EFTA01451493.pdf

Form W-9 (Rev. 8-2013) Page 4 What Name and Number To Give the Requester Note. If no name is Circled when mere than One name is listed, the number will be considered to be that of the first name listed. For this type of account: Give name and SSN of: 1. Individual The individual Secure Your Tax Records from Identity Theft 2. Two or more individuals Ord The actual owner of the account or, Identity theft occurs when someone uses your personal information such as your account) if combined funds, the first name. social security number (SSN). or other identifying information. without your individual on the account permission, to commit fraud or other crimes. An identity thief may use your SSN to get a lob or may file a lax return using your SSN to receive a refund. 3. Custodian account of a minor The minor' (Uniform Gilt to Minors AC1) To reduce your risk: • Protect your SSN, 4. a. The usual revocable savings The grantor-trustee' trust (grantor is also trustee) • Ensure your employer is protecting your SSN, and b. Socalled trust account that is The actual owner' • Be careful when choosing a tax preparer. not a legal or vand trust under state law 11 your tax records are affected by identity theft and you receive a notice from the IRS. resPOnd right away to the name and phone number printed on the IRS 5. Sole proprietorship or disregarded The owner' notice or letter. entity owned by an individual If your tax records are not currently affected by identity theft but you think you 6. Grantor mist filing under Optional The grantor we at risk due to a lost or stolen purse or wallet, question. N ctivity Form 1099 Filing Method 1 (see or credit report, contact the IRS Identity Theft Hotline at submit Regulation section 1.671-411))(216109 Form 14039. For this type of account: Give name and EIN of: For more infomslion, see Publication 4535. Identity Thetl Prevention and Victim 7. Disregarded entity not owned by an The owner Assistance. individual Victims of identity theft who are experiencing economic harm or a system 8. A valid trust, estate, or pension trust Legal entity' problem. or are seeking help in resolving tax problems that have not been resolved The corporation through normal channels. may be eligible for Taxpayer Advocate Service (TAS) 9. Corporation or LLC electing n reach T toll-free case intake line at Corporate Statue on Form 8832 or Form 2553 r TPUTDD 10. Association, club, religious. The organization Protect yourself from suspicious emits or phishing schemes. Phishing is the charitable. educational, or other creation and use of email and webutes designed to mimic legitimate business tax-exempt organization entails and websites. The most common act is sending an email toe user falsely claiming to be an established legitimate enterprise in an attempt to scam the user II. Partnership or multi-member LLC The partnership into surrendering private information that will be used for identity theft. 12. A broker or registered nominee The broker or nominee The IRS does not initiate contacts vnth taxpayers via °mails. Also, the IRS does 13. Account with the Department of The public entity nOt request personal detailed information through emal or ask taxpayers for the Agriculture in the name of a pubic PIN numbers, passwords. or similar secret access information for their credit cam. entity (such as a state or local bank. or other financial accounts. govemrnent. school district, or If you rec ' email claiming to be from the IRS. forward this prison) that receives agricultural message to ou may also report misuse of the IRS name. logo. program payments to the Treasury Inspector General for Tax Administration at 14. Grantor tent Nine under the Form The trust ou can forward suspicious emals to the Federal Trade 1041 Filing Method or the Optional mission at: contact them at wwwitc.govhdthelt or 1-877- Form 1099 Fling Method 2 (see IDTHEFT (1 Regulation section 1.671-4(b)(2)(0039 Visit IRS.gov to learn more about identity theft and how to reduce your risk. Lai first and Circle the nestled lie pew whose number you format . a only one penal on a pint accamt hes an SSN. that person's minter must be I unshed. ' Cede the mites MOTO and rumen the mincesSSN. 'you must show your in:Pr:duel none and you may ate enter your tininess or •DBA' roma on the 'Summits narnedOiregatOOO entity norm in.. You may um *thee your SSW a EIN Of you Obit onel. but Me IRS encourages you to use your SSW. Let Pitt and circle the nen. or the trust. estate. or pension trust. rib not furnish the Tit! Of the personal representative or matte unbts the legal entity U.S is not designates in ow account tile.) Also see Specialrule: for pelnersMos on Pagel. 'Nate. Grantor alto mat monde a Form V/.9 to trustee of bust. Privacy Act Notice Section 6109 of the Internal Revenue Code reqtaxis you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you: mortgage interest you paid: the acquisition or abandonment of secured property: the cancellation of debt: or contnbutions you made to an IRA. Archer MS.A. or HSA. The person collecting this form uses the information on the form to file information returns with the IRS. reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, Rates, the District of Columbia. and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and cnminal laws, or to federal law enforcement and intelligence agencies to combat terronsm. You must provide your TIN whether or not you are required to file a tax return. Under section 3406. payers must generally withhold a percentage of taxable interest. dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0 108117 CONFIDENTIAL SDNY_GM_00254301 EFTA01451493