EFTA00168740.pdf

F..., W-9 (Rev. December 20111 Request for Taxpayer Give Form to the requester. Do not Depertnere dee Tniessy Identification Number and Certification sand to the IRS. Sorrel Revenue Sava Name Ws Was return) bet tieYllae Me My , a Waren from above c: ye." l.._ box for federal tax deleficarion 0 Irdivkkalneole proprietor O C Cap:ration O 8 G_ ..&.. O Petnorship O Tnatmatata O Earn payee • United eabity company. Enter Ow tax deeelfizetka (CC caparetkin, 84 capes." Isapennerhip) • t f Su O Other (see IntructiOnelle 6 / #47; exeilbekr 7 end Sr.. a 40 airy, rg sate and ZIP oods 4 • ItO 3 Moquettes mine end edctera (COWS) ST 7 .. „< Os GI . /ti Us meant rinse-le)hem lemma voio-1.- Post I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name' ins Social washy nwnber to avoid backup withholding. For Individuate, this Is your social security number (SSN). However, for a resident ellen, sole proprietor, or disregarded entity. en 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. Employer Identfimeldon number Note. If the account Is in more than one name, see the chart on page 4 for guidefines on whose j number to enter. Part II Codification T1- Under penalties of perjury. I certify that 1. The number shown on this form Is my correct taxpayer Identification number (orlon, wading for a wags to be Issued to me), and 2. lam not subject to backup withholding because: (idiom exempt frorn backup withholding, or (b) I have not been nodded by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of • failure to report WI 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). Certification instructions. You out Item 2 above a you have been nobrod by the IRS that you are currently subject to backup withholding because you have failed to re all nt and dividends on your tax ce real estate transactions, item 2 does not apply. For mortgage 'Merest paid, acquisition or andonment secured property lion of debt, contributions to an kdieidual retirement arrangement (IRA), and generally. payments other interest and ividends. not required to sign the certification, but you must provide your coned TIN. See the Instructions on page 4. Sign Sigmelise of Doe► /0/243 Mere U.S. person General Instructions Note. If a requester gives you other than Form W-9 to request Ycur TIN, you must use the requester's tomII It Is substentlidly *Mier Section referenoes are to the Interna• l Revenue Code - nubs to this Form W-9. noted. Definition of a U.S. person. For federal tax purposes, you are Purpose of Form considered a U.S. person a you art • An individual who le a U.S. citizen or U.S. resident then, A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for • A partnership, corporation. company, r 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 or abandonment of secured property, cancellation • M haste (other than a foreign estate), or 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 (noludng a resident Special rules for partnerships. Partnerships that conduct a trade or alien), to provide your correct TIN to the person requesting it (the business in the United States we generally required to pay a withholding requester) and, when applicable, to: tax on any foreign partners' share of income 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 IN-9 has not been received, a number to be Issue* partnership kr required to presume that a partner le • foreign person, 2. Certify that you are not subject to backup withholding, or and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business In the United 3. Claim exemption from backup withholding if you we a U.S. exempt States, provide Form W-9 to the partnership to establish your U.S. payee. If applicable, you an also certifying that as a U.S. person, your status and avoid withholding on your sham of partnership Income. Mixable share of any partnership income from a U.S. trade or business Is not subject to the withholding tax on foreign partmes' share of effectively connected Inborn. bet No. 10231% Form W-9 (Rev. 12.2011) CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e). DB-SONY-0000119 USAO_001083 EFTA_00018993 EFTA00168740