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Fpm W
(Rev. December 2011)
-9 Request for Taxpayer Give Form to the
requester. Do not
Deptrtment of the ift1Stily Identification Number and Certification send to the IRS.
Internal Revenue Service
I
Busaoss
armill turnal.„&cigar en name. d, ei from above
See Specific instsuctions on page 2.
Check an:cognate box for Wawa) tax classification:
Individual/sob proprietor 0 C Corporation 0 S Corporation 0 Partnership 0 Trustrestate
Print or type
El United liability company. Enter the tax classification (C-C corporation. 5-5 corporation. PxpartnesshIP)P 0 EamPt Pern
0 Other (see iratnections) e
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List account nurrecON here (option.°
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Part I Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name' line iiiiiialill
to avoid boohoo withholdina. For Individuals. this is von social security number (SSNI. However. for a
resident alien, sole proprietor, or disregarded entity, see the Part I instruction on page 3. For other
entities, it is your employer identification number (EN). If you do not have a number, see How to got a
TIN on page 3.
Note. If the account is In more than one name, see the chart on page 4 for guidelines on whose Employer identification number
number to enter.
,
1
Part II Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my coned taxpayer identification number (or I am welting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (RS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
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 cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have land to report all interest and dividends on your tax return. For real estate transactions. item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contrbutions to an individual retirement arrangement (RA), and
generaky, payments other than interest and dividends, you are not required n the certification. but you must provide your correct TIN. See the
instructions on page 4.
Sign gjo„j uy,
Here U.S. person. Crate 470i:2;420i
General Instruct Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's form If It is substantially similar
Section references are to titetrtornal Revenue Code uniess otherwise to this Form W-9.
noted.
Definition of a U.S. person. For federal tax purposes, you are
Purpose of Form considered a U.S. person if you are:
A person who Is recuired to file an informaticn return with the IRS must • An individual who is a U.S. citizen or U.S. resident alien,
obtain your correct taxpayer Identification number (TIN) to report, for • A partnership, corporation, company, or association created or
example, income paid to you. real estate transactions, mortgage interest organized in the United States or under the laws of the United States,
you paid, acquieldon or abandonment of secured property, cancellation • An estate (other than a foreign estate), or
of debt or contributlom you made to an IRA.
• A domestic trust (as defined in Regulations section 3O1.7701-7).
Use Form W-9 only if you are a U.S. person (Including a resident
alien), to provide you. correct TIN to the person requesting it (the Special rules for partnerships. Partnerships that conduct a trade or
requests) and. when anXicable, to: business in the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
1. Certify that the TIN you are giving is correct (or you are waiting for a Further, in certain cases where a Form W-9 has not been received, a
number to be issued). partnership is required to presume that a partner is a foreign person,
2. Certtry that you are not subject to backup withholding, or and pay the withholding tax. Therefore, if you are a U.S. person that is a
3. Claim exemption from backup withholding if you are a U.S. exempt partner in a partnership conducting a trade or business in the United
payee. If applicable, you are also certifying that as a U.S. person, your States, provide Form W-9 to the partnership to establish your U.S.
allocable share of any partnership Income from a U.S. trade or business status and avoid withholding on your share of partnership income.
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
Cat. No. 10231X Form W-9 (Roy. 12.2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0049324
CONFIDENTIAL SDNY_GM_00195508
EFTA01360764
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