EFTA01357148.pdf

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Give Form to the Form We Request for Taxpayer requester. Oa not iftev, Drcarear 2914 Otertrent of e atum Identification Number and Certification send to the IRS. twins Arierms 3anDks 7 Nemo fee Shown on yore income lex retard. Herne a roquitodan nee its: do not beve Me bank Southern Trust Company, Inc. . 2 Ewan narnakflemeardod emery nein, a deemed from above cv 2, Southern Financial, LLC 0 a a Chick appromrtale bat for federal is classilkatbn: died, on' one ol ihe folicelefo saw bores 4 Exemptions (cocias so* ray 40 Certain onliiios. not Inedetais sea orpovemo O ge e:wa n O pancnthip ❑ n i. ° O IdnivSlualleCa0 prOpreifee ot O C S L_i flank" bibiNCUOMS on Pzte 4 0 aC Exempt pare comae Of mid g O unwed Z' 'Nycarnpatry. Enter the fee OsseffinetUel f:.° et.fiefallon. 5.8 deracea5da- P•Pawfwm/VPI o' ab bampeon kern FATCArmeetb; 6 Mow Fora snot's-int-meet LLC that h c-srogartke, do not cheek MC; check me appropriale box Ls Um I ovef ex In clerodmotion of me shoe worts cmnw. Cade (4 Cod .a. w Valdes susearavindase tali :c E m in dmor boa Irotructkonst• • Recentera twee arid eddies fopfcete) E 5 Addram (sneer. Meet. WM apt erste' Ms) i 6100 Red Hook Quarter, B3 ro I City. sole, arc) ZIP coos t ' St. Thomas, USVI 00802 7 Ust account manta(*)here Open° raffn Taxpayer Identification Number(TIN) I node 'fly number Enter your na In the appropriate box. The 11N provided must match the name given on Emilio avoid rem a backup withhotrAng. For Individuals. this Is generally your social security number (3SN). However, resident alien. sole proprietor, or dipiegardsd ondly, See the Part I Instructions on page 3. For other -1 entities, It Is your employs.' Ideintlficatron number (EIN). If you do riot have e number, see Now fo gate TIN on paged. Or rEmPloyor Identification number Nolo. IF the account Is In more than one nano. ma the InsUUCSOn5 fa!In0 I end the chart on gaga 4 tor guidelines on whose number to enter. Certification Undor penalties of perjury. I certify that to to met and 1. The number shown on this form is my correct taxpayer identilitatIon number (detain walling for a number be (Med withholding, cr (b) I have not been notified by the Internal Revenue 2. I om not suoieci to backup withhokierig because: (a) I om exempt from backup or the IRS has notified me that I am Service (IRS) that I ern subject to backup vA1hh0Iding as a mutt of o Neve to repent all interest or dividends, (C) no longer subject to backup withholding and 3. I am a U.S. citizen or other U.S. person (defined ?Mont and 4, The FATCA code(s) enlisted on this form El any) indicating that I DM exempt from FATCA reporting is correct. to backup %engaging CarlffIcadon Instructions. You mug cross out Item 2 above If you have been notified by the IRS that you No tyranny subject have failed to amen all Interest and dividends on your tax trdUm. For real estate hancaolior.s, Item 2 does no/ apply. For rriOn9a3* beams* you to en frwevkloal talk ernont arrangement gimt end Interact paid, acquisition Or abanoonmont of secured progeny. cancelePon of debt, contributions payments other than Warm and dividends, you are not requirea to sign the certifca0on, but you must provide your coned TIN. See the genaratki. instructions On page 3. Sign Hero Sterarbare u.s. orMT pormont one P /f/j(VlzalliT • haert 1008 (Mete mortgage Unrest). 1090A tawaSent loan Wapiti. t091-T General Instructions Mien) Section r ice em to the Mwnal Revenue Cade u,l Othenvea MOO • Fors 1099-C Monceba elaq Future devoloprminta. Intern-wain about dewlap-nem Sleeting Form W-9 (math • Form 109114 ("twinge/I er Sennckeveent of ceased property) as kobteden enacted as we release 't)bia www.fraltoWNS- Use roan W•9 ONE if you am a U.S. POMO(' cOttUtthel a Miklant faot Purpose of Fonn fortroldeyotv eommt N. dnudo nor rarum roan W-9 to Om rcqueste wan a TIN. Ate mp14 / no &bloc; Ni mdividual Cr on* (Poem W-9 sootientr) an ft rectiMed lo No an Intennetica rebores nithrooldind. Ewe 'MWis tur.kup .tithoWtg? on pine 2. Maim eth the IRS mat obtern yea correct to loentinattien mambos (n9) with may to your =Le SeOity Inchtduid teems kTenlWat.aeon By spring as limet-aut lean. vas: ternbor OTh1, adoption lama kienalloaten amber fAllte or employer 1. Gee* Owl theNi you am OMNI Is cowed for you era *Mkt, kr a na-ntsw can,lcadon masts( EIS to report M en Intetwirlon reams theamount paid to to be Sued), You. or other amount roportabe on Si kaormatWn Man Examples of trionnatkn 2. Cen)ty that you ere not outdoes to beam winveuire, ratans ineLda, but ore not Ignited to the follow* 3. Maim escmption from bat wehholdlea ky0a we a US. tempt payee. If • Form 1029-Itir Omens^ era; or paid) tippiteette. you too corarhis awl as a U.S. 'furze year Stable ewe of • Fenn 1099.0W (sNwends. Maxim those from stab or mutverkeictst any Wanted* efeOrrva from a U S, Veda of busIttil ,3 not SUCOCt to the • Fawn 109SMISC paten types of Income. pram, ands. ar gross procords) wahlioserg tax on Ionian partneve Sure of effeethefi comodod Wean NC • ram 1099-9 (stook a indket fund sake and cent oat tramactione by 4. Cerny Oral PAl CA coatis) entered on Mb Non of any) hdkrlrgOW you Wo broers) exempt front Ins FATCA teminte, b tarred. Sea 1Vrtat 13 FATCA itweelbit page 2 for fathet Inkomairm • Form 1099.3 (proceeds horn rest estate transztlont4 • Form 1099-K 9nerthant card and Wed party network eansactiOn5) Cat No. 10231X Fenn W-9 (Rev.12-2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0043515 CONFIDENTIAL SONY GM_00189599 EFTA01357148
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EFTA01357148
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