This exhibit displays the 2023 Form 1042-T with Transcription Lines. Transcribe all boxes of the form. The DLN is transcribed from the top, right-hand corner of the form. The tax period is transcribed from the pre-printed year on the form or the tax year edited to the left of the pre-printed year. Transcribe the name, address, and EIN of withholding agent from the entity section of the form. The Amended and Pro Rata coding is transcribed from the space below Line 1a, in the left margin of the form. The number of paper forms filed is transcribed from the dotted line to the right of Line 1b. Total Gross Income is transcribed on line 2. Total Tax withheld for Chapter 4 and Chapter 3 is transcribed from the dotted Lines 3a and b, respectively. The Received Date is transcribed from the space to the right of the word Instructions, in the middle of the form.