EFTA00169140.pdf

... W-9 (Res Deeenter 201i) Request for Taxpayer give ronn to the -equester. Do not Doennore el the Teen Identification Number and Certification ;and to rho IRS. Netelliewnia Salo None (as shown on yos incons to retun) Sultrily Trust an,... nenwieertgerded stynem II mien ban above Seo Specific Inspections on page 2. Chuck approcelete boo for federal ter classifirsoce. O tridivklutt/soes marina O C Corpora/on liSConyastion O Pained* 0 Tnadactato Print er tape 1 BoInnt Mit O tense liable/ oenilony.Eraw htax chNsticsvien (CCcaporetIon. 5=5 corporoknPeorternhop) . ..... ........ ... O Obit bee irstruetwei) a aulfess Weber, seem. end tots ce tote no.) Reanwees rem. Oddrierikrilk 6100 Red Hook Quarter, B3 tidy, Mac ri d ZIP code St. Thomas, U.S.V.I. 00602 Let sownnobs(*) here loPtanta Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name rine Social salty nurnb to avoid backup wahholding. For individuals, this is your social security number (SSN). However, to a resident *hen, sole proprietor, or disregarded entity, see the Part I instnichons on page 3. For other entities, it is your empkwee identifioation number (EIN). If you do not have a ns,mber, see How to pet a Tiei on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose I EMPIOSS idellbfiCatio n numbs number to enter. Part II Certification Under pens Ms of penury. I certify that: 1. The number shown on this form is my correct taxpayer identification number (orlon waiting for a number to be issued to nx v and 2. I ern not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by . he Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the RS h; c notWird me that I an no longer abject to backup withholdrva. and 3. I ant a U.S. Sayan or other U.S. person (defined below). Certification inathintions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject 1) backup Wrthholding because you hive faked to report an wittiest and dividend; on your tax return. For real estate transactions. item 2 does not appl For mortgage interest paid, acquisition or abandonment of secured poverty. cancellation of debt. auntributions to an individual retirement am Iceman (IRA). and generally, payments other than interest and dividends, you are not required to sign the certification, but you most provide your c :nal TIN. See the instructions on page 4. Sign Sienna* tjeN Here US. person to Deret R I -so I V. General Instructions Note. t a requester gives you other than on W-1 to request your TIN, you must use the requester's form it it substantia/iy rimibr Section references am to the Internal Revenue Code unlit= otherwise to this Form W-9. noted. Definition of a U.S. person. For federal tax pup; doss. you are Purpose of Form considered a U.S. person it you we: A person who is required to file on information return with the IRS must • An individual who is a U.S citizen or U.S. residi ot then, obtain your correct taxpayer identification number (TIN) to report, for • A partnership. corporation. company, or osa0Cli 'ion en steal or example. income paid to you, nod estate bane-lotions, mortgage interest organized in the Untied States or under the L7.15 r ' the United States, you pald, acquisition or abandonment of secured property. cancellation • An estate (other than a foreign emote), or of debt, or contributions you made to an IRA. • A domestic trust (as defined in Regulations sad on 301.7701.71. 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 (the Special rules for partnerships. Partnerships nut' .:onduct a trade or requester) and, when applicable, to business in the United Stake are generally raged.:I to pay a withholding tax on any foreign partners' share of income from Ouch business. 1. Certify that the TIN you are giving k correct (or you we waning for a Further, in certain cases where a Form W-9 has it :I beenuecewed, a number to be Issued). partnership is requi'ed to presume that a partneri r a forego person. 2. Certify that you are not subject to backup withholding, or and pay the vdthholchrog lax. Theater., I you are 5 U.S. p aeon that is a 3. Claim exemption from backup withholding if you are a U.S. exempt partner in a partnership conducting a trade or but inns in the United payee. It applicable, you are also certifying that as a U.S. Person, your States. provide Form W-9 to the partnership top :thlish your U.S. allocable share of any partnership income from a U.S. trade or business °talus and avoid withholding on your share of par unship income. is not subject to the withholding tax onloreign partners' share of effectively convected income. Cat No. 10231% f W-9 (Rev. 122011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) asm523 EFTA_00019393 EFTA00169140