EFTA01448847.pdf

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Form Ift1-9 fie% December int1) Request for Taxpayer Give Fonn to the requester, Do not Oeportment a/ th, Treesay Identification Number and Certification send to the IRS. Norma RevenueSeirke Name ras shown on your hams tax ream) The Haze Trust Business rianardisregerded (way name, a dlderera amebae* Check sppropriele box for Iodine tax clesslricedon: 0 lorliikluslarole proprietor 0 C Corporation 0 s Corporation • Pertnershp [El Trutt/sets* iI 0 Limited Salary carpany. Enter the tax daselficatIon (C-.0 capotallon. S=S ccepOtatkn. P-41/01010IdiP) II" 0 Othis Sow hotrod/cm)" Address inurber, street, end*. a sae no.) 6100 Red Hook Quarter B3 Requester's name and address (options 0 Exerrot Payee Cary, sane we ZIP code r7. St. Thomas, U.S.V.I. 00802 Lai concert rarreier(s) here freakier) Past I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Names line I Social security nun* to avoid backup withholding, For individuals, this le your social security number (SSft. However. for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to gets 77N on page 3. Note. If the account is in more then one name, see the chart on page 4 for guidelines on whose Employer Identalcatice number number to enter. 3 7 1 S 4 1 4 Part II Certification Under penalties of perjury, I certify that 1. The number shown on this form is my correct taxpayer identification number (or Ian waiting for a number to be issued to me). and 2. I am not subject to backup withholding because: (a) l am exempt from backup withholding. or (b) I have 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 (defined below). Cartflattion Instructions. You must woes out Item 2 above if you have been notified by the IRS that you ere currently subject to backup withholding because you have failed to report WI Interest and dividends on your tax return. For real estate transactions, hem 2 does not apply. For mortgage interest paid. acquisition or abandonment of secured property, oencellation of debt. contributions to an individual retirement arrangement (IRA). and generally, payments other than interest and dividends, you are not required to sign the certification but you must provide your correct TIN. See the instructions on page 4. Sign 11110natur* % Here Tr--)C.CA Cf...A..-14 / V %.(- A 3 General Instructions Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form f it le substantially similar Section references an to the Internal Revenue Code unless otherwise to this Form W-9. noted. Definition of a U.B. person. For federal tax purpose:, you are Purpose of Form considered a V.S. person if you at A person who le required to file an information 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. acquisition or abandonment of secured property, cancellation • An estate (other than a foreign estate), or of debt, or contributions you made to an IRA. • A domestic trust (as defined in Regulations section 301.7701-7). Use Form W-9 only ti you we a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the Special rules for partnerships. Partnerships that conduct a trade or requester) and, when applicable, 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 we waiting for a Further, in sedan 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. Certify 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. 10231% Faro W-9 (Rev. 12-2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0103979 CONFIDENTIAL SONY GM_00250183 EFTA01448847
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EFTA01448847
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