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Form W-9 Request for Taxpayer Give Form to the
requester. Do net
IFtev. Decerster 201e
Depannwe or the Truer!
identification Number and Certification send to the IRS.
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tame iss shoe, en your Income tax tarn)
oarewasnigarded tray name, I T een Iran /MOW
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Check epoteenne box for retest
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0 weelouatisoie °Medea Id C Corporation 0 5 Corperedon 0 Partners,* 0 Trust/estate
0 Exempt payee
' 0 LOWSliebety company. Enter the tax ciasseication (C-C art:aeon S4 corocrsticn. naPumorshin) 8
b
I 0 Other (see instructions),
Repave,WS name ancl acidess (Capnall
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Cal. ST littiMAS u5vi o%oa
tel eccomI earnests) here loptlocute
la taxpayer Identification Number (TIN) •
Social security number
Enter your TIN in the appropriate box. The TIN prodded root match the name given en the 'Name kne
to avoid be:kuP Withhehing. For Individuals, this le your social security number (SSN) However. feta "'—
- -
resident seen. sole proprielct. Or disregarded entity. see the Part I instructions on page 3 For other
entities, It is your emPlOyer identification number OW If you do not have a number. see Now ro der a
TIN on page 3.
I Envoys, ittentleartion number
Note. If the account b in more than one name, see the chart on page 4 for gurderines on whose
number to enter.
719 8 6
Lelilll Certification
Under penalties of perjury. I certify that:
issued to me). and
I. The number shown on tNt form is my correct taxpayer identification number (Or I am walling forfora numbs to be
not been notified by the internal Revenue
2. I am not subject to backup withholding because: (a) I am exempt from backup vnthholding. Or 0)1have
ORS) that I ant subject to backup withhOlding as a result of a failure to report as Interest or ("Trident's. or (c) the IRS has nailed me that tam
Service
no longer subject to backup withholding. and
3. I am a U.S. citizen or Other U.S. person (defined below).
Certification Instructions. You must I item 2 above if you have been notified that you are currently subject to backup velbflaklina
because you have fated to report dividends on your taA estate transactions. item 2 does not apply. For mortgage
interest paid. acquisition or aba lid pr debt. contributions to an Individual retirement arrangement (IRA), and
generally. payments other era certification, but you must provide your correct TIN. See the
instructions on page a.
Sign Signature of
Here U.S. persona
Note. If a requester gives you a term other than Form W-9 to request
General Instructions your TIN, you must use the requester's lam if it is substantially similar
Section references are to the Internal Revenue Code fl oss Othenvlse to flit Form W-9.
noted. Definition of e U.S. person. For federal tax purposes. you are
considered a U.S. person If you we:
Purpose of Form
• An individual who is a U.S. citizen or V.S. resident alien,
A posy. who Is required to fin an information return with the IRS must
obtain your correct taxpayer Identification number (TIN) to report. lor • A partnership. corporation. company, or association crested or
example, Income paid to you, real estate transactions, mortgage Interest organized in the United Stales 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 or contributons you made to an IRA • A domestic trust (as defined In Reputations section 301.7701.7).
Use Form W-9 only a you We 8 U.S. person (Including 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 n the United States are perversity required to pay a withholding
requester) and, when applitable. to: lax on any foreign partners' share of income from such business.
1. Certify that the 11N you are giving Is coned (or you are waiting for a Further. In certain cases wham a Form W-9 has nd been received. a
number to bo issued). partnership * required to presume that a partner is a foreign person,
2. Certify that you are not subject to backup withholding or end pay the withholding tax. Therefore, if you ere a U.S. person that is a
partner in a partnership conducting a trade or business In the United
3. palm exemption from backup withhOlding If you are a U.S. exempt States, provide Form W-9 to the partnership to establish your U.S.
payee. II applicable, you are also certifying that as a U.S. person. your status and odd wifhtfoloIng on your shwa of partnership Income.
allocable share d any Partnersh0 Won.* from a U.S. trade or btninesS
is not subject to the withholding ax on foreign pinnate' share of
effecthey connected Income.
Cat. No. 10231% Form W-9 (Rai. t2.2011)
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062923
EFTA01583282
ℹ️ Document Details
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63fd3c9bce39037f5e6a576ac9c4ed0a727e15dc36be36f760867ef20ca8611a
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EFTA01583282
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