EFTA01298083.pdf

W-9
Fenn Request for Taxpayer Gin Porn tott«
(Rev. ~2013) Identification Number and Certification naga nte. Do not
Depennwit d tee Tree«, und to th• IRS.
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Taxpayer tcluntlfication Number (i1N)
Enter your TIN In the «prop:ate box. TS, TIN provided mud match the rearm given on the •Name' line Solel «aunty neite
to avoid backup withholding. For Individuals, titler is your «del security number ($52). However, for •
reeldeM alien, sole proprietor, or diaregarded onlity. me the Pat I Instruction. on page 3. For other
omtina it lc your employer kientMcatbn number (Elk4 M you do not have a number, tee How to get •
M on page 3.
Notre. If the account le in me« than one name, en the chart on peg* 4 for guldeMnres on whose Ens keys Iddinalketkri numb
number to enter.
tat Centlfization
Under penal«« of perjury, I certify that
1. TM number shown on this font, Is my correct taxpayer Identification number (or I am waiting for a number to be Issued lo ins), and
2. I an not subject to beckup withholding bean: (Siam exempt from backup withholding, a (b) I have not been notified by the Internal Revenue
&ask* (IRS) that ern subject to backup wlthhoiding as a reouh of • failure to report ail Intr.« or dal:kind& or (c) the URSA,* notified me that I an
no longer *object to backup wIthholoing, and
& I am • U.S. oØ or othe U.S. person (ddlned below), and
4. The FATCA *Ode(*) entered on this form (M any) Indicating that I an exempt kern FATCA reporting is comer.
Cettlfkation katuellons. You must Grose out 2 above if you have boy% «WOW by the IRS that you are currently subject to backup MINIM:N V
bemuse you have fined to repot WI Infonaut end Wends on yourjax.r eturn. For real estate tramuctIons. hem 2 does not apply. For mortgage
Intend Paid,« par.« or 6nm ent of secur property ,colloolistIon of debt orthibuttons to an Individual retirement turengentent (IRA). and
generally. payment* other ten« and you me not required tosIgn the certification, but you mast provide your correct TIN. See the
instructions on page 3.
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General Instructions -- trtheking than berg. pertmes' ton <I~ comb, combated indony and
tietekn refennom re to te tam] Revere Code mine ahem« noted. st 4 e . C m a fr t o t m y . th « e F F A A T T C C A A « re d n e at « In e g a , recda roend«. , farerap seie le.oettio «et Wu as
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Shaba Fam (Ouch es aeration emoted ata rearm Neill be posted era« to thia roan W4.
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Defrilion stalk& Issess. Fa Went ter pupae, you on~ fled • U.&
Purpose of Font pre« a you WE
A person who le rested to lee at bearnatbn man wi«« ale neat «tab wa • An Ørar le • U.& Olken or U.S. ~am an
correct noon, idrecrial ono MN to Mood, fa eons« hØ pdd to • A perffina. ~conk" compa-y. a ~wan mad a wind h IPA
Ku. ~metemodeto you In ealonent of pawners or end JAW party network United Stet« a under the laws of tie Unit« Stet«,
e t d o l a e e n n n d e M o e r A r li a t . i n o t n , t r e d d w S o e w te ed e p e r n o e p e e r rt f y o . n ~ s S ~A on go * o in f d tr e e b d t, y or o c u so n n g trb e ul n kn d e e yo r u « n a e eds • • A A n d « og w m e at ( a a m ta a r t M O e se r r d a a l o b r a ~ l h g Re a g g ule . t a k ra actin $31.2701-1).
Use Fars W-9 any/ Øre • U.& person (naming •reilder4 Monk to tosokel See lot peirtnerelipe.11ertnenkie «et omduct a tale «buns, h
prose yea coma TIN to the «neon requsetina tre rare« end. when the Ur« Sores en generetiy raga« to pay aWBistag lax order «aka
eppikatile to 1446 al any foreign pubes' dam of dfactirely ortneded bribes nor« tarn
rah burrs. Fortes, hoorah armtante a Form W4 has not been reared.
1. Genie/ tat the 119: wore 0410 M cared Yre YOU we eating kr • arbor the rules miler earl« 1446 rota« a pertnereNg to ran« gig esker le •
tot»« mg, foreignper" end pay the section 1446 wit/holdno tex. messes, If you we •
2. Cory Val you ere not «elect to teas. wiltokeng.« U& person Ow Is • partner el • penmet« conducting • «de a huge« has
er 3 a . c C e le b m « ~ yo f u r r o e m Le o ~W ~ i S n u o p th « a N t s a e k • a U n . o S. I p e yo rs u o r n a . y o a u u r . « S o . ~ a p t% i e/ p u a s y e ° , a U an d n a i v t o e id d d ~ oe a ik r i c l a 14 d 4 e 6 F w o i n th n h W ol - d 9 in t g o a tie l y ~ ou e r s re hi * n of t p o« e S t a ~ b i i l « y Ø ore . U .& area
pertnen4 inane from • U.S. side or biehoes Is not abject tots
Oa N. 10231X Fant W-9 err. S-2013)
SCINT_Ghl_00062037
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I D ENTIAL
CONFIDENTIAL - PURSUANT TO FED. R.QP DB-SDNY-0024862
EFTA 00172547
EFTA01298083