Exhibit U

2003

2828

O
VOID

CORRECTED
TRUSTEE'S or ISSUER'S name, street address, city, state, and ZIP code 1 IRA contributions (other OMB No. 1545-0747

than amounts in boxes
2-4 and 8-10)

IRA
$

Contribution
2 Rollover contributions

Information
1.40":
$

Form 5498
TRUSTEE'S or ISSUER'S Federal identification no. PARTICIPANT'S social security number 3 Roth IRA conversion amount 4 Recharacterized contributions

Copy A
$
$

For
PARTICIPANT'S name

5 Fair market value of account 6 Life insurance cost

Internal Revenue included in box 1

Service Center $

File with Form 1096.

For Privacy Act
Street address (including apt. no.)

7 IRA
SEP SIMPLE Roth IRA

and Paperwork
D

Reduction Act
City, state, and ZIP code

8 SEP contributions
9 SIMPLE contributions

Notice, see the

2003 General 1.40":

1.40":

Instructions for Account number (optional)

10 Roth IRA contributions

Forms 1099, 1098, $

5498, and W-2G.

$

$

Form 5498
TRUSTEE'S or ISSUER'S Federal identification no. PARTICIPANT'S social security number 3 Roth IRA conversion amount 4 Recharacterized contributions

Copy A
$
$

For
PARTICIPANT'S name

5 Fair market value of account 6 Life insurance cost

Internal Revenue included in box 1

Service Center $

$

File with Form 1096.

For Privacy Act Street address (including apt. no.)

7 IRA SEP SIMPLE Roth IRA

and Paperwork

Reduction Act
City, state, and ZIP code

8 SEP contributions
9 SIMPLE contributions

Notice, see the

2003 General
$
$

Instructions for
Account number (optional)

10 Roth IRA contributions

Forms 1099, 1098, $

5498, and W-2G.

A

Form 5498
TRUSTEE'S or ISSUER'S Federal identification no. PARTICIPANT'S social security number 3 Roth IRA conversion amount 4 Recharacterized contributions

Copy A
$
$

For
PARTICIPANT'S name

5 Fair market value of account 6 Life insurance cost

Internal Revenue included in box 1

Service Center $

File with Form 1096.

AN

Exhibit V

2727

VOID CORRECTED
TRUSTEE'S or ISSUER'S name, street address, city, state, and ZIP code 1 Coverdell ESA contributions OMB No. 1545-1815

Coverdell ESA
Contribution
Information

Copy A

For Internal Revenue

Service Center File with Form 1096.

For Privacy Act and Paperwork

Reduction Act Notice, see the

2003 General Instructions for Forms 1099, 1098, 5498, and W-2G.

City, state, and ZIP code

Account number (optional)

Form 5498-ESA

2727

O
VOID

O CORRECTED
TRUSTEE'S or ISSUER'S name, street address, city, state, and ZIP code 1 Coverdell ESA contributions OMB No. 1545-1815

Coverdell ESA
Contribution
Information

Copy A

For Internal Revenue

Service Center File with Form 1096.

For Privacy Act and Paperwork

Reduction Act Notice, see the

2003 General Instructions for Forms 1099, 1098,

5498, and W-2G.

City, state, and ZIP code

Account number (optional)

Form 5498-ESA

Do Not Cut or Separate Forms on This Page

2727

VOID

O CORRECTED
TRUSTEE'S or ISSUER'S name, street address, city, state, and ZIP code 1 Coverdell ESA contributions OMB No. 1545-1815

Exhibit X

2002

3232

O CORRECTED
PAYER'S name

1 Gross winnings
2 Federal income tax withheld

OMB No. 1545-0238 -1.45":

-1.45"= Street address

3 Type of wager

4 Date won 3.00"

Form W-2G
City, state, and ZIP code

5 Transaction
6 Race

Certain

Gambling Federal identification number Telephone number 7 Winnings from identical wagers 8 Cashier

Winnings

=1.40"=
WINNER'S name

2.85"
9 Winner's taxpayer identification no. 10 Window

For Privacy Act and
Paperwork Reduction Act

Notice, see the 2002
Street address (including apt. no.)

11 First I.D.
12 Second I.D.

General Instructions for
Forms 1099, 1098, 5498,

and W-2G.
City, state, and ZIP code
13 State/Payer's state identification no. 14 State income tax withheld

File with Form 1096. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I have furnished

Copy A correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.

For Internal Revenue Signature

Date

Service Center Form W-2G

Cat. No. 10138V

Department of the Treasury - Internal Revenue Service

3232

CORRECTED
PAYER'S name

1 Gross winnings
2 Federal income tax withheld

OMB No. 1545-0238

2002 Street address

3 Type of wager

4 Date won
: 1

Form W-2G
City, state, and ZIP code

5 Transaction
6 Race

Certain

Gambling Federal identification number Telephone number 7 Winnings from identical wagers 8 Cashier

Winnings WINNER'S name 9 Winner's taxpayer identification no. 10 Window

For Privacy Act and Paperwork Reduction Act

Notice, see the 2002
Street address (including apt. no.)

11 First I.D.
12 Second I.D.

General Instructions for
Forms 1099, 1098, 5498,

and W-2G.
City, state, and ZIP code
13 State/Payer's state identification no. 14 State income tax withheld

File with Form 1096. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I have furnished

Copy A correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.

For Internal Revenue Signature

Date

Service Center Form W-2G

Cat. No. 10138V

Department of the Treasury - Internal Revenue Service

3232

CORRECTED
PAYER'S name

1 Gross winnings
2 Federal income tax withheld

OMB No. 1545-0238

2002 Street address

3 Type of wager

4 Date won
1

Form W-2G
City, state, and ZIP code

5 Transaction
6 Race

Certain

Gambling
Federal identification number

Telephone number
7 Winnings from identical wagers 8 Cashier

Winnings
WINNER'S name
9 Winner's taxpayer identification no. 10 Window

For Privacy Act and Paperwork Reduction Act

Notice, see the 2002
Street address (including apt. no.)

11 First I.D.
12 Second I.D.

General Instructions for
Forms 1099, 1098, 5498,

and W-2G.
City, state, and ZIP code
13 State/Payer's state identification no. 14 State income tax withheld

File with Form 1096. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I have furnished correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.

Copy A

For Internal Revenue Signature

Date >

Service Center Form W-2G

Cat. No. 10138V

Department of the Treasury - Internal Revenue Service