"bounding_box": [
295,
1263,
687,
1265,
686,
1313,
294,
1312
],
"text": "PLOVEA HILLS",
"words": [
{
"bounding_box": [
298,
1264,
465,
1266,
466,
1313,
299,
1311
],
"text": "PLOVEA",
"confidence": "Low"
},
{
"bounding_box": [
507,
1266,
641,
1265,
642,
1313,
508,
1313
],
"text": "HILLS",
"confidence": "Low"
}
]
},
{
"bounding_box": [
724,
1261,
833,
1265,
833,
1302,
726,
1305
],
"text": "CA .",
"words": [
{
"bounding_box": [
741,
1260,
803,
1260,
803,
1304,
741,
1304
],
"text": "CA",
"confidence": null
},
{
"bounding_box": [
817,
1260,
832,
1260,
832,
1304,
817,
1304
],
"text": ".",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1102,
1275,
1206,
1279,
1205,
1311,
1101,
1308
],
"text": "Zip Code",
"words": [
{
"bounding_box": [
1108,
1277,
1137,
1278,
1138,
1310,
1109,
1309
],
"text": "Zip",
"confidence": null
},
{
"bounding_box": [
1143,
1279,
1203,
1279,
1203,
1311,
1144,
1310
],
"text": "Code",
"confidence": null
}
]
},
{
"bounding_box": [
143,
1334,
331,
1335,
331,
1365,
142,
1364
],
"text": "Call Classification .",
"words": [
{
"bounding_box": [
144,
1336,
181,
1336,
181,
1363,
145,
1363
],
"text": "Call",
"confidence": null
},
{
"bounding_box": [
186,
1336,
320,
1335,
319,
1365,
187,
1363
],
"text": "Classification",
"confidence": null
},
{
"bounding_box": [
325,
1335,
330,
1335,
330,
1365,
325,
1365
],
"text": ".",
"confidence": null
}
]
},
{
"bounding_box": [
1103,
1326,
1552,
1315,
1553,
1354,
1104,
1366
],
"text": "Brand (if Chain) (2520) . XXXX",
"words": [
{
"bounding_box": [
1108,
1334,
1167,
1331,
1167,
1359,
1109,
1358
],
"text": "Brand",
"confidence": null
},
{
"bounding_box": [
1171,
1330,
1191,
1329,
1192,
1359,
1172,
1359
],
"text": "(if",
"confidence": null
},
{
"bounding_box": [
1196,
1329,
1268,
1325,
1269,
1359,
1196,
1359
],
"text": "Chain)",
"confidence": "Low"
},
{
"bounding_box": [
1282,
1324,
1396,
1320,
1397,
1358,
1283,
1359
],
"text": "(2520)",
"confidence": "Low"
},
{
"bounding_box": [
1407,
1319,
1421,
1319,
1422,
1358,
1408,
1358
],
"text": ".",
"confidence": "Low"
},
{
"bounding_box": [
1426,
1319,
1535,
1316,
1536,
1356,
1426,
1358
],
"text": "XXXX",
"confidence": "Low"
}
]
},
{
"bounding_box": [
201,
1372,
285,
1379,
283,
1403,
199,
1396
],
"text": "Current",
"words": [
{
"bounding_box": [
202,
1374,
285,
1379,
283,
1402,
202,
1395
],
"text": "Current",
"confidence": null
}
]
},
{
"bounding_box": [
943,
1374,
985,
1378,
985,
1398,
943,
1394
],
"text": "No.",
"words": [
{
"bounding_box": [
952,
1374,
986,
1378,
984,
1397,
950,
1394
],
"text": "No.",
"confidence": null
}
]
},
{
"bounding_box": [
1404,
1366,
1550,
1369,
1549,
1396,
1403,
1393
],
"text": "Total Quartert",
"words": [
{
"bounding_box": [
1412,
1368,
1462,
1369,
1462,
1395,
1412,
1394
],
"text": "Total",
"confidence": null
},
{
"bounding_box": [
1467,
1369,
1550,
1369,
1550,
1396,
1467,
1395
],
"text": "Quartert",
"confidence": "Low"
}
]
},
{
"bounding_box": [
170,
1402,
311,
1404,
310,
1428,
169,
1427
],
"text": "RJR Volume",
"words": [
{
"bounding_box": [
173,
1404,
217,
1404,
218,
1428,
174,
1427
],
"text": "RJR",
"confidence": "Low"
},
{
"bounding_box": [
224,
1404,
307,
1404,
308,
1429,
225,
1428
],
"text": "Volume",
"confidence": "Low"
}
]
},
{
"bounding_box": [
590,
1381,
644,
1386,
646,
1413,
592,
1408
],
"text": "Type",
"words": [
{
"bounding_box": [
596,
1381,
646,
1385,
644,
1411,
594,
1407
],
"text": "Type",
"confidence": null
}
]
},
{
"bounding_box": [
924,
1401,
1016,
1400,
1017,
1425,
925,
1426
],
"text": "Stores",
"words": [
{
"bounding_box": [
937,
1403,
1007,
1403,
1006,
1425,
936,
1425
],
"text": "Stores",
"confidence": null
}
]
},
{
"bounding_box": [
1079,
1383,
1271,
1385,
1270,
1411,
1078,
1409
],
"text": "Monthly Payment",
"words": [
{
"bounding_box": [
1085,
1384,
1168,
1386,
1167,
1411,
1084,
1410
],
"text": "Monthly",
"confidence": null
},
{
"bounding_box": [
1173,
1386,
1270,
1387,
1270,
1411,
1172,
1411
],
"text": "Payment",
"confidence": null
}
]
},
{
"bounding_box": [
1410,
1397,
1563,
1398,
1562,
1424,
1409,
1423
],
"text": "Dollar Amount",
"words": [
{
"bounding_box": [
1413,
1400,
1475,
1398,
1474,
1421,
1411,
1422
],
"text": "Dollar",
"confidence": null
},
{
"bounding_box": [
1479,
1398,
1562,
1400,
1562,
1424,
1478,
1421
],
"text": "Amount",
"confidence": null
}
]
},
{
"bounding_box": [
1299,
1537,
1374,
1534,
1375,
1560,
1301,
1564
],
"text": "TOTAL",
"words": [
{
"bounding_box": [
1300,
1539,
1368,
1535,
1368,
1561,
1301,
1562
],
"text": "TOTAL",
"confidence": null
}
]
},
{
"bounding_box": [
194,
1616,
435,
1618,
435,
1668,
193,
1666
],
"text": "7. 36 . 29",
"words": [
{
"bounding_box": [
200,
1618,
259,
1619,
260,
1666,
200,
1666
],
"text": "7.",
"confidence": null
},
{
"bounding_box": [
268,
1619,
328,
1619,
328,
1667,
269,
1666
],
"text": "36",
"confidence": "Low"
},
{
"bounding_box": [
346,
1619,
368,
1619,
368,
1667,
347,
1667
],
"text": ".",
"confidence": null
},
{
"bounding_box": [
378,
1619,
434,
1618,
434,
1669,
378,
1668
],
"text": "29",
"confidence": "Low"
}
]
},
{
"bounding_box": [
541,
1624,
741,
1626,
741,
1658,
540,
1656
],
"text": "Retailer's Signature",
"words": [
{
"bounding_box": [
541,
1627,
636,
1627,
635,
1654,
541,
1655
],
"text": "Retailer's",
"confidence": null
},
{
"bounding_box": [
641,
1627,
741,
1626,
741,
1658,
641,
1654
],
"text": "Signature",
"confidence": null
}
]
},
{
"bounding_box": [
211,
1666,
424,
1666,
423,
1694,
210,
1693
],
"text": "Date Contract Signed",
"words": [
{
"bounding_box": [
211,
1666,
259,
1668,
260,
1694,
212,
1692
],
"text": "Date",
"confidence": "Low"
},
{
"bounding_box": [
264,
1668,
348,
1669,
349,
1694,
265,
1694
],
"text": "Contract",
"confidence": null
},
{
"bounding_box": [
353,
1669,
421,
1667,
423,
1691,
354,
1694
],
"text": "Signed",
"confidence": null
}
]
},
{
"bounding_box": [
539,
1675,
589,
1678,
590,
1702,
539,
1699
],
"text": "Tille",
"words": [
{
"bounding_box": [
542,
1675,
586,
1677,
585,
1701,
540,
1699
],
"text": "Tille",
"confidence": null
}
]
},
{
"bounding_box": [
709,
1639,
1412,
1630,
1413,
1688,
710,
1696
],
"text": "RETAIL MENGH . Dilation",
"words": [
{
"bounding_box": [
722,
1644,
892,
1645,
896,
1692,
726,
1688
],
"text": "RETAIL",
"confidence": "Low"
},
{
"bounding_box": [
907,
1645,
1089,
1643,
1092,
1693,
910,
1693
],
"text": "MENGH",
"confidence": "Low"
},
{
"bounding_box": [
1103,
1643,
1132,
1642,
1135,
1692,
1106,
1693
],
"text": ".",
"confidence": null
},
{
"bounding_box": [
1164,
1641,
1389,
1632,
1392,
1685,
1167,
1692
],
"text": "Dilation",
"confidence": "Low"
}
]
},
{
"bounding_box": [
206,
1766,
423,
1769,
423,
1798,
205,
1795
],
"text": "Contract Effective Date",
"words": [
{
"bounding_box": [
207,
1770,
287,
1768,
286,
1794,
206,
1795
],
"text": "Contract",
"confidence": null
},
{
"bounding_box": [
291,
1768,
376,
1769,
376,
1796,
291,
1794
],
"text": "Effective",
"confidence": null
},
{
"bounding_box": [
381,
1769,
422,
1771,
422,
1799,
381,
1796
],
"text": "Date",
"confidence": null
}
]
},
{
"bounding_box": [
538,
1797,
564,
1798,
564,
1824,
538,
1823
],
"text": "By",
"words": [
{
"bounding_box": [
541,
1797,
563,
1797,
562,
1823,
540,
1823
],
"text": "By",
"confidence": null
}
]
},
{
"bounding_box": [
1430,
1840,
1546,
1840,
1546,
1868,
1431,
1869
],
"text": "EFFECTIVE",
"words": [
{
"bounding_box": [
1431,
1844,
1546,
1840,
1546,
1869,
1432,
1867
],
"text": "EFFECTIVE",
"confidence": null
}
]
},
{
"bounding_box": [
341,
1872,
460,
1871,
461,
1898,
342,
1899
],
"text": "FUNCTION",
"words": [
{
"bounding_box": [
348,
1873,
460,
1872,
461,
1898,
349,
1898
],
"text": "FUNCTION",
"confidence": null
}
]
},
{
"bounding_box": [
582,
1870,
764,
1868,
765,
1900,
583,
1901
],
"text": "CONTRACT TYPE",
"words": [
{
"bounding_box": [
583,
1871,
705,
1870,
706,
1901,
583,
1901
],
"text": "CONTRACT",
"confidence": null
},
{
"bounding_box": [
711,
1870,
762,
1869,
764,
1899,
712,
1901
],
"text": "TYPE",
"confidence": null
}
]
},
{
"bounding_box": [
977,
1871,
1033,
1871,
1033,
1895,
977,
1896
],
"text": "TYPE",
"words": [
{
"bounding_box": [
981,
1870,
1031,
1870,
1031,
1895,
981,
1895
],
"text": "TYPE",
"confidence": null
}
]
},
{
"bounding_box": [
1146,
1870,
1215,
1871,
1214,
1894,
1145,
1893
],
"text": "UNITS",
"words": [
{
"bounding_box": [
1146,
1870,
1214,
1871,
1215,
1894,
1146,
1893
],
"text": "UNITS",
"confidence": null
}
]
},
{
"bounding_box": [
1281,
1869,
1350,
1867,
1351,
1895,
1282,
1896
],
"text": "RATE",
"words": [
{
"bounding_box": [
1285,
1867,
1347,
1866,
1348,
1894,
1286,
1895
],
"text": "RATE",
"confidence": null
}
]
},
{
"bounding_box": [
1449,
1867,
1528,
1868,
1526,
1896,
1449,
1894
],
"text": "MONYR",
"words": [
{
"bounding_box": [
1450,
1866,
1523,
1867,
1523,
1895,
1450,
1894
],
"text": "MONYR",
"confidence": "Low"
}
]
},
{
"bounding_box": [
139,
1912,
267,
1913,
267,
1941,
138,
1940
],
"text": "FUNCTION:",
"words": [
{
"bounding_box": [
144,
1916,
266,
1913,
266,
1941,
145,
1938
],
"text": "FUNCTION:",
"confidence": null
}
]
},
{
"bounding_box": [
477,
1904,
780,
1902,
781,
1954,
478,
1957
],
"text": "NO PACK",
"words": [
{
"bounding_box": [
482,
1906,
548,
1905,
548,
1957,
481,
1957
],
"text": "NO",
"confidence": "Low"
},
{
"bounding_box": [
595,
1904,
754,
1903,
754,
1956,
594,
1956
],
"text": "PACK",
"confidence": "Low"
}
]
},
{
"bounding_box": [
915,
1903,
1105,
1901,
1106,
1950,
916,
1953
],
"text": "7 5 4 2 3",
"words": [
{
"bounding_box": [
925,
1904,
948,
1904,
949,
1953,
927,
1954
],
"text": "7",
"confidence": "Low"
},
{
"bounding_box": [
958,
1904,
984,
1903,
985,
1952,
959,
1952
],
"text": "5",
"confidence": null
},
{
"bounding_box": [
993,
1903,
1023,
1903,
1023,
1951,
994,
1952
],
"text": "4",
"confidence": "Low"
},
{
"bounding_box": [
1032,
1903,
1065,
1902,
1065,
1951,
1033,
1951
],
"text": "2",
"confidence": null
},
{
"bounding_box": [
1078,
1902,
1104,
1902,
1104,
1952,
1078,
1952
],
"text": "3",
"confidence": "Low"
}
]
},
{
"bounding_box": [
138,
1967,
228,
1965,
229,
1991,
139,
1994
],
"text": "A = ADD",
"words": [
{
"bounding_box": [
143,
1970,
158,
1968,
160,
1992,
145,
1993
],
"text": "A",
"confidence": null
},
{
"bounding_box": [
164,
1968,
181,
1967,
182,
1991,
166,
1991
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
186,
1967,
228,
1967,
228,
1993,
186,
1991
],
"text": "ADD",
"confidence": "Low"
}
]
},
{
"bounding_box": [
1407,
1953,
1558,
1946,
1560,
1995,
1410,
2003
],
"text": "47 9 7",
"words": [
{
"bounding_box": [
1418,
1953,
1488,
1950,
1490,
2000,
1420,
2002
],
"text": "47",
"confidence": "Low"
},
{
"bounding_box": [
1497,
1949,
1523,
1948,
1525,
1999,
1499,
2000
],
"text": "9",
"confidence": null
},
{
"bounding_box": [
1532,
1947,
1558,
1946,
1559,
1997,
1534,
1998
],
"text": "7",
"confidence": "Low"
}
]
},
{
"bounding_box": [
141,
2002,
232,
2003,
231,
2028,
140,
2027
],
"text": "E = END",
"words": [
{
"bounding_box": [
144,
2004,
159,
2004,
160,
2027,
145,
2028
],
"text": "E",
"confidence": null
},
{
"bounding_box": [
164,
2004,
180,
2004,
181,
2027,
165,
2027
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
184,
2003,
231,
2004,
232,
2028,
185,
2027
],
"text": "END",
"confidence": null
}
]
},
{
"bounding_box": [
587,
1956,
876,
1948,
878,
2004,
589,
2011
],
"text": "PACK EM",
"words": [
{
"bounding_box": [
599,
1959,
753,
1955,
754,
2007,
599,
2009
],
"text": "PACK",
"confidence": null
},
{
"bounding_box": [
803,
1953,
873,
1949,
875,
2005,
804,
2006
],
"text": "EM",
"confidence": "Low"
}
]
},
{
"bounding_box": [
912,
1961,
992,
1957,
994,
2001,
914,
2004
],
"text": "MC",
"words": [
{
"bounding_box": [
916,
1959,
990,
1956,
992,
2000,
918,
2003
],
"text": "MC",
"confidence": null
}
]
},
{
"bounding_box": [
143,
2035,
276,
2036,
276,
2062,
142,
2061
],
"text": "D = DELETE",
"words": [
{
"bounding_box": [
145,
2037,
160,
2037,
161,
2061,
146,
2060
],
"text": "D",
"confidence": null
},
{
"bounding_box": [
166,
2037,
181,
2037,
183,
2061,
167,
2061
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
186,
2037,
274,
2036,
276,
2062,
187,
2061
],
"text": "DELETE",
"confidence": null
}
]
},
{
"bounding_box": [
137,
2071,
292,
2070,
293,
2096,
138,
2096
],
"text": "C = CHANGE",
"words": [
{
"bounding_box": [
143,
2072,
159,
2072,
161,
2096,
145,
2096
],
"text": "C",
"confidence": null
},
{
"bounding_box": [
166,
2072,
182,
2072,
183,
2096,
167,
2096
],
"text": "=",
"confidence": null
},
{
"bounding_box": [
187,
2072,
285,
2071,
286,
2097,
188,
2097
],
"text": "CHANGE",
"confidence": null
}
]
},
{
"bounding_box": [
1622,
1915,
1621,
2119,
1591,
2118,
1592,
1914
],
"text": "52079 1063",
"words": [
{
"bounding_box": [
1622,
1917,
1620,
2017,
1592,
2017,
1593,
1917
],
"text": "52079",
"confidence": null
},
{
"bounding_box": [
1620,
2041,
1620,
2119,
1594,
2118,
1592,
2041
],
"text": "1063",
"confidence": null
}
]
},
{
"bounding_box": [
140,
2143,
407,
2142,
408,
2163,
141,
2165
],
"text": "RJRT Form 3804 . WML 8/21/1998",
"words": [
{
"bounding_box": [
144,
2145,
186,
2144,
187,
2165,
145,
2166
],
"text": "RJRT",
"confidence": null
},
{
"bounding_box": [
190,
2144,
230,
2143,
231,
2164,
191,
2165
],
"text": "Form",
"confidence": null
},
{
"bounding_box": [
236,
2143,
273,
2143,
273,
2164,
236,
2164
],
"text": "3804",
"confidence": "Low"
},
{
"bounding_box": [
277,
2143,
281,
2143,
282,
2164,
278,
2164
],
"text": ".",
"confidence": "Low"
},
{
"bounding_box": [
285,
2143,
323,
2143,
324,
2164,
286,
2164
],
"text": "WML",
"confidence": null
},
{
"bounding_box": [
328,
2143,
407,
2143,
408,
2164,
328,
2164
],
"text": "8/21/1998",
"confidence": "Low"
}
]
},
{
"bounding_box": [
387,
2201,
1306,
2200,
1307,
2236,
388,
2237
],
"text": "Source: https://www.industrydocuments.ucsf.edu/docs/ffbf0023",
"words": [
{
"bounding_box": [
388,
2204,
498,
2205,
500,
2236,
389,
2234
],
"text": "Source:",
"confidence": null
},
{
"bounding_box": [
504,
2205,
1305,
2201,
1307,
2236,
506,
2236
],
"text": "https://www.industrydocuments.ucsf.edu/docs/ffbf0023",
"confidence": null
}
]
}
]
} | {
"ucsf_document_id": "ffbf0023",
"ucsf_document_page_no": "4",
"doc_id": 3278,
"image": "ffbf0023_4.png"
} |
|
10,212 | What is written in the Zip code Field ? | [
"91301"
] | train | {"page":1,"clockwise_orientation":0.33,"width":1692,"height":2245,"unit":"pixel","lines":[{"bounding(...TRUNCATED) | {
"ucsf_document_id": "ffbf0023",
"ucsf_document_page_no": "6",
"doc_id": 3343,
"image": "ffbf0023_6.png"
} |
|
10,213 | What is the Contract Effective Date ? | [
"7-1-99"
] | train | {"page":1,"clockwise_orientation":0.33,"width":1692,"height":2245,"unit":"pixel","lines":[{"bounding(...TRUNCATED) | {
"ucsf_document_id": "ffbf0023",
"ucsf_document_page_no": "6",
"doc_id": 3343,
"image": "ffbf0023_6.png"
} |
|
36,060 | what is the price at bottom of the page ? | [
"$1.90"
] | train | {"page":1,"clockwise_orientation":0.2,"width":1684,"height":2186,"unit":"pixel","lines":[{"bounding_(...TRUNCATED) | {
"ucsf_document_id": "ffbf0227",
"ucsf_document_page_no": "1",
"doc_id": 10388,
"image": "ffbf0227_1.png"
} |
|
26,902 | What is the abbreviation used for BIOMETRICS? | [
"BIO.",
"Bio."
] | train | {"page":1,"clockwise_orientation":359.95,"width":1784,"height":2283,"unit":"pixel","lines":[{"boundi(...TRUNCATED) | {
"ucsf_document_id": "ffbg0227",
"ucsf_document_page_no": "3",
"doc_id": 7502,
"image": "ffbg0227_3.png"
} |
|
26,905 | What does Clin. PM stand for? | [
"CLINICAL PREVENTIVE MEDICINE"
] | train | {"page":1,"clockwise_orientation":359.95,"width":1784,"height":2283,"unit":"pixel","lines":[{"boundi(...TRUNCATED) | {
"ucsf_document_id": "ffbg0227",
"ucsf_document_page_no": "3",
"doc_id": 7502,
"image": "ffbg0227_3.png"
} |
|
26,914 | What does Pop. D/Dem denote? | [
"POPULATION DYNAMICS/DEMOGRAPHY"
] | train | {"page":1,"clockwise_orientation":359.95,"width":1784,"height":2283,"unit":"pixel","lines":[{"boundi(...TRUNCATED) | {
"ucsf_document_id": "ffbg0227",
"ucsf_document_page_no": "3",
"doc_id": 7502,
"image": "ffbg0227_3.png"
} |
|
26,916 | What is the abbreviation of MILITARY PREVENTIVE MEDICINE? | [
"M. PREV. M.",
"M. Prev. M."
] | train | {"page":1,"clockwise_orientation":359.95,"width":1784,"height":2283,"unit":"pixel","lines":[{"boundi(...TRUNCATED) | {
"ucsf_document_id": "ffbg0227",
"ucsf_document_page_no": "3",
"doc_id": 7502,
"image": "ffbg0227_3.png"
} |
Dataset Card for DocVQA Dataset
Dataset Summary
DocVQA dataset is a document dataset introduced in Mathew et al. (2021) consisting of 50,000 questions defined on 12,000+ document images.
Please visit the challenge page (https://rrc.cvc.uab.es/?ch=17) and paper (https://arxiv.org/abs/2007.00398) for further information.
Usage
This dataset can be used with current releases of Hugging Face datasets
library.
Here is an example using a custom collator to bundle batches in a trainable way on the train
split
from datasets import load_dataset
docvqa_dataset = load_dataset("pixparse/docvqa-single-page-questions", split="train"
)
next(iter(dataset["train"])).keys()
>>> dict_keys(['image', 'question_id', 'question', 'answers', 'data_split', 'ocr_results', 'other_metadata'])
image
will be a byte string containing the image contents. answers
is a list of possible answers, aligned with the expected inputs to the ANLS metric.
Calling
from PIL import Image
from io import BytesIO
image = Image.open(BytesIO(docvqa_dataset["train"][0]["image"]['bytes']))
will yield the image
A document overlapping with tobacco on which questions are asked such as 'When is the contract effective date?' with the answer ['7 - 1 - 99']
The loader can then be iterated on normally and yields questions. Many questions rely on the same image, so there is some amount of data duplication.
For this sample 0, the question has just one possible answer, but in general answers
is a list of strings.
# int identifier of the question
print(dataset["train"][0]['question_id'])
>>> 9951
# actual question
print(dataset["train"][0]['question'])
>>>'When is the contract effective date?'
# one-element list of accepted/ground truth answers for this question
print(dataset["train"][0]['answers'])
>>> ['7 - 1 - 99']
ocr_results
contains OCR information about all files, which can be used for models that don't leverage only the image input.
Data Splits
Train
- 10194 images, 39463 questions and answers.
Validation
- 1286 images, 5349 questions and answers.
Test
- 1,287 images, 5,188 questions.
Additional Information
Dataset Curators
For original authors of the dataset, see citation below.
Hugging Face points of contact for this instance: Pablo Montalvo, Ross Wightman
Licensing Information
MIT
Citation Information
@InProceedings{docvqa_wacv,
author = {Mathew, Minesh and Karatzas, Dimosthenis and Jawahar, C.V.},
title = {DocVQA: A Dataset for VQA on Document Images},
booktitle = {WACV},
year = {2021},
pages = {2200-2209}
}
- Downloads last month
- 334