EFTA01298638.pdf

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Fain Request for Taxpayer Give Form to the
(Rev December 2011) Identification Number and Certification requester. Do not
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Part I Taxpayer Ithenbficatiott Number (TIN)
Enter your TIN in the appropriate boa The TIN provided most match the name given on the 'Name' line
to avoid backup withholding. For individuals. this is your social security number (SSN). However. for a
resident alien, sole proprietor. or disregarded salty, tee the Part I instruct:ins an page 3. For other
entities, it is your employer identification number (FIN). N you do not have a number. see How to gore
TIN on page 3.
Note. lI the account Is In more then one name. see the chart on page 4 for guidelines on whose Enthieyer klenaratten manlier
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number to enter.
IMUL Certification
Urder penalties of perjury. I certify that:
1. The number shown an this loan is my correct taxpayer identification number (orient waiting for a number to be issued to me), and
2. I am not subject to backup withholding because; (a) I am exempt from backup withhokling or (b) I have not been notified by the Internal Revenue
Service ORS) that I am subject to backup withholding re a result of a faiure to report a interest or dividends. or (c) the IRS has notified me that I ern
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. paean (defined below).
Ceortflestion instruceons. You must cross out Item 2 above if you have been notified by the IRS that you are currently eubamt to backup withholding
because you have failed to report all Wrest and dieidende on your tax Mum. For real estate frantaations. nein 2 does not apply. For mortgage
Interest paid. acqubilch or abandonmentotmoured property, cancegatkin .debt: Contributions to an indniclusl retirement anngarrient (IRA), and
generay. payments other than Interest end dkidends, you are not to sign the certification, but you must provide your coned TIN. See the
Insbuction a on page 4.
Sign Sienstre or
HOT* us. parson • Debt • 70 14/
General Instruthions Note. It a requester gnu you a loan other than Form W-9 to request
your TIN, you must use the requesters Icon k it is substantiay mnilr
Section references we to the Internal Rover \Cods to this Form W.9.
noted.
DefiNtion of a U.S. person For fedora two purposes, you are
Purpose of Form considered • U.S. person if you are
A person who is required to file an information Mum with the IRS nwst • An individual who is a U.S. citizen or U.S. resident Wien.
obtain your correct taxpayer identification number (TIM to report. for • A partnership. corporation. company, or association created or
marralo, inane paid to you. real estate Pernaction% mortgage interest organized in the United Slain or under the laws of the United Slates
you paid. &NS:Shinn or abandonment of secured rimer/, ceralloson • an estate (other than a Ionian estate), or
of debt a Contrthuticen you made to en IRA
• A domestic Not (as defined in Regulations section 301.7701.7).
Use Fans W-9 oaf), if yes area U.S. person (ooluding a resident
alien). to provide your sanest TN to the person fe200111019 It (the Genial Sea for partnerShiPs. Partnere/lips that conduct a bade or
requester) and, when applicable, to: business in the United States am generally required to pay a withholding
tax on any foreign partnere share of income born such business.
1. Certify that the TIN you we gtving is correct (or you we wang for a Further, in certain cases where a Form W-9 has not been received, a
number to be issued). partnership is required to presume that a partner is a foreign person.
2. Certify that you are not subject to backup withhold-g. or and pay the withholding tax. Therefore, if your. a U.S. Waco that is a
3. Claim exemption horn backup whhholderg if you we a U.S. exempt partner in a partnership conducting a trade or lousiness n the United
Payee a applicable. you am also certifying that as a U.S. person. your States. provide Form W-9 to the partnership to establish your U.S.
a/locale share of any partnemhip income from a U.S. trade or business status and avoid withhceding en your share of oartnenthip tea
is not subject to the withholding tax of foreign partners' share ol
effectively oonnected insane.
IN-9
001. NO. 10231X Form (Rev. 12-2011)
SDNY_GM_00063546
DENTIAL
CONFIDENTIAL - PURSUANT TO FED. CCIN Fe) 0B-SDNY-0026371
EFTA_00174054
EFTA01298638