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'''9 Civil Form to the
Form W Request for Taxpayer
(Rev. ocarierene Identification Number and Certification to the0o
requester. net
IRS.
send
04;themi el the heathy
thawsRanee Santa
I Nam go amen on yet/ Inecene lax worn} Nome 4 a °quirt", on This lNr. ea not erne ,Ms SW blank
Southern Trust Company, Inc.
ma nameMisteganSod enthy Ire, ii went Item above
oi• a pum
; Southern Financial, LLC
4 Exemptions (codas aceit Otto
. 3 Check *egoistae box ter federal lax cirsolgoagan: OW sty eve of the tonotAng seven toe=
;.li. fee
O 0 Comordion 0 SCaporalon O Penneship O -Weida
the gas° anteoewleral
! O 53.45•Jalkell Menial et EA
is mantis LLC anti payee code et ash
t pS O Untied %salary company. Iola the taa caratestkm PAC Gemara:ch. SeS corporation. Paparmashh(P
the for bemPtic" keen FATCAnPerni
at *
soo. For a brogbalictibel tic WI 4 C.srgar0t0,
etc tax cunlectMon 0 lhO Acta mamba/ CFACIf.
do net awe: LW; duck go appnecOle box D rabCro3
coda at eny)
tusk.. vaavoavoniorvavo ...vac
,s c Ill pow poor rains:Coro) •
z RagtesYle mete and addiff4 Comae/
E 5 11 / 54•333
4 (nUelber•Onet. and ate. cesceere3
t 6100 Red Hook Quarter,.B3
in a City. stilt anOZO? co0e
a St. Thomas, USVI 00802
7 Ust account masthead Nee leptiente
:Pa -t c Taxpayer Identification Number (TIN)
6oaa unyntrmber
Enter your TIN In the appropr!ate box:therm provided must match the name given on tine 1 to avoid
for o
backup withheldIng. Foe (ode/ duds. IMS Is generalty your social security number (SSN). However,
For other
resident alien. sole OlOcatOf, or dtcreganled entity, too tha Part I Instructions on paged
amides. It Is your eMployerldentliCaU00 number (EIN). If you do not have a number, see How CO pet
TIN on page 3. or
4 lot Rending Identification number
Unto. If the account Is hi mote than one name. see the Inalmottons for line I and the chart on page
guldenes on whose number t0 enter. 616 0 7 7 9 711 .
Certification
Undo/ ponaftles oI perjury. leen& that
to be leaved to met and
1. The number shown on this form Is my WOOS taxpayer identification number (or t am waiting (outnumber
withholding, a Mitt/Ivo riot been nothied by the Internal Raven.*
2. I arn not sugect to tockup within/Ging because, (a) I ern exempt from backup
to ell or the IRS has notified MO that I ern
Service fit/St that I ern subject to backup withholding as o /mat of a Wily!a racial interest or cihrktends,
n0 longer subject to backup velthholenth and
3. I em a U.S. citizen or other U.S person (defined Wont end
4, The MICA coding entered on tNs form QI ant indicating thole/a exempt from FATCA reporlinolscarect.
IRS that you we currently subject to backup sidithilIng
CartHleadan LnatructIons. You must cross out Rent 2 above If you have been notified by the
have failed to report shinier/al end dividends on your tax return. For real estate hansackons. Item 2 (loan not apply. For trion0.96
because you
cOntributiCA3 to an friovidute retheMent arrangement (MK end
Interest paid. acquisition or abandonment of secured property. cetneellation of debt,
cerliCoottort, but you neat provide Your correct 11N. Seethe
generally. payments other than Interest and dividends, you ere net required to sign the
instructions cm doge 3.
Sign SIgnalure el
Hero US. Ramon► este Ida0L901*
• Farm l0ea terms mortgage Neese nett "dent lean sweep. flYST
General Instructions (token)
Seaton telOtelCos 010 le the !hint Annus 0000 Wane Otherwise noted. • Form 1099.0 Pampa( (so
Future develOprnenb. Infonnekst abed developments anectue Form W.9 Duch • Form i099•Ageradetimi or &Wm:errant of secured Property)
ioebtabn enacted snot we release igistvnYve.ttapowlhe9. Use Than Wei only a you we alia parson credusas a madam 0 04 00
rgaVloe yaw *wool TIN.
Purpose of Form
drarob not maim firm Vi-9 so me tetensity we', • MN, stu Wolves rope
An frollyktue; Or way (Form W-9 lacunas) van is coquted 10 Do an infonatition to beceimenkenokano. See Matt soap inane/Cr& on pop 2.
Often wkh u1a OX9 Mat obtain yea cirreet to p lie losoiscatcn mote Rti4)
PSNOellidual taxpayer identathstron By Siena to thed(out loon you:
*n th mho' bows sor-bl (coat meter
number prin, adoption taxpayer tOloielcalloo Dauber OM or rtmCDayel 1. Can* ewe the Tor you any poky Is owed lot you am *Wing to a camber
dernificahon Marto: (En to report on an Intetrudon rotten the among paid le to be solidi.
you, or cow anoint reportable an on DIcarnaeCct Mum. &an0lea or Informatkm 2. Coney that you ant not lketeel to totkue withhoklitc,
(gum:yid°. but are net linked to, the losevraw
2. Ctirn manglon ham backup wall:agog If you ce a U.S. ramp payee if
• Form 1009.INY (edam( area or pad) vocal.. you are OtS0 Cenlyhg VW meat person your acre sane of
• Foam 1099•DN ethisenco. :taxing those ham n0ds a narked West any pornthavo 'room* Porn a U.S. trade or sus nen is not oup;oot to the
• Fenn 1099•MISC Oulu: typos of Income, prim nth. or onte3 precool.) wanhoairg tax on keep Pennon' Mae Of elfvelhobe Corner:COO VOX,. oft
• Fens 10994( Moth or mutual fund ales Watt aviv tramactions by 4. Gay that FAT CA codael nom at V* Ion ef ere hat% vut you Na
broken) °WV; from N0 FATCA teronhg le comet See Mot is MICA neenni?on
geo 2 tor hasher elfemerion.
• "coo 1039.S ;proceedb Inn red estate Uareadlond
• Form t099-K (nentent cad as tiled pasty network ranractlats)
Ca. No. 10230( Form W-9 (Rot 12-201ry
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0066577
CONFIDENTIAL SDNY GM_00212761
EFTA01372733
ℹ️ Document Details
SHA-256
b1c7acf3a59454b6959101fc29edd90163bb98c1f52e5aa69100887b58650ace
Bates Number
EFTA01372733
Dataset
DataSet-10
Type
document
Pages
1
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