EFTA01450290.pdf

IV. TAX ELECTION/DECLARATION OF TAX STATUS This Account Agreement is designed for use by both U.S. Persons and Non'U.S. Persons. Please check the box next to the applicable item below. Client certifies that Client will notify DBSI in writing Immediately if the representation certified to below ceases to be true and correct. 4;0 U.S. Citizen or U.S. Resident Allen Fenn W9 Request for Taxpayer Identification Number and Certification Substitute Name (as shown on your income lax return)/ 4•0:;yintiv eni C 'le (6 ie rra t‘ent Itusiness ne tole above a raPPOPtiets borbrletlerel fax daasifaatWn (reeltdred); F ❑Individual/sole proprietor Ill C Corporation ❑ S Corporation 0 PannereNp 0 Trust/estate • Exempt payee i n Llmked liability company. Enter the tax classification (C.0 corporation, S.S corporation, P.partnership) I Other 1 Addrela *Mbar, CMOS antdralfteilltrIte n0.) loc, pen *4 gelyKrier aty.'Sbliptilltd23P COM. -33 -) r 7- korms ... ti5 V -I , Li Taxpayer den (cation Number (TIN) riterietiatiN 'nibs apPropitate Mi.*. The TIN provided must match the name given on the "Name line to avoid backup withholding. For individuals, this Is your social security number ISSN). For other entities. It Is your employer Identification number (EINI. EmIx identification Number -MO I DO t 11 Certification Under penalties of perjury, I certify that: 1. The number shown on this form Is my correct taxpayer Identification number (or I am waiting 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 lb/they° not been notified by the Internal Revenue Service (IRS) 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 lc/Wined in the instructions). - ....------------- Certification Instructions. Youpest cross out Item above if you .c............ have beenerincit11K1 by the IRS that you ere currently subject to backup withholding because you have failed to wort all as Interest and dry ands on your tax rp . ,....--. Sign Signature of. Here IJA PIMA; L>atsft..'t 9/05 20 Non•U.S. Person I am not s U.S. person (including a U.S. resident alien). I am submitting the applicable Form WS with this form to eerily my foreign status and, if applicable, claim tax treaty benefits. For example: Client is note U.S. person (including a U.S. resident alien). Client agrees to provide DBSI with this application the applicable Internal Revenue Service ORS) Fare WA to certify the client's foreign status. WE forms and instructions are available on the IRS website at wvny.irspov. (THIS SPACE INTENTIONALLY LEFT BLANK) 12.PWW.-0573 6 012145 011113 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DEkSDNIY-0105842 CONFIDENTIAL SONY GM_00252026 EFTA01450290