NO_US_ACTIVITIES

<div class="tax-form-holder" data-form-type="NO_US_ACTIVITIES" style="display: none;"><div id="noUsActivitiesCertificate" class="no-us-activities-certificate tax-form"><div class="tax-header"><table class="tax-header"><tr><td class="tax-header-desc">Certification of No U.S. Activities</td></tr></table></div><div class="tax-section"><p class="tax-item">Please sign and testify to the following information. By clicking Submit you agree that:</p><div class="tax-item"><p>Publisher represents and warrants that it does not have any employees or equipment located in the United States ("U.S. Activities") that are involved in any way with the revenue that has been or will be earned by Publisher pursuant to the Google AdSense Online Program.  U.S. Activities include, but are not limited to, owning a web server or owning a hosting service in the U.S., or having employees in the U.S. who are involved in either:</p><ol class="ordered-list"><li> Setting up Publisher's web server, hosting service, or website </li><li> Developing content for Publisher's website </li><li> Marketing to create a user base for Publisher's site </li><li> Telephone support for Publisher's site </li><li> Buying products for Publisher's site </li><li> Maintaining Publisher's site </li></ol></div><div class="tax-item"><div class="billing-form-row"><div class="b3-tax-label"><p>Signature of Publisher or a duly authorized representative of Publisher:</p></div><input class="jfk-textinput input-field signature-input input-field"label="Signature"placeholder="Signature"type="text"><span class="input-error-field inline-error invalid-signature-error" style="display: none;">Please type your name in the signature box</span></div></div><div class="tax-item">(By typing your name in the box above, you are providing your signature to verify that the information is correct).</div><div class="tax-item"><div class="billing-form-row"><span class="billing-form-label"><span>Capacity in which acting:</span></span><input class="jfk-textinput input-field acting-capacity-input billing-form-field-disabled inline-input-field"label="Capacity"placeholder="Capacity"type="text"></div></div><div class="tax-item"><div id="submitInfoPanel"><p>The date and time of submission and your computer's IP address will be recorded when you click Submit</p><div role="button" class="goog-inline-block jfk-button jfk-button-action submit-button" tabindex="0">Submit</div><div role="button" class="goog-inline-block jfk-button jfk-button-standard cancel-button" tabindex="0">Cancel</div></div></div></div></div></div>