EFTA00168740.pdf

F..., W-9 (Rev. December 20111 Depertnere dee Tniessy Sorrel Revenue Sava Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not sand to the IRS. c: t f Su / Name Ws Was return) bet tieYllae Me My , a Waren from above ye." l.._ box for federal tax deleficarion 0 Irdivkkalneole proprietor O C Cap:ration O 8 G_ ..&.. O Petnorship O Tnatmatata • United eabity company. Enter Ow tax deeelfizetka (CC caparetkin, 84 capes." Isapennerhip) • O Other (see IntructiOnelle O Earn payee #47; exeilbe k 7 r end Sr. 4 . a • ItO 6 40 rg 3 Moquettes mine end edctera (COWS) airy, sate and ZIP ST 7 oods Os GI voio -1.- . ..„< /ti Us meant rinse-le) hem lemma Post I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name' ins to avoid backup withholding. For Individuate, this Is your social security number (SSN). However, for a resident ellen, sole proprietor, or disregarded entity. en 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 get a TIN on page 3. Note. If the account Is in more than one name, see the chart on page 4 for guidefines on whose number to enter. Social washy nwnber Employer Identfimeldon number T1 - j Part II Codification Under penalties of perjury. I certify that 1. The number shown on this form Is my correct taxpayer Identification number (orlon, wading for a wags to be Issued to me), and 2. lam not subject to backup withholding because: (idiom exempt frorn backup withholding, or (b) I have not been nodded by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of • failure to report WI 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). Certification instructions. You out Item 2 above a you have been nobrod by the IRS that you are currently subject to backup withholding because you have failed to re all nt and dividends on your tax ce real estate transactions, item 2 does not apply. For mortgage 'Merest paid, acquisition or andonment secured property lion of debt, contributions to an kdieidual retirement arrangement (IRA), and generally. payments other interest and ividends. not required to sign the certification, but you must provide your coned TIN. See the Instructions on page 4. Sign Sigmelise of Mere U.S. person Doe► /0/243 General Instructions Note. If a requester gives you other than Form W-9 to request Section referenoes are to the Interna• l Revenue Code - nub Ycur TIN, you must use the requester's tom II It Is substentlidly *Mier s to this Form W-9. noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA Use Form W-9 only if you are a U.S. person (noludng a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you we giving is correct (or you are waiting for a number to be Issue* 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you we a U.S. exempt payee. If applicable, you an also certifying that as a U.S. person, your Mixable share of any partnership income from a U.S. trade or business Is not subject to the withholding tax on foreign partmes' share of effectively connected Inborn. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person a you art • An individual who le a U.S. citizen or U.S. resident then, • A partnership, corporation. company, r association created or organized In the United States or under the laws of the United States, • M haste (other than a foreign estate), or • A domestic trust (as defined In Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States we generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Form IN-9 has not been received, a partnership kr required to presume that a partner le • foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business In the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your sham of partnership Income. bet No. 10231% Form W-9 (Rev. 12.2011) CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e). DB-SONY-0000119 USAO_001083 EFTA_000 18993 EFTA00168740