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📄 Extracted Text (965 words)
Give Fonn to the
Form W-9 Request for Taxpayer requester. Do not
(Rea Aug/402013)
Department er the Treaty
Identification Number and Certification mend to t heat
menial ROW.. Sot
Norm, (nohow. *1str boon Om i
ittr - e.c.:1‹, era.Ata.4
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nernederegerder) entity nere different i atom „
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toe fct Wend to. idencellom C "*-
Int::: propamor O cacerameon O a coverean O Partyntdp amnia'
8 er...jag o
arm pads rode al any)
ib
O undid waylay raimperry. see the tor deedFadon(Cd3 cceperedon, Sell ordeadcd. foreennWFWIRP
berneeket from FATCA torero
oxen son
f 0 Other pee lintmcicre)e
.........• .orl eon,. et auks no"
—
ROCIUWOril NM and Inman Covent)
Ultaccasteumbeitt) loptIone0 •
Taxpayer Identification Number (TIN)
the name given on the `Name line I 81:48I Lew", number
Enter our TIN In the aPorwmate box. The TIN movtdad mat match •
av d withhold ing. For inefividu els. this Is your social security number (SSN). However, for
to backup
Ord ellen, sole propriet or, or disregar ded entity, see the Nit I Inetruc0One on page 3. For other
mold
IS you do not have a runty, see Nov to got
entitles, It Is your employer Identification number (EIN).
TIN on pegs 3. Employer Wentlflonlan mores
the chart on page 4 for galdialnes on whCee
Nolo. If the account Is in mote than one name, see
nurrter to enter.
Certification
sas
Under pendia of perjury, I certify their be Issued to me), and
r Identification number gel an welting for a number to
1. The number town on lit form le my COMICI tscipaye
been notified by the Internal Revenue
I am exempt from backup withholding. or (b) I hen not
2. lam not subject to backup witNicidIng because: (a) of a Wore to report M Interest or &Mend s. or (o) the IRS has notilitol roe that I am
wilhhoking as a rewil
SeMce (IRS) that I am subject to backup
no longer subject to backup vrithholcang, and
below), and
3. I ern a U.S. citizen or other U.S. person (defined
oodepd entered on this Fenn gl any) Indicatin g Met I ern exempt from FATCA reporting Is oorrect.
4. The FATCA to backup withhdding
hem 2 above II you have been notified by the IRS that you at curnmey lubbct
Certilketton Instmodons. You mat cross out lax return. For fee) estate transact ions, Item 2 does not apply. For mortgage
s on your
because you have Idled to report IA interest and diddend ai retirement ammgement QM), end
property, canCaltatiOn of debt, contrlbutIons to an Incroidu
interest pad, soctulehien or abandonment of secured sign the certifica tion. but you must provide yow correct TIN. See the
and dMdand s, you use MA Mated to
generally, payments other then Interest
Instructions on wage 3.
Sign
Here
ga le" el
Us. pinealle li-2-7-1C
ad
on bream tad' alum eleffecters cowebed Wane,
General Instructions 4. Certify that FATC.Acoleid end& algid lam Ol awlbatty
the you are
at Wee rabid. exempt front the MICA repents is correct
Section reforolOW info the Irani Rinware Coda floe • Icon dner men Form
Finn dowlwrnontl. The IRS mat versed a paps en gm Miss
Mem for Iderneder, Nate you we Penal WU a requester gene you
ormicon spout dooluP writ• Wg to request ma TIt4.mi mug is the reouoste re tom nit wbotanttally
about Form W-9. at www.fra o.9.
efiectIng Fenn We Ouch on • fl ied ante we nhun p ene be meted sinner to me Fowl W-Ii.
d a U.B.
cm the Moe Oemiton Oen permit Frotederel ma purpose,. you ere omektere
pawn 1I you at
Purpose of Form • an MAWS who bel& cabal et a rears seen.
with the IRS cruet obtain your a ordeal ti the
A person "rho le rifled to No en Monte tan ream lor exert/pa frame pawl to A Wont, oorporation, company. or esesolallen ores&
cared depart ricers Ion Nell (UN)
to report
Deny
•
union Stem or under the dm or the United Betles.
d pawned cod end third network
you. payneetti made to you h son
k, St Wu 04. actatUaliOn • An dame (oder man a folio) 44101).
esnextons. reel emote trensectons. mortgage or contrbacns youmade 301.m .7),
WombOrtle d Wandpeavey, cancelletket of debt, • A domes UIW (as dad in Regulations seen
to meta. flpeolea net for partnerships. Partrersd pe that conduct • elide or teaks In
a melded Sent to the Untied Suttee me control? 'cooked to dry a Saddens malt warn
Use Form W4 only If you are a U.S. pawn (including We d taxableIncome from
provide your twat 19 to the 001101nmerwang a fenrerwaried eel, 1448 on any foreign partners' share of sllecmvuly convecteW4 hes not been recedeed,
IIPPfable. tOt. such bushed. Rorer. In <stele rases was a room le •
me dine for • number tlN ruem under section 1448 noire aptherafptoixewma tat a partnerSo •
1. Certify tat the TN you re ghttngieo:rnict (r you Therefore. d you
be Issued), lady pawl and pod the seabn 1418 vex/among um bustnees ki te
to U.B. person eat Is • partner h a pennomnip cond.:cling a trader U.B. etas
2.. Oen* tat mu ere not steed to becalm eleven.. or UMW Stye, proved Form W Er to the partnershp to tatebash ytha
hg a yOU nen wan* payee. If sod mid section 1440 relethoiding on your don or Pertnerehb
3. Chen wereporn front battiap anhokfT your allocable dare of
meekehle, you ere ado rarefying that me a US. person.
wri le
cartes,* Weed front • U.& trade or tusinese net SOW 10 the
Form W-9 (Rev. 8-2013)
Ca. No.10231%
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0050908
CONFIDENTIAL SDNY GM Orlinrin,
EFTA01361683
ℹ️ Document Details
SHA-256
05e86cd9bdde8385efe6451ebbb7aed3d452ee50c620e0c749f89c24b9f7064a
Bates Number
EFTA01361683
Dataset
DataSet-10
Type
document
Pages
1
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