EFTA01581803.pdf

Form Oted. array 2005) W-9 Request for Taxpayer Give form to the requester. Do not Identification Number and Certification send to the IRS. osperwen or svineraw ken awe. seem Spates shorn on your moarne tax retunl See Specific InetnictIons on page 2. 7 — On Id ern( -T-12ust- 6,41/014,1 ir NJ c_ . et*, name. if dither eons above Print or type r-, Inclakluelf r —j Exempt from backup Check ardreprisa Nee Ll Sole paexistee Capceadon FirtnerStdp 0 Otter iv LI witindelne Address (nurrept. *554 end sat or oda no) aequeates name and eddies (optional) NMI t-- aineArit I SCa fe--• 4 3 ( PI OO Atli City. state. and IP code SC 17-loi-rte LtSv.E 4,01-0 7 — Lis emount numbe(.) nee potions, Part I Taxpayer Identification Number (TIN) • Enter your TIN In the appropriate box. The TIN provided must match the name given on Line 1 to avoid Secret seams), matter backup withholding. For Individuals this Is your social security number (SSN). However, for a resident I I + 1 + I I I alien. sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities. it is yew employer identification number (EIN). If you do not have a number. see How to get a 77W on page 3. or Note.If the account Is kt more than one name, see the chart on page 4 for gridetnes on whose number le to enter. Part II Certification Under penalties of perjury. I certify that 1. The number shown on thls form Is my correct taxpayer identification ntrnber (or I am waiting for a number to be issued to me). and 2. I am not subject to backup withholding because: (a) I an exempt from backup withholdings or (b) I have not been notified by the Internal Revenue Service ORS) that lam subject to backup withholding as a result of a faire to report all interest or dividends. Or (c) the IRS has notified ens that I am no longer subject to backup withholding. arid 3. I am a U.S. person (inducing a U.S. resident alien). Codification instructions. You must cross out item 2 above If you have been notified by the t you are currently subject to backup withholding because you have faded to report ell interest and cividends on your . For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or aba of secured lation of debt. contributions to an individual retirement arrangement ORA), and generally. payments rarest and d e not required to sign the Certilcetion, but you must provide your correct TW. $See the ri 4.) Sign I mason Here US. person le • Purpose of F A person who Is red to file an inform retum with the IRS. must obtain your correct taxpayer identification number • My estate (other than a foreign estate) or trust. See Regulations sections 301.7701.6(a) and 7(a) for additional (TIN) to report, for example, Income paid to you, real estate information. transactions, mortgage interest you paid, acquisition or Foreign person. If you are a foreign person, do not use abandonment of secured property, cancellation of debt. or Form W-9. Instead, use the appropriate Form W-8 (see contributions you made to an IRA. Publication 515, Withholding o' Tax on Nonresident Aliens U.S. person. Use Form W-9 only if you are a U.S. person and Foreign Entities). (including a resident alien), to provide your correct TIN to the Nonresident alien who becomes a resident alien. person requesting it (the requester) and, when applicable, to: Generally. only a nonresident alien individual may use the 1. Certify that the TIN you are giving Is correct (or you are terms of a tax treaty to reduce or eliminate U.S. tax on waiting for a number to be issued), °erten types of Income. However, most tax treaties contain a provision known as a "saving clause: Exceptions specified 2. Certify that you are not subject to backup withholding, in the saving clause may permit an exemption from tax to or continue for certain types of income even after the recipient 3. Claim exemption from backup withholding if you are a has otherwise become a U.S. resident alien for tax purposes. U.S. exempt payee. Note. If a requester gives you a form other than Fenn W-9 to If you we a U.S. resident alien who is retying on an request your nN, you must use the requester's form if it is exception contained in the saving clause of a tax treaty to substantially similar to this Form W-9. claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the For federal tax purposes you are considered a person if you following five items: are: 1. The treaty country. Generally, this must be the same • M incavidual who is a citizen or resident of the United treaty under which you claimed exemption from tax as a States. nonresident alien. • A partnership, corporation, company, or association 2. The treaty ankle addressing the income. created or organized in the United States or under the laws of the United States, or 3. The article number (or location) in the tax treaty that contains the saving clause and Its exceptions. Ca. No. 10231X Form W-9 (Rev. 1-2005) Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00061239 EFTA01581803