EFTA01456620.pdf

Form W -9 (Rev. August 2013) Request for Taxpayer Give Form to the requester. Do not Deportment of the Treasury Identification Number and Certification send to the IRS. Internal Revenue Service Name (as shown o your ncome tax return) Mort, Inc Business nameideregarded entity name. it deferent from above Check appropriate box for federal tax classifcalkm: Exemptions (see instructions): ❑ IndwiduaUsole proprietor ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate Exempt payee code if any) ❑ Limited liability company. Enter the tax classification (C=C corporation. S=5 corporation. P•partnershp)S Exemption from FATCA reporting code (if any) ❑ Other (see instructions) ► Address (number, street, and apt. or suite no.) Requester name and address (optional) 6100 Red Hook Quarter, 83 City, state. and 2IP code St. Thomas, USVI 00802 List account numbei(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your [IN in the appropriate box. fhe 1lN provided must match the name given on the 'Name" line I Social security number to avoid backup withholding. For individuals, this is your social security number ISSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Not*. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer Identification number number to enter. Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding. or (b) I have not been notified by the 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 IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 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 generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Signature of Here U.S, person► Dave► General Instructions wkhhciding tax on foreign partners' share of elfectivety connected income, and 4. Certify that FATCA ceders) entered on this form fit any) ind cat ing that you are Section references are to the Internal Revenue Code urine otherwise noted. exempt from the FATCA reporting, is correct. Future developments. The IFS has created a page on IRS.gov for information Note. If you are a U.S. person and a requester gives you a form other than Form about Form W-9. at www.iragov/w9. Information about any future developments W-9 to request your TIN, you must use the requester's form if it is substantally affecting Form W-9 (such as legislation enacted alter we release it) vest be posted similar to this Form W-9. on that page. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. Purpose of Form person if you are: • An individual who is a U.S. citizen or U.S. resident alien, A person who a required to file an information return with the IRS must obtain your correct taxpayer identification number (MiN) to report. for example. income paid to • A partnership, corporation, company, or association created or organized in the you. payments made to you in settlement of payment card and third party network United States or under the laws of the United States transactions real estate transactions. mortgage interest you paid acquisition or • An estate (other than a foreign estate), or abandonment of secured property. cancellation of debt, or contributions 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 Oncludng a resident alien). to Special rules for partnerships. Partnerships that conduct a trade or business in provide your correct TIN to the person requesting it (the requester) and. when the Unted States are generally required to pay a withholding tax under section applicable. to: 1446 on any foreign partners' share of effectively connected taxable ncome from such business. Further, in certain cases where a Form W-9 has not been received, 1. Certify that the TIN you are giving is correct (or you are waiting for a number the rules under section 1446 require a partnership to presume that a partner is a to be issued). foreign person, and pay the section 1446 withholding tax. Therefore. if you are a 2. Certify that you are not subject to backup withholding. or U.S. person that is a partner in a partnership conducing a trade or business in the 3. Claim exemption from backup mimicking if you are a U.S. exempt payee. If United States. !sonde Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding as your share of partnership income. appkcable. you are also certifying that as a U.S. person. your allocable share of any partnership income from a U.S. trade or bus mess is not subject to the Cat. No. 10231X Form W-9 (Rev. 8-2013) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0115878 CONFIDENTIAL SONY GM_00282082 EFTA01456620