EFTA01355811.pdf

Farm W-9 (Rew. Dann 2011) Request for Taxpayer Give Form to the reqUeSter. Do not Othasmnial the Teary Identification Number and Certification Sand to the IRS. mime Rear Swam *we us mown on yam num* rax sauna Southern Trust Company. Inc. fahlaflart9artlecl witty none. x oilmen born aeon ni awns Z .gk Southern Financial LLC c oweiraseroprieta ear ler felony to elessillogort a O troarktoWsolectoprielor O C Caporaeon CI 6 Careasterri O Pennerahle O TnnUestase ii n ...„ t WINO Hatay company Fluorinate. ctsurfewicrs (C.0 capeskin. S•8 comantat Pannerehleill Exempt eaves 1 O Othw two ristnycloriq• - I Mows inanter, stew, aid am. a sire no) Requests?. ows anti worms lows* 6100 Red Hoak Quarter B3 2 City. an. cod ZIP cede (75 St. Themes, USV1 00802 LW account nimerdej has (wim* Past I Taxpayer Identification Number (TIN) Enter your TIN.in the speroalate box. The TIN provided must match the name given on Me *Name" line Soda secerIty number foamed backup withholding. For individuals, this rs your war/ security number ISSN). However. for a resident alien, sole predator, or disregarded entity, sae the Part I nstructions on page 3. For other tattle, h Is your employer identification numbur (ElN) If you do not have a number, see How to get a 7W on page 3. Note. If the account is in more than one name. see the Chad on page 4 for guidelines on whose I Employer IMintlemeen nester number to enter. Part II Certification Under penalties at perjury, I candy that: 1. The number shown on this form is my correct taxpayer identification number (atom waiting fore number to be issued to me), and 2. I em not subject to backup withholding because: (attain exempt from backup withholding, or (b) I have not been Waded by the Internal Revenue Service gRS) that I ern subject to backup withholding as a result or a ?Whirs to report WO interest or dividendit, or (e)the IRS has notified me Malian no laird sublect to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined below). Certification Instructions. You must aces out item 2 above if you have been notified by the IRS that you are aunty stbjea to backup withholding beowse yde have failed Is report al Interest and divide*e on your tax return. For real estate transactions. item 2 does not apply. For mortgage Interred paid. acquisition or attandonment secured property. cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally. payments other then Interest and (vidands, you we not r luisact to Sign the eereSeeeen• but you must Provide your correct 11N. Seethe instructions on page 4. Sign teener/es Here us. penal ono. 1-a-13 General Inatzuctons Note. If a requester gives you a form Other than Form W-9 to request yew TIN, you must use the requester% kern If It is substandelly tanner Section references we to the Internet Revenue to this Form W4. noted. Definition of a US. person. For fedefli tax parpoSat you are Purpose of Form considered e U.S. person if you ere: A person who Is required to ac's wi information return with the IRS must • An individual who is • U.S. Oaten or U.S. resident then, obtain your correct taxpayer Identification number friN) to report, far • A partnership. corporation, company, or association created or example, income paid to you, real estate transactions, mortgage interest organized In the United States or under the laws of the United States. you paid. acquisition a abandonment of secured property. cancellation • An estate (other than a locate estate), or of debt. or contributions you made to an IRA. • A domestic trust (as cleaned in Regulations section 301.77nt Use Form W4 only if you are a U.S. person (Indming a resident alien). to provide your correct TIN to the person requesting It (the Special new for partnerships. Partnerships that conduct a nide or requester) and, when appacable. to: business In the United Sates are generally required to pay a wenhowng tax on any foreign partners' share of InoOme trait 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 W9 has not been received, a number to be Issued). partnership is required to presume that a per is a foreign person. 2. unify that you we not subject to backup withholding. or and pay d*withhokling tax. Therefore, If you area U.S. person that Is a partner in a partnereNp conducting a trade or business In the United 3. Claim exemption from backup withholding if you are a US. exempt payee. If applicable, you are also certifying that ass U.S. person. your •• Stales, provide Form W-9 to the partnership to estabish your U.S. allocable share of any partnership Income from a U.S. trade or business status and avoid withhOding on your store of partnership income. Is not satiect to the withholding tax on foreign partners' Share of effectively connested &ccOMO. Ca No. trillte Earn W-9 (Ref. 12.2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0041092 CONFIDENTIAL SDNY_GM_00187276 EFTA01355811