EFTA01368407.pdf

'''9 Give Form to the Fenn W Request for Taxpayer reqUeSter. Co not dkov. ocarfferene Identification Number and Certification send to the In. basenstest el the Owen. Numb R•70140Unita I Name pa shown on your Income tat ratan} Name :4 toque", on This wteo not DM, s Sy blank Southern Trust Company, Inc. • t ambima namerearegardee enbly news, a callevern eon above no ; Southern Financial, LLC 4 Exemptions kenos Keit Otto .li. 3 Check approortaie box tor federal lax ctreelecaban: OW airy ere of the tonotAng seven box= see ❑O C Censeration 0 S Corporation O Penner-hip O IneVestaro icniir n anttipaewlerta" ! O 534545U445:010 Minim or seslomenter U..0 ExerPOI payee ma (4 9'1 Foto the tea clastaketkm PAC caporation. SeS corporation. Paparewesh10) lo t S O Lanka %salarycompany. 7st* Now For a sontootcriba LLC that ts C..voientIce. do not creek tsc; chock tne futon/NOM box ln the aterarer°, am tax ounlecakon 0 the Ace member Cr ACY. bemPtic" keen FATCA159"5 code et err) Imam e sammemeeseeme nut, ,s z lie Dow pee -euuceo • RagvetYle mete and a cene (opiO1a E 5 P4554333 (4,34004. *OMl and at. otaes red t 6100 Red Hook Quarter, Et3 in e Cite. stilt anelte? COOS a St. Thomas, USVI 00802 7 Lot maount ntantspi here Matadi Pa -t c Taxpayer Identification Number (TIN) to twold Soda tufty numbs, Enter your TIN In the appropdate box. 11101114 provided must match the name given on Cr e 1 (SSN). However, tor e backup withholdIng. Foe Individuals. Una Is generally your social security number page 3. For other resident alien. sole piraerletor, or dtcreparded entity, too the Part I Inatructiora on see How CO gilt e snide,. It Is your employer Identikab011number (EIN). It you do not have a number. or TrN on page 3. rempieser ktentitiormon number the than on page 4 lot Note. If the account Ls In more man ono nano. see the Insuucttons for line I and guldens* on whose number to snot. • Certification Under homilies of perjury. leen& that for a number to be moved to mot and 1. The number shown on this form Is my correct taxpayer identiOCation number (or t am waiting withholding, cr. (D) I have riot been nothied by the Internal Romeo 2. lam not subfect to backup withhoierng because, (a) I an exempt from backup of a failure to /opal ell Interest or dividends. or (c) the IRS has noticed mo that I em Service MS) that I ern subject to backup withholokne as o result no longer suttee% to osekup wIthholenth and 3. I em a U.S. citizen or other U.S. person (defined Wont end MICA reporting le =Met. 4. The MICA code(a) entered on this tom el ant in:Scaling that I am exempt from You must cross out kern 2 above If you have been notified try the IRS that you ere currently subject to backup setribaldna Cardfleattlen Instructions. have failed to report all Interest end dkridends on your tax return. For real estate hansackona, Item 2 dorm not apply. For snongegs because you of debt, C.OntributiOn3 loan Moviduel retheMent arrangement (MK end interest pair'. acquisition or abanconmont of secured property. cenceaadon payments other than Interest and dividends, you me net required Wargo the cerliCositork but you muSt provide your corral TN. Seethe gencreity. instructions on pegs 3. Sign Hero SIgnefore el US. person with 1/410/ziO1* • Fenn l ow swims manatee Nees°. 1098M tovolennean Inane/ C0SVI General Instructions SteAM0 BadlOCI Wet OICIS 010 le the Mint Anus CCOO Unitise otherwise noted. • Form 1099.0 (cancesea oeto Future develOprnentt. htonneton abate develooments Intorno Form W.9 Dash • Form i099.A(okartslice 44 se t 34 waged PloPeral of teebtarlon enacted saw we release it) i as wwvottspovihe9 the roan W4 only a you =au& parson Criquans a hishinni Mat inevkielert earedTIM Purpose of Form If swot no4 'alum Ftem 19-9 to me tequaste(wk., • fig ea.; rnient be seopel An MK/up; Or way (Form W-9 I counIcr) ten Is /mtor! to Do an inforrnaition toNow seentiokane. See Marl heap tePriekrrd? on page 2. rttsn with MOMS Mal obtain your ca-rect to Pryor lomalicaten mote (134 Starke the lined-Oa bark Put ores, get ,' be your sods seamy number PSN),kihqual taxpayer ideninitatfon number pus aotptitm taxpayer teranieloellon number (Mint or emoseret 1. Certify Pm the UN you are Imam Is owed pr you ere *Ong kr a mother alesinceeon Mar bra (ON). to report on en Inkanadon rotten the amontt paid to to be Sued). you. or other amount model* an on atIcestakrt Man Examples of beOrMatIon 2 Certify that you are not Sulackel to brekuls withhokline, or Want ar..isdel. but Ore net limited to, the lams** 2. Ctirn exemption ham backup swthheldue aypu ere a U.S. ammo payee If • Form 1009.INI (intereet tented en peke sppecetle. you an extra Catayatty that meat porton your amble mare of • Form 1099-DIV (Sulseneb, ineludno those bum nods a award West any eortnennip 'room* Worn a U.S. vale a Ike nen le not ineViect te to • Fenn 1099411SC (webers types of income. prim nth. of ontea prOcooth) wanhoktirg ea at heal cannon' etatt of elfrethebt Conlotaled Doom rot 4. C,erOfy that MICA co64(s1 ereensa al Mb lam Of tow ) bdpnky vut you aro • rant, 1099-0 trio* or mutual fund sans Wasson ohs tramactiore by broken) °henna; awn the FATCA lerenine, scored See whet a MM.* npauti?on ono 21r kite: bkonerion. • Form ‘039.S ;proceeds born red estate woodland • Form t099-K One tent card arc third parry network kanracilens) Cat. No. 10231X Form W-9 flee 12201q CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0060136 CONFIDENTIAL SDNY GM_00206320 EFTA01368407