EFTA01353259.pdf

ram W-9 Oleo December 2011) Request for Taxpayer Give Form to the requester. Do not Department of the Treasury Identification Number and Certification send to the IRS. Internal Revenue Sawa Nano (as strewn on your Morn tax n‘,urn. Southern Trus Company, Inc. si Seine's nanadisregarded entity name. if different from above N gSouthern Financial LLC r . appropriate box for Weisl tax classiticattors a Check 2 LJ IndindueVuole proprietor O C Corporation USCorpastion O Pa,tnership D Trust/estate 11 • D LImeco &ability comps the4u claudication (C=C CoPoradon, ErviS CaPotattcn. 53-ritornelli*) s' ___....—.. Emmet Payee .1 : ,.., cr. , Li Other 1St*, .nstructicas)1. E Address (number. street, and apt. er suite no) Resuratere nemeand Wars (span° il 6100 Red Hook Quarter 83 . Caty. state, and ZIP code 6 to St. Thomas, USVI 00602 list account numbed.) nere (optioned • art I Tax • ayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the -Name' line Social wow* number to avoid backup vnthtiolding. For individuals, this Is your social security number (SSN). However, tot a resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other entities, it is your employer identification number (EDO. If you do not have a number, see How to get a TIN on page 3. Note. II the account is in more than one name. see the chart on page 4 for guidelines on whose Eir•ployer kleallesellon number number to enter. 0 7 9 9 1 2 Part II Certification Under penalties of perjury. I certify that: ,. The number shown on this form is my correct taxpayer identification number (odarn waiting for a number to be issued to me), and 2. lam not subject to backup WahhOlefing because: (a) I ant exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) Malian) subject to backup withholding as a result of a failure to report all interest or dividends, a (c) the IRS has notified me that I am no longer subIect to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certification InstruCtiOnS. You must von out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment-St secured property. cancellation of debt. contrtutions to an individual retirement arrangement (IRA), and generally, payments other than interest andllvidcrnds, you are not rintired tosign the certification, but you must provide your correct TIN. See the instructions on page d. Sign s,9,„,tur. of Here us persons. t\ Data 3 General Instructions Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar Section references are to the Internal Revenue Cocteun ess o 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 0 you ye: A person who is required to file an information return with the IRS must • An individual who is a U.S. Citizen Cr U.S. resident alien. obtain your correct taxpayer identification number (TIM to report for • A partnership, corporation, company, or association created or exampie, 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 • An estate (other than a foreign estate), or of debt, a 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 (including a resident alien), to provide your correct TIN to the person requesting it (the Special rules for partnerships. Partnerships that conduct a trade or requester) and, when aPpliCable. to: business In the United States are generally required to pays withholding tax on any foreign partners' share of income from such business. 1. Certify that the TIN you are giving is correct (or you are waiting for a Further, In certain cases where a Form W-9 has not been received, a number to be issued). partnership Is required to presume that a partner is a foreign person, 2. Certify that you are not SUbiett to backup withholding. or and pay the withholding tax. Therefore, if you are a U.S. person that is a 3. Palm exemption from backup withholding If you we a U.S. exempt partner in a partnership conducting a trade or business In the United payee. If applicable, you are also certifying that as a U.S. person, your States, provide Form W-9 to the partnership to establish your U.S. allocable share of any partnership income from a U.S. trade or business status and avoid withholding on your share of partnership income. Is not subject to the withholding tax on foreign partners' share of effectively connected Income. Cat. No. 10231X Form W-9 (Rev. 12-2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0037565 CONFIDENTIAL SDNY GM_90183749 EFTA01353259