EFTA01387592.pdf

'''9 Give Form to the Form W Request for Taxpayer ification reqUeSter. Ro not :Rev. ocambrunq Identification Number and Cert send to the IRS. bessniatia the of Petrel enema Range Swam I team age shown on yore Inccens um rehem Name :a coquar0 on This vier. di nial ifsbV0 1 I Sl• blank Southern Trust Company, Inc. a Burmma itamoklartmanSed only tame, aMorey from above or• ; Southern Financial, LLC 4 afienipliens (=MOS mot, 0410 .6. 3 Check approortale box for federal loft etreelfratIon: check a* an of the tortorAng seven tome fee O COVFOMFOrl OSCaporatIon O Penarnhip O Frweeslato gas° anttpag rEiter31 ! O infiTletelik011Prof:Meat of sircps-menter U.0 EAanti payer code et end O Uglier! Welly company. Iota the tax PAC capor3440. SwS Ceeporallon. Peparecesh94F t S b.mpda If= FATCA M CC'S 7st a, Now For a s.nakameriber LLC WM 4 esreiertlecy de net Mack CSC; Omer< the ups/role box 4 No rebore tor ate In Veneerer:in 0 The AS mambo/ Cr"CY. each (if ear) lose a raw.r...arwei.sts ...US) s z c‘ Ill Dow how rains:cony) a RagvetYla rune and edemas amliceot E F F49Mes (00400,.* 041. video. ceaes red t 6100 Red Hook Quarter, IfS3 to I City. stale, anclta? cote a St. Thomas, USVI 00802 7 Ust acorn nootene) Nee Optletal) Pa-t f: Taxpayer Identification Number (TIN) 16oda arotelly number Enter your RN In the appropriate box. The TIN provided must match the name given on lir e 1 to avoid tore backup withholding. Foe Individuals. Iles Is generally your social security rWMber (SSU). Howevot, For other resident alien. ado proprietor, or disregarded Drafty, too Ns Part I Instructiora on page 3. see How Co get 0 t rades. It Is your employer IdenlIticatiOn number (EIN). It you do not have a number. TIN on page 3. or than on page 4 lot richtioacof friefeittoe3On numbs: Note. If the account Is in room than ono nano. see the Insuuollons for line I and guldeines on whose number to *MCC Certification Undo/ penalties a I perjury. loon& that to be Issued to met and 1. The number shown on this loon Is my correct taxpayer identlatallon number (or I am waking (outnumber cr (o) I have riot been noWied by the Internal Rennin 2. I ant not suofect to backup withhoietng because, (a) I ern exempt from backup withholding, of a tailors to repal all Interest or cry/Wends, or the IRS has notiSed me that I em Service (RS) that I ern subject to backup withholding as o roster nO longer subject to backup withholding; and 3. I em a U.S. citizen at other U.S. person (defined blank end canct. 4. The MICA code(a) entered on tNt form al any) indicating that I am exempt from FATCA roporliry b Instructions. You must cross out Item 2 above II you ham been notified try the IRS that you ate currently subject to backup ietthholeeng Careflearean For real estate hansacaons, Item 2 does not apply. For Monne because) you have railed to roper all Interest and &Mends on your tax return. paid. acquisition or abandonment ce secured property. contention of debt, contributions lo an indvidual retirement arrangernent OM), one interest sign the cerlikettort, lea you mint provide your correct N. Seethe gencireity. payments Other than Interest and dividends, you are not required to instructions mi pegs 3 Sign siemtm, Nero its. pa ono It90 1 i* • ewe 109a pone mortgego heereso. 1098e tee/dere loan Internet/ 1091-T General Instructions autroat 26:110n filOt Otos Mlle the front Rennes coos UM= othenvisa noted. • roan 1099.0 (canoe** (so Future devoloprnener. htoonsuen abaa deveraenierts aides,Form W.9 bush • Form trieWi(anallatiortrabaneitinclotcluctired POWS ottaperollva • WOhtillbri enactor/ ever we release is is athrwv Use town W-li only! you we a U.S person Cnduiare a ofislami 0 04 Oa Feavkieloor correct Jul. Purpose of Form tr)eirob red maim town 19-9 so me tequasth(watt • MN, tau nth! be Abet An Waykiulg a wiey (Forst W-9 roomers) Me) te !metro to No an bionneeket toNow sekrerokono see Multi bachpMooring? on page 2. with ale MS mat oblein yaw co-reel trarrayer looreirearren menbor (MO PSN).kiNklial taxpayer idenlait4e01 By Saha the lillrefrOu1 roars YOU: itniat Mr be Your Facial 1,90-MY number robe( pfNy aotptIon taxpayer tersekellon number (Allen. or emosayer 1. CS* Om the Tor you are poky Is end jur you aro *Wing kr a camber irlenaricaton Maxtor (EIN). to roped n en eiforthrion Wien iho sett P0410 10 be Sued). you, or caw amount reporlobie on ors arkentalker nun. EX/InpIel of btfOrMation :00.1to bolero withhokerm, 2, Coney that you are nth 3111 Want iv-We. Out are not United to, the lama* 2. Clain oacmptron ham baCkup..yelloldrog X you ere a U.S. exempt men If • For/310094W (ran% tamed or pall eppecetle. yarn 6•20 CerlayS2 teal meat pooch yew amble Mare of • Form I092-DIV (Selena& :taxing those Irani nods a mused krodst any porereohlp Ircome Porn a U S. trade or out Min e not ouVcact to the • Fenn 1099-MISC (voids trees of Income, pram emeek. or creep prOcoode) wimhodirg lex on Wean pad"., aye el elfrothehr comorafrd lecovs. old 4. Corley that FAT CA ©GOO* Orem* cel fib lOml ar vry) haunt% the you aro • Fenn 1099-0 Wei or mutual fund sake era anal other tramacdom by broken) exam from the FATCA cranky. le cemict See whet 4 MICA naturf?on ono 2 to kinky hkernerisu • Form nigeliS ;proceedb lions red ewe wreathe/el • Form ttraditt enentent card aro, third parry network iranstelIC05) Cat. No. 10 alit Form W-9 (Roe 12-201e) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0090600 CONFIDENTIAL SDNY GM_00236764 EFTA01387592