EFTA01255060.pdf

Form W..9 Res Droner 2011/ Request for Taxpayer Give Form to the requester. Do not Depathers dile away Identification Number and Certification send to the IRS. Interred RevenuethWice Nemeth' tax Man) I II- el naridiftwers from abode I AJ 5 (ti k sppoprine box for Windt= clessilkation: g al naviduarsosproprietor 0 CCorporation 0 S Corporation II PritrenNp III Inattestrus ili 0 threw Natty 15 company. Enter re tax danklartion (GC corporetion. ss ccimonekn. Pasertnennth s 0Ennwt P•ets ISIo Ackeen 0 Cow ewe kienctioneS sernbe, ram. a Itequever's nen. encl balms SorelanIS it.. suitenee • 6/ 00 —.Pin No* arttikr / 8? 5reir cub at% sale in L$vl OS — the sward herelopikinell P irt I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box The TIN provided must match the name given on the 'Name Sine I tiodei meter to avod backup withholding. For individuate this Is your social security number (SSN). However, for • resident Wien, sob proprietor, or disregarded entity, wee the Pat Instructions I on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get • TIN on page 3. 1/Y Note. M the account Is in more than one name, see the chart on page 4 for ging:fame on whom* Employ« iderieficalten resew 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 (orient waiting for a number to be Issued to me), and 2. lam 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 (RS) that I wn subject to backup withholding se a result of • Mune to report WI Interest or dividends. or (o) the RS has notified me that Ian no longer subject to backup withholding, and 3. I ern • U.S. citizen or other U.S. person (defined below). Certification instructions. You must cross out hem 2 above t you have been notified by the IRS that you we currently subject to bedew withholding because you have failed to report WI Interest endollvidends on your tax Mum. For real estate tramadlons, item 2 does not apply. For mortgage Interest paid, acquisition or abandatrilent of sawed property. cancrilation of debt, contributions to an Individual retirerreel anancement (RA), and generally, paymente other than/ Inferest and dMdende, you are not r u air the e:edification but you must provide your comet TIN. See the instruction on page 4. / Sign flumstur• Hire ca.paten Setae (04.7 / General Instructions Note. If • requester gives you a form than orm W-9 to request your TIN, you must use the nequestior's form lilt is eubstantiatiy similar Section references are to the Internal Revenue Cade unless otherwise to this Form W.9. noted. Definition of • U.S. person. For federal tax purposes, you ere Purpose of Form conedered • U.S. person If you etc A person who is required to Fite an information return with the IRS must • An individual who is • U.S. citizen or U.S. resident then, obtain your correct taxpayer identification number (TIN) to report, for • A partnership, corporation, company, or association created or example, Income paid to you, reel estate transactions. mortgage :stereot organized in the United States or under the laws of the United States. you paid, acquisition or abandonment of secured property, cancellation • An estate (other than • foreign estate), or of debt, or cOntributions you made to an IRA • A domestic trust (ee defined in Regulations section 301.7701.7). Use Form W-9 only if you are a U.S. Ninon (including a resident ellen). to promos your coned TIN to the person requesting it (the Special flies for perthereNps. Partnerships thst conduct • trade or requested and, when applicable, to business WI the United States are generally required to pay • vellhholdlng tax on any foreign partners' share of Income from such butinese. 1. Certify that the TIN you are caving is correct (or you are waiting for a Further, In certain cases where a Form W-9 the not been received, a number to be Issued), partnership is required to presume that a partner Is • 1oreign person, 2. Certify that you are not subject to backup withholding. or and pay the withholding W. Therefore, If you are a U.S. person that Is • 3. Claim exemption from backup withholding t you we • U.S. exempt psdner in • partnership conducting a (rode or business h the United Suites, provide Form W-9 to the partnership to establish your U.S. payee ff applcable, you are also certifying that as • U.S. person, your allocable share of any partnership Income from a U.S. trade or business status and avoid wahhoiding on your share of partnership income. is not subject to the withholding tax on foreign partners' shire of effectively connected hon. Cet No. 10231X Fern W-9 (Rev. 12-2011) SDNY_GM_00053762 CONFIDENTIAL — PURSUANT TO FED R.QP.NEIDENTIAL DB-SDNY-0016586 EFTA_00164334 EFTA01255060