EFTA01355743.pdf

IV. TAX ELECTION/D€CLARA I ION OF TAX STATUS Res Account Agreement is designed for use by both U.S. Persons and Non-US. Persons. Please check the box next to the applicable item below. Client certifies that Client veil notify DESI in writing Immediately il the representation certified to below ceases to be we and correct. $52g.wAik,w(Fs.:~s Form W9 Request for Taxpayer Idaatification Number and Certifioation Substitute 1.4eMtIEWS~tiOnMe illiMiltribli4 - (4 Rustneeshernatt4aWoCd -dførtinkfrefft »Ten . k..iePtif.d14.n.frAte(kir..tfilfittlealfritenerli0nSklirenterera./ Lk Itiainiole proprietor IIIII C Colperation El S Ceiporadon El Pettnershipp Trusdestide Ei Exempt INN« ii ❑ Limited liability company. Enter the tax classification (C.0 corporation. SeS corporation, Papartnerahlp) II. Other D Mdcen»ye.,...tz . :findasigestt"kiukkl» b/OO el) /54ok r l'313 Vfty}. ::,4XasTogri. ritcw4/15, USVI P • I Taxpayer Identification Number (TIN) ritlii,allnithriarixo~iat The TIN provided must match the name given on the "Name tine to avoid bacimp withholding:F& individuals, this is your soda) security number ISSN). For other entities. it Is your employer Identificabon number WIN). Employer Identificabon Number 00-EIDE1 I CID Certification Under penalties of penury. I certify that: 1. The number shown on this loren is my correct taneyer Identification number for I am waiting for a number to be Issued to me). and 2. I am not subject to backup withholding because: lal lan, exempt from backup withholding. or lb) I have not been notified by the Internal Revenue Semite (IRS) that I am subject to backup withholding as a result of a talk» to report all interest or divklinds. or (c) the IRS has notified me that I am no longer sublet* to backup withholding. and 3.1am a U.S. citizen or other U.S. pars in the instructions). Østion instruction.. You st cross out earn above if you have been by the IRS the' you ale cirrendy subject to backup wilhholifing because you have failed to rt all interest and d ude on your tax Sign Here 2.0 Non-US. Person I am not a U.S. parson Including a U.S. resident alien). I am submitting the applicable Form W-8Ø this form to Daddy my toregn status and. if applicable, claim tax treaty benefits. For example. Client is not a LIS. person lincludin9 a U.S. resident silent. Client agrees to provide DBSI with this application the applicable Internal Revenue Service (IRS) Form W.8 to certify the char Cs foreign status. W-8 forms and instructions am available on the IRS website at www.irs.gov. (THIS SPACE INTENTIONALLY LEFT BLANK] 12.PVVM-0573 e 012145 011113 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0041003 CONFIDENTIAL SDNY_GM_00187187 EFTA01355743