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EFTA01298643.pdf
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rt. *a Request for Taxpayer Give Form to the Identification Number and Certification niqUeSter. Do not (Rev Dans Ort Docarners el foe Trea i) su ry send to the IRS. hare Rennie Smite .2 egap noa noit"cIu"r tlsnI kaepS eeS Name OS storm on yes heal* MK 4 tftT 4 O MR/ //AV m '1067 1p 7 E .L-Acivr ttl* Ca- i Y.." r ...710 -3 PTO .i,7 Boras eiraefearegrecle0 elution If Otos non ee Owe apniceste box for Wesel la denigration 0 Indieclustraole pioneer 0 C Conacretion 0 S Capastion 0 Pernenhip jnervistetri 0 Exact payee D urea lobar company. Esau OS tat elassficson(C•C anoorsurn. SirS =Mendk n. P•Painriti. 0 Other ton istructiarei Maass flUtteenti ca6 °Si C , p i, , 2A c ii- fie Receaters name and eddies lostrenot i-A-- 4—* t Car. sae. lad It,oo oer. ,, Ci olzk 'e 001-1...-. List dead re/d eviating* iona Taxpayer Identification Num Enter your TN in the appropriate box. The TIN provided must match the name given on the 'Name' line I Sorrel erosity one' to avoid backup withholding. For individuals, this is your social security number (SSI0. However. Ice a resident alien, sole proprietor, or disregarded entity. see the Part I instructions on page 3. For 00101 oribties, it is your employer idemificatka number (EIN). N you do not have a number. see How to get TIN on page 3. rinser. ionstkation Note. If the account is in more than on name, see the chart on page 4 for guidOnn on whose numb.. --Mr? number to enter. 6 1114//1-- Part II Certification Undo, penalties of perjury. I certify that: 1. The number shown on this kern d my correct taxpayer idealisation number (or I am wailing for a number to be issued to me), and 2. I am not *tibial to backup wthholding because: (attain exempt from backup withholding, or (b) I haw not ban nolified by the Internal Revamp semee (IRS) that I am subject to backup withholding as a reouft of a taiure to meat all interest or dividends. or (c) the IRS has trained me that I ors no longer subject to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined below). Certification Instructions. You must crow out item 2 above if you have been notified by the IRS that you we currently subject to badwp withholding because you have failed to report all interest and dividends on your tax return. For real estate transaction, hem 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property. cancellation of debt, contributions to an individual retirement arrangement (IRA), and °merely, payments other than interest and dividends. you are oel required to skin the cedification, but you must provide your correct TN. See the insuvetions on page 4. Sign 003 Here USSin. pte"rson / Ogee General Instructions Note. If a requester gives you a form other than Form W-9 to request your TN. you must we the requester's form if it is substantially similar Section references are to the Internal Revenue Code unless otherwise noted. Definition of a U.S. person. For federal tax purposes, you we Purpose of Form considered a U.S. person if you we: A person who is required to fie an information natal with the IRS must • An individual who is a U.S. citizen or U.S. resident alien. obtain your correct taxpayer Identification number (TIN) lo report. for • A partnership. corporation, company, or association created or example, income paid to you, real eaten transactions. mortgage interest organtted in the United States or under the laws of Cu United States, you paid, acquisition or abandonment of secured property. cancellation • An estate (other than a foreign estate). or of debt a contnbvtions you made to an IRA • A domestic trust (as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S. person (including a resident alien). to provide your correct TIN to the person requesting it (rh e Special mks for partnerships. Partnerships that conouct a trade a requester) and. when applicable. to: business in the United States an generally required to pay a withholding tax on any foreign partners' share of Income from such business. 1. Certify that the TIN you we giving is correct (or you are waiting for a Further, in certain cases where a Form W-9 ha not been received, a number to be issued). partnership is required to presume that a partner is • foreign person. 2. Certify that you we not subject to backup vrithholding. or and pay the withholding tax. Therefore, If you are a U.S. person that is a 3. Claim exemption turn backup withholding if you are a U.S. exempt pawnor in a pactrerthip conducting e trade or business in the United payee. II applicable. you en also certifying that rd a V.S. person, yaw States. provide Form W-9 to the partnership to establish your U.S. ollocabfe share of any Parthership income from a U.S. trade or business status and avoid withholding on your share of partnership Moor. it not subject to the withholding tax on foreign partners' share of effectively connected income. Cat. No. 102.31% Fenn W-9 (Rev. 12.2011) SDNY_GM_00063551 DENTIAL CONFIDENTIAL - PURSUANT TO FED. CQINI Fe) DB-SDNY-0026376 EFTA_00174059 EFTA01298643