EFTA01390338.pdf

Farm W-9 (Rew. Dania 2011) Request for Taxpayer Give Form to the reqUeSter. Do not Othathiental the Teary Identification Number and Certification Sand to the IRS. mime Rear Swam *we ois mown on yew now* rax sauna Southern Trust Company. Inc. fahlaflart9artlecl waxy none. x dikeent ken aeon ni awns • Southern Financial LLC c a oweiraseroprieta ear la felony to elessilkeeort 0 inelvklusesolectoprislor 0 C Caporation CI 6 Careasterri 0 Paean* 0 Tnalrestale ii n „„_, t WINO Hatay company. Fluorinates Mastication (C•C weereflon.S.8 cormeetket Pannereheeill - 0 Exempt eaves 1 0 Othir two risinxtionsi• I Mows inanter. stem we am. or toss no) Requerriers owe and saws Iowa* 6100 Red HOOk Quarter B3 2 City. an. tad ZIP ewe (75 St. Themes, USV1 00802 Usi account nianbang has (oWon* Pawl I Taxpayer Identification Number (TIN) Enter your TIN.in the speroalate box. The TIN provided must match the name given on the *Name" line &dal smaarity number foamed backup withholding. For individuals, this rs your said security number ISSN). However. for a resident alien, sole papaya, or disregarded entity, sae the Pod I nstructions on page 3. For other entitles, h Is your employer identification numbur (ElN) If you do not have a number, see How to get a 7W on page 3. Note. If the account is in more than one name. see the Chad on page 4 for guidelines on whose Employer IMintillealem 'lmber number to enter. Part II Certification Under penalties at perjury, I caddy that: 1. The number shown on this form is my correct taxpayer identification number (atom waiting fore number to be issued to me). and 2. I em not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been Waded by the Internal Revenue Service gRS) that I ern subject to backup velthholding as a result or a failure to report WO intexeSt or dividends, a (e)the IRS Pas notified me Malian no lave sublect to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined bellow). Certification insbuctlern. You must aces out item 2 above it you have been notified by the IRS that you are aunty stbjea to backup withholding beowse ydu have failed Is report al Interest and dividends on your tax return. For real estate transactions. hen 2 does not apply. For mortgage Intermit paid. acquisition or attandonment secured property. cancellation of debt, contributions to an individual retirement arrangement gRA), and generally. payments otherthen Interest and (vidands, you we not (Nuisnfi to alga the eereSeeeen• but you must Provide your correct 11N. Seethe instructions on page 4. Sign teener/es Here us. penal ono. 1-a-13 General Instructions Note. If a requester gives you a form other than Form W-9 to request yew TIN, you must use the requester% kern If It is substandelly slinear Section references we to the Internet Revenue to this Form W4. noted. Definition of a US. person. Fa Mon tax parpoSat you are Purpose of Form Considered e U.S. person if you we: A person who Is requIred to Me w information return with the IRS must • An individual who is • U.S. Oaten or U.S. resident alien, obtain your correct lax payer Identification number friN) to report, far • A partnership. corporation, company, or association created a example, income pied to you, real estate transactions, mortgage interest agonized In the United States or under the laws of the United States. you paid. acquisition a abandonment of secured property. cancellation • An estate (other then a foreign estate), or of debt. or contributions you made to an IRA. • A domestic trust (as defined in Regulations section 301.77(11-7). Use Form W4 only if yoo are a U.S. person (Indming a resident alien). to provide your correct TIN to the person requesting It (the Special notes for partnerships. Partnerships that conduct a aide or requester) and, when applicable. to: business In the United Sates are generally required to pay a we nhowng tax on any foreign partners' share of Ino0me trap such business. 1. Certify that the TIN you we giving is correct (or you are waiting for a Further, in certain cases where a Form W9 has not been received, a number to be issued). partnership is required to presume that a per is a foreign person. 2. unify that you we not subject to backup withholding. or and pay d*withhokling tax. Therefore, If you area U.S. person that Is a partner in a partnereNp conducting a trade or business In the United 3. Claim exemption from backup %withholding if you are a US. exempt payee. If applicable, you are also certifying that ass U.S. person. your •• Stales, provide Form W-9 to the partnership to estabish your U.S. allocable share of any partnership Income from a U.S. trade or business status and avoid withhOding on your stutre of partnership income. Is not satieci to the withholding tax on foreign partners' Share of effective!), connested &ccOMO. Can No. 'Mgt% Earn W-9 (Ref. 12.2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0094814 CONFIDENTIAL SDNY_GM_00240998 EFTA01390338