EFTA01362692.pdf

Font, W '''9 Request for Taxpayer Giva Form to the requester. Do not :Rev. ocambrenq Identification Number and Certification send to the IRS. 04;.therit el the treasury enema Revenue Santa I Neer let slam on rut name lax worn} Names roquiral on This lNr. 00 nth Dave,Ms Sy blank Southern Trust Company, Inc. a pumma namordisteganSed enbly nese, ectillwera eye above no• ; Southern Financial, LLC 4 F.xempticris (codas atoll Otto . 3 Cneck approortaie box £or federal Lot dreelecatIon: OW onry ere of the following seven box= ;.li. fee ❑0 CCoroordion 0 SCapormlon 0 Penne-ship 0 ThaVestate gas° anttipoewlerta" ! 0 Coe5•55daVen50 Mentor or enlymenter U.0 EAanti payee code et yea tee cassaketkm PAC caporatIon. SeS corporation. P4paracesMo)lo t S 0 mimic, Wanlycompany. Erna Unt Item FATCA159"5 7st * Note. Far a 3.09331itelbel LLCM 4 C.soier0e0. de net stook t.1.C; dycx me appoorOle box D the arboreta the tax conlection of The Ace mambo/ Cr...CY. bemPtic" code (f int) Idotft ex todedaed.x...r odd, s z c‘ ill Dino hoe rains:aorta) a• ROgbeiYle mete sad Seine (omae/ E 4 5 11/ 54•333 5/UrObOr• Ones. amt am. stags rod t 6100 Red Hook Quarter, Ek3 to li City. stale, araltlf? ca0s a St. Thomas, USVI 00802 7 tut account nun0ey) here @patinae Pa -t c Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box:Therm provided must match the name given on lir a 1 to evOld I SOON ere achy numbs! (SSN). Howevor, tore backup withholding. Foe Individuals. IMS Is gsneraity your social security number For other resident alien. ado proprietor, or dicrepaniad Gnaw, too Ns Part I Instructlora on page 3. Co gal snide,. It Is your employer Identlicabon numbor (EIN). If you do not have a number. see How TIN on page 3. Or on page a TOT IM Oyer hkel5rdetiert numbs/ Note. If the account Is In more than one memo. see the Insuuellons for line I aniline than guldeinos on whose number to enter. • Certification Undo/ penattles of perjury. leen& that 1. The number shown on this form Is My correct taxpayer Mental/anon number (or I ern waiting (outnumber to be [Med to mot and withh0lding, or MI have riot been noWied by the Internal Raven.* 2. I arn not suCfect to badivp waits/Ong because, tailor exempt from backup of Wye to repel ell Interest or dividends. or (c) the IRS has notiCod mo that I am Service (p/Si that I am subject to backup withholding as o result a nO ledger subject to backup withholding; and 3. I em a U.S. citizen or other U.S. person (defined Wont end =Mot. 4. The MICA codepn entered on tNs font IE any) inecating that I am exempt from FATCA reporting Is You must cross out Item 2 above If you here been notified try the IRS that you ate currently subject to backup isithhoicling Cart fleetlan instructions. For real estate hansacaona, ken 2 dorm not apply. For triodOne because you have felled to repor all Interest and dividends on your tax return. debt, C.Ontribut10113 loan frioviduel retirement arrangement OK and kitemst paid. acquisition or abanconmont of secured property. arninellation of sign tha oerliFortitonl but you mitt Nodes YOur =Ma TEL Seethe genera/. payments other than interest and dividends, you ere oat required to instructions on pogo 3. Sign el personth Venture Hero US. oaths 1/1.40L901* . ram 109a pwour melange Inierest). toete. taerdenl lean erased. MST General Instructions otAtore Sedlon dints: we le the !hint Annus 0:00 USW; Otherwise noted. • Fawn 1099-C (tenoned ace FMK* ifevalOprnentt. Infonnetcn shod decals nterta dtecdre Form W.9 (nth • Form tolnAkmavisilon et Sh1r 4 ormcni of seared P 390 45 as 53313101bn enacted seer we release it) i aI www.trispoydw9 Use tom wai ore( k you weaua portion Cded:503 a rodelaM 0 04 /0 Idaddayour codedTIN. Purpose of Form drat® red rearm firma/4 to me inwardfwd., • Ma >to ottani supper An frdM&ci Or way (Form W-9 mounter) etc is rooptcd 10 Do an informaition toNow $nihrookand. Ses Yew al boat, wittedkeng? on pope 2. 1DM learn wkh ell m3 mat obtain no cored itopayer lasmilkeben ramber PSNOttidual taxpayer Wiser-Won By Siena the Noma lain you: * n th " , be your 50r-5,5 500•13Y 51•31301 Mentor pfd). edcptkm taxpayer kiyealcellon number (ATM. or amokler 1. Cerefy Om the 1fl you are grey Is owed lor you are *Ong kr a camber Cerealcalion nano (ON), to report on an (Myrmidon roam the amount paid to to be bevel. you. Or other snood report)* an on DIcert0OCct ream. Example, of biormatkm 2 Candy tea you aro not hfieektel to baton withnotEry, cw Wane CrAide. but are not ached to, the losewner 2. Ctirn oxempilon barn clap withholding If you age a U.S. menet payee. If • Fenn 1009.INT fedora% cans, or ask() vocable you an ODA Cederthe Deg sir a at person your acre snare of • Form 1099-Dry ePrilevas, Coaxing those Mega dodo a mord hinds1 any porronnip 'room* Worn a US. Vale Or cos Otte not uudroct to an • Form 1094MiSC Various types of Income, pram nth. or ortea procoe0t) wIthhoktirg lex on Wean primer,' An Of elfeetheht comrade 130014. arc 4. Cents that FAT CA comae Intend eel thb I0M1(deny) hart% out you aro • rent, 1099-0 (no* or mutual fund sake era atoll Oyer trarcycdoris by broken) camp: hem MO FATCA lilliOnha. le cemmt. See what it MICA npanni?on Per 2 to Whet hkerneaan • ram 10394 ipmeoode rim red estate toreadlond • Form t092-K enentent card arC third party network trartractIca5) Cat. No. 10231% Form W-9 (Rea 12•201ry CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0052266 CONFIDENTIAL SONY GM_00198450 EFTA01362692