om W-9 {ew Neveroer 2008) Orpen Taney Give form to the requester. Do not ‘send to the IRS. Request for Taxpayer Identification Number and Certification {pena SW, Scuviae A =e § | | eee. Cee 0 Serstgr & | Aacress (amber sweat, end Wpt or uit 00) += qussters name and address val # t fet "Ho. RiE Go Peau ‘address (optional) pen Cavowsavac. PA 1S 3\9 | prema ete “Taxpayer Identification Number (TIN) Socal seeurty number (1S/445/ 345] 01419 or [Enter your TIN In the appropriate box. The TIN provided must match the name given on Line 1 to avoid ‘backup withholding, For Individual, mnie fs your social seaurty number (SSN), However, fr @ resident aon, Sole propriotor, or cisrogardod ont, soo tho Part |instrucions on page 8. For othor anil, its ‘Yur employer identfication number (EIN if you do not have a number, see How f0 get 2 TIN ongago 3. Note. the account is in mere than one name, see the chart on page 4 for guideines on whose number to enter. [i Certification Under penaltis of periury, | cetty that “1. The number shown on this form ia my correct taxpayer identification aumber (or lam waiting for a number to be Issued to me), and 2. am not subject to backup withholding because: (a) | am exempt trom backup withholding, or () | have nt been notified by the Internal FRovenue Service (RS) that lam subject to backup withholeng as a result of 2 fallure to report all intorect or dvidends, or () tho IRS has rotted me thal ! am no longer subject to backup wthnokling, and 3. lama US. person (neluding a US. resident ation, Certification instructions. You must cross cut tem 2 above if you have been notified by the IRS thet you are curently subject 1o backup wiotcing because you nave fled to repor all interest and dvidonds on your tax retum. For ral estate transactions, em 2 does not appv. For mortgage intrest pai, acquisition or abandonment of secured property, cancellation of debt, contibutions to an individual retrament Employer Rloncation euribor Se eae See ee ee eee see CCetiication, but you must provide your comect TIN. ae 8 Sign | sianature ot irgrugions on page #) Here | uSperon > : Purpose of Form \ ‘A person who is required to Np an iteration return with the IRS, must obtain your correct taxpayer identification number (TN) 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. USS. person. Use Form W-9 only i you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and. when applicable, to: 4, Contly that the TIN you ate giving Is correct (or you are waiting for a number to be issued), 2, Cert that you are not subject to backup withnoiaing, of {3 Claim exemption from backup withholding it you are @ US. exempt payee. In 3 above, if applicable, you are also certifying that U.S, person, your allocable share of eny partnership income from a US. trade or business is not subject to the vithholding tax on foreign partners’ share of effectively connected income. Note. Ifa requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if tis substantially similar to this Form W-3. For federal tax purposes, you are considered a person if you are: pao DSAPROFZ ‘© An individual who is a citizen or resident of the United States, ‘* A partnership, corporation, company, or association ‘created or organized in the United States or under the laws cof tha United States, or ‘© Any estate (other than a foreign estate) or trust. See Regulations sections 801.7701-6(a) and 7{a) for adattional information. ‘Special rules for partnerships. Partnerships that conduct a ‘rad or business in the United States are generally required to pay a withholding tax on any foreign partners! share of income from such business. Further, n Gertain cases where a Form We9 has not been received, @ partnership is required to presume that a partner is a foreign person, and pay tie withholding tax. Therefore, if you are a U.S. person that is a patina in 2 patinerstip conducting a trade or business in the nited States, provide Form W-9 fo the partnership to cestablish your U.S. status and avoid withholding on your share of partnership income. ‘The person who gives Form W-8 to the partnership for purposes of establishing Its U.S. status and avoiding ‘withholding on its allocable share of net income from the partnership conducting a trade or business in the United Stetes is in the following cases: ‘© The U.S. owner of a disregarded entty and not the entity, Fam WoO (Row 17-2005)