EFTA01388034.pdf

'''9 Give Form to the Fenn W Request for Taxpayer requester. Do not :Tr oca.warmida Identification Number and Certification send to the IRS. Onetere of the Peony nunsRene Swan I tramICI awn on rut Interne lex worn} Name :4 toque", on This hornet00 noi Dave,Mt Ina blank Southern Trust Company, Inc. pa•s summa namardentpanded enbly newt, iiMows Item above ; Southern Financial, LLC 4 Eareptions (codes appit Otte .1" 3 Cheek appwatale box for Warn' Mx ctroailloatlan: 0W sly eve of the torteerg seven box= see O CCureerellart 0 S Caporals O Partnership O Sne-Vestato cnila an anttpaprEiterr" t ! O MeM2Ualkeile Mines or snedmenter LLC EAroot payee oar tt ma SeS corporation. imparberstIP0R t pS O ❑ Periled Celilrify company. Filar the tax ciaefetattan (000 cceporMIco. keen FATCA M et" am. For a ongto.mcriba tiCInt 4 3.3:coatptcy do net &pep LLC; rhea to appropnale box D the rabant to EA8MOCI1 at * the tax conlectnen of the omit momoot CFACIf. coda RIM Pans a muntrammearamoroar ,fe zc Ill other thee inzi.neetioro) • E 5 11 5/Uriter• orar. and tot treat red RagletYla rums and addmse (optima/ / 55/033 4 t 6100 Red Hook Quarter, B3 te e Cite. suet anclte? code a St Thomas, USVI 00802 T Let sat unt nutter by. @pare .:pao c Taxpayer Identification Number (TIN) nodal why numbs, Enter your TN In the appropriate box. The fifiN provided must match the name elven on Ens 1 to mold for o backup wohholdIng. Foe Individuate. this Is goneralty your social security number (SSW HOwevot, resident alien. sole proprietor, ot disregarded entity, goo the Part I Instructions on paged FM other e snide,. It Is your employer IdantlicaU00 nuenbor (FIN). It you do not have a number, sr How CO got TN on page 3. or 4 lot Reno/over IdentirmatTon number Note. If the account Is N more than ono namo. see the Insuuctlons for linefeed the chart on page guldernos on whose number to enter. a s 0 7 7 9 711. Certification Undo/ smear of perjury. Icon& that to be issued to met and 1, the number shown on this tom Is my correct taxpayer Wendt/Alton number forlorn waiting (outnumber of (o) I have not been noWied by the Internal Ravens* 2. I ant not suofect to backup withhoterng because, (a) I an exempt from woken withholding, to all the ins has notiRed no that I ern Service (IRS) that I ern subject to backup withholding as o mull of a failure report Interest or cihrktends. or no longer subtract to tutomp wIlhbolit2n2; and 3. I em a U.S. citizen or other U.S. person (defined be4ow) end 4. The MICA code(a) entered on tNt form QI any) in/foaling Meilen exempt from FATCA reporting b erect. the IRS that you ere currently subject to backup rerholdIng Cartgeattlen Instructions. You must cross out hem 2 above If you have been notified try braise you have failed to roper enteral end Oh/Wends on your tax return. For real estate bansacaons, kern 2 door not apply. For Monne loan (noviduel retirement arrangernent (If%), end Interest paid. acquisition or abandonment ot secured property. caneandon or debt, COntributlen3 but you must provide your correct TN. Seethe gooney. payments other than Internal end dividends, you are not required to elfin the cerliCootton, instructions co pegs 3. Sign stiwn,,, Here U.S. p• au> 1,6VAI* erPam UM Dane mortgage Nemo. 1098M onvolenl Man Infer,* 10914 General Instruc OtAkin) 26:1100100tOICIS 010 le the front Flamm.0:00 Wane othrmitse noted. • Fcan 1099.0 (cancetui (so Future Oevaleprnentt. Intoner", abaa develooments I(ectee Form W.9 (such • Form 10994 lerCulatimi fr ltbDrsiorment cf soared ProPorSt3 al esibtaibn enacted eller we release it) i ithenttuovInve Use roanMil only a you we a U.S. person (miludna a Kern 0 0 4 /0 firevIdeffer carod TIN. Purpose of Form I/swotredmew/ Fenn 19-9 to me teettssiti wk., a MN, set net&be sopa An lectMduiX Or way (Form W-9 i0nunIcc) etc Is icq•ecid to rota an rifler, body* onkrthordino See Molts Soap viMbakerm? on mope 2. rttsn with ale 145 Mat obtain your catreel taxpayer lomalleatun name (1514 SW:kW taxpayer idenieitatfoe By sQtq to lineenOut loan you; * flith 515, be bus var-5,5 500-511/ number PSN). number ulna adorn tamer( lesmennilon number (ATM. or emokler 1. Cite* OW the TN you ate phew Is cares ler you ere *WIn9 kr a umber klercilicron number (3714 to report on tm Itifiertudon rotten ireasioseU paid to lo be betted). you. or of meant reportable an on racenatIO3 return. EmarnIes of triernletkin S Cattily that you ara no "Meet to backup wishboklim Want irrintel but ire nos limited to, the leaarno: 2. Wm ascreptto ham backup withheldieg you we a U.S. exempt payee If • Form 1099-IM (room* nn of midi appecebie. you are 640 Catarbg the any& person year afar Mare of • Fenn 1092•DM eRvisavri, ncludno those err soda a most hinchl any porremnip Income Porn a U S. trestle or bus nen e not *dies le the • Fenn 1099AISC Milantypes of Income, prim armada. or onte3 preceeth) wehhodirry tax on mien pains:' toe of elhotheD Contorted Moms. and • For 1099-0 err or mutual laid sake ase amok other trarrederfa by 4. Gay that FAT CA coolatti entered onrob IOMI (i any) harry th you am broen) °hernia; ant Ille FATCA relienhe. a creel Sc, Kew i MICA ntiethet?on POP 2 for erne hkernartse. • Form 1099.5 poredi born red nun wreathe/at • Form 1092-K (nentenr cad and VOW patty netwark transactICO5) Cat. Ms 10231% Form W-9 (Res 12-20lq CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0091358 CONFIDENTIAL SONY GM_00237542 EFTA01388034