EFTA01392984.pdf

Corn W-9 (Rew. Dann 2011) Request for Taxpayer Give Form to the reclUeSter. Do not Othassental tee hewn Identification Number and Certification sand to the IRS. mime Rear Seem *we us mown on yew num* Ia* sauna Southern Trust Company. Inc. faeletart9iRled ratty an x dikeent born aeon ni awns • Southern Financial LLC c a oweiraseroprieta ear ler felony to elleallkeeas 0 trielvkfueesalectoprielior 0 C Corporation CI 6 Careoreat 0 Pannerahlp 0 Tnietheitate ii n ...„ tread Hatay company Enterer*. ciessifatiat (C.0 caporeflon.S•8 eavaretket Peeetherekleill - 0 Exempt eaves 1 0 Othir two ristnycloris)• I Mows Krebs% stem and apt a ails no.) Requests?. name anit worms lomat* 6100 Red Hoak Quarter B3 2 City. stet aid ZIP ewe (75 St. Themes, USV1 00802 tat account ntenbenq has emtionali Pawl I Taxpayer Identification Number (TIN) Enter your TINin the speroatate box. The TIN provided must match the name given on Me *Name" line Sods seoarity nun*. foamed backup withholding. For individuals, this rs your wide security number (SW). However. for a resident alien, sole proprietor, or disregarded entity, sae the Part I nstructions on page 3. For other entitles, h Is your employer identification (lumbar (ElN) If you do rot have a number, see How to get a 7W on page 3. Note. If the account is in more than one name. see the child on page 4 for guidelines on whose Employer Moneareeen mate number to enter. Part Certification Under penalties at perjury, I caddy 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 withhclang 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 failure to report WO intreeSt or dividends, or (e)the IRS Pas notified me Malian no laver sublect to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined below). Certification Insboctions. You must aces out item 2 above if you have been notified by the IRS that you are Currenty stbjea to backup withholding because you have failed Is report al Interest and divide*. on your tax return. For real estate transactions. item 2 does not apply. For mortgage Merest paid. acquisition or attandonment secured property. cancellation of debt, contributions to an individeal retirement arrangement gRA), and generally. payments other then Interest and (vidands, you we not t.Nuisscl to Elio the eereSeeeen• but you must Provide your correct 11N. Seethe instructions on page 4. Sign teener/es Here us. penal te ono. 1-a-13 General Instructions Not. If a requester gives you a form Other than Form W-9 to request yew TIN, you must use the requester's kern If It is substandelly slinSer Section references we to the Internet Revenue to this Form W4. noted. Definition of a US. parson. For fader* tax parpoSat you are Purpose of Form Considered e U.S. person if you we: A person who Is requIred to Me w information return with the IRS must • An individual who is • U.S. eitten or U.S. resident teen, obtain your correct lax payer Identification number fr1/4) to report, 'er • 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 then a Imago aerate), or debt. or contributions you made to an IRA. • A domestic trust (as defined in Regulations section 301.77(H-7). Use Form W4 only if yoo are a U.S. person (Ini:axing a resident alien). to prodde your correct TIN to the person requesting It (the Special rules for partnerships. Partnerships that conduct a tied* or requester) and, when applicable. to: business In the United States Ste generally required to pay a we nhowng tax on any foreign partners' share of InoOme from 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 partner is a foreign person. 2. unify that you we not subject to backup withholding. or and pay d*withhokling tax. Therefore)" 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 ere a US. exempt payee. If applicable, you are also certifying thet ass U.S. person. your •• Stales, provide Form W-9 to the partnership to estabish your U.S. allocable share of any partnership Income Iron, a U.S. trade or business status and avoid withhotding on your amain of partnership Income. Is not sablect to the withholding tax on foreign partners' Share of effectively coonested fccOMO. Can so. tellie Fenn W-9 (Rey. 12.2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0098324 CONFIDENTIAL SDNY_GM_00244508 EFTA01392984