EFTA00316380.pdf

Acceptance You understand that this application is subject to acceptance by DBICA. AuMoi 'red Sion:, Authonted Sun°. 6; ) 'et Name Print Norm Dote Data For Bank Use Only Reviewed by: Son, Name Title Date Accepted by DBTCA: Sionettne Name Title Date Account numbers: DDA NOW MIADA COIDEIAG W1.1147246 017524 002017 EFTA00316380 Form (Rev. December MO W-9 Request for Taxpayer Give Form to the requester. Do not Department of ere Timmy Identification Number and Certification send to the IRS. Yuma Reverts Senioa 1 Name (as shown on you Income tax return). Name is Muted on this erne: do not leave 'haling blank The 2017 Caterpillar Trust 2 Business narnWdisregarded entity name. if different from above See Specific htstnictions on page 2. 3 Check approputo box for federal tax classification: check only one of the toloonno seven boxes: 4 Exemptions (codes apptj only to certain entitles. not inaividualS; see 0 Individual/sole proprietor a 0 C Corporation 0 S Corporation • Partnershb a TrusVestate instructions on page 3)- single-membet LLC Print or typo EXIMPI payee code Of arty) 0 Limited Mossy company. Enter the tax classification (C=C corporation, SeS atirporation-Pepartnership) i• Note. For a save-member LLC that is disregarded, do not check u.C: check the appropriate box in the we above for Exemption from FATCA reporting the tax clasercatica of the tingle-member owner. code lit My) ID Other (see Instructions) , tome rererwerieemeee•enterre till 5 Address (number. street. and apt. a suite no.) Requester's name nd address (ocreame 8100 Red Hook Quarter B3, e City. state and ZIP code St Thomas 0 ,08002 7 Ust account nurnborn/ here 0080W Part I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on fine 1 to avoid Social security number backup withholding. For individuals. this is generally your social security number (SSN). 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 (E1N). If you do not have a number, see How toper a 7W on page 3. or Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for Employer Identification number I guidelines on whose number to enter. Part II Certification Under penalties of perjury. I certify that 1. The number shown on this tom 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 witItoltinE) because: (a) I 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 an 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): end 4. The FATCA code(s) entered on this form (d any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must MOSS Out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report ail interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property. Cancellation of debt. contributions to an Individual retirement arrangement (IRA), and generally. payments other than interest and dividends, you we not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Bombes of Here US. parson e Dale ie6 3t . General Instructions • Form 1096 (home mortgage infcrest). 1098-E (student loan Merest). 1096-T (tuition) Section references am to Ow Internal Revenue Code unless otherwise noted. • Form 1099-C (canceled MIN) Future developments. Information about developments affecting Form W-9 (such • Form 1099-A Moduisition or abandonment of secured Properly) *sepia/Ilion enacted after we release 01 Is at wwwinvoillW9. Use Form W-9 only if you are a U.S. person (Waning a radon alien), to Purpose of Form provide your correct TN. MMain:bat or entity (Form W-9 requester) wino Is required to foe an information Hsu do nor neon Fonn W-9 to the AVM* with a YIN, youmight be Subject renew with the IRS mist obtain your correct taxpayer Identification number (IN) to blow Mthhokting. See other a beelna 9-49Fylding? on M42. which may be your social security number (SSN), individual taxpayer idontitr.ation By signing the Ned-Out form, you: number (MN). adoption taxpayer krontilcation number (AIN), or employer I. Certify that tne TIN you are giving is correct (or you are waking for a number Identification number (EIN). to reporl on an information return the amount pad to to be issueol. you. or other amount reportable on an information return. Examples of Woman:to roams include. but are not limited to, tee following: 2. Certify that you are not afibeCI to backup withhoickfl9. • Form 1099 INT (interest earned or pad) 3. Maim exemption Iran backup withholding A you are a US. exempt payee. If appltable. you we also certifying that as a U.S. person. your allocable Share of • form 1099-ON (dividends. inclsding those from stocks or mutual funds) any Partnership Income irOM a U.S. trade a business is not subject to Me • Form 1099-MISC (various types of income. prizes. awards, or gross proceeds) withholding tax on foreign partners' share of effectively connected Income. and • Form 1099.B (stock or mutual fund sales and certain other transactions by 4. Certify that FATCA code(s) entered on this form Of any) IncecatIng that you are brokers) exempt from the FATCA reporting, is correct. See teemed FATCA reporting? on • Form I099-S (proceeds from real estate transactions) page 2 for tunnel intorinatiOn • Form 1099-K (merchant card and theta party network transactions) Cat. NO. 10231X Form W-9 (Rev. 12-2014) EFTA00316381  Deutsche Bank Wealth Management Signature Card Deutsche Bank Trust Company Americas The 2017 Caterpillar Trust Account Holder Title Account Number Individual ITRPODIATP Corporate Limited Liability Number of Signatures Corporation Requited: 1 Joint, with Rights Joint, Tenants Partnership J Other trust of Survivorship in Common 0 Daphne Wallace Si nature , Pont Name Lesley Groff S •awr. Pant Name Signature Print Name Signature Print Name Approved Date Power of Attorney Specimen Signattue Date of Power of Attorney For I/POD/ATP Sir Suppl >e t it bins and COndiliOnS 111111111111111111111111111111111111111 WM178934 006678 062817 EFTA00316382