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em W-9 or oe 0 Seana” Tain a haw on Your cin ae eT Give Formto the requester. Do not send to the IRS. Request for Taxpayer Identification Number and Certification Sas naralraried ety na. ea Fam Bare ‘heck perro box fda tx leet Diiniicuatictronity —C) COereraten [C] Sceporaion C] Parner [] teatlestate Desom payoe 1D tintosttity company Fler the tax castisston (C=C ereraion SS copsraton, Popes) Print or ype See Specific Inetructions on page 2 Dorner ee inatuctons > dares ber, tel, we a aa] GIR SW BETES EN Gis, a and OP cas Tisserant HET Tapayer entiication Number (TN) Ere your TA he spproprte bc. The TN proved must mane carie Sven one ae” ne [Sa aia } tSavcle baceup winning, For nets ts aye coe secu umber (Seni, However fore fT Teale alone proper ce caraardod emily, soe he Bat tistuctons on page Forth twits its your oupoye Worden rio 20,1 you do nl have nubs so How fo got @ Tivonage’ "Nota. fhe account i in more than one name, eee the chart on page 4 for guicenes on whose rhumber to enter. EE Cartification Under penalies of pari, | cently that 1. The number shown on thi form is my core! taxzayerdantilication number (or am wating fora number to be issued 10 me), and Employer enfieation saber 2, Lam net subject to backup withholaing because (a1 am exempt from badkap withnlsing, oF (have net been noted bythe Internal Revenue ‘Service (IAS) that am sudjoct to backup withholding aa eeult ofa fare to vepor al rast or avisends, orc) he IS has noted me thet am ‘no longer subject to backup withholding, anc 3, 1am a US. etizen or oer U.S. person (dened below), CCortination intructions. You must cross out tam 2 above lf you have been noiied by the IRS that you are currant subject to Backup withholding because you have fled wo report al interest and dividends an your tax ret, For rel estate ransactons lem 2 does not apply. For mortsago Interest paid, cqustlon or abandonment of secures proper, cancelation of debt, contutions to an ndvial retrementatrangamant (RA), 2nd ‘generally, payments olner than terest arc dividends, you are not requled to sign the caification, but you must provide your aorect TIN. Sos tho Instructions on page 4 Sign’ Here US. person™ General Instructions ‘Section refericas are to the Internal Revenue Code unless otherwise noted, Purpose of Form ‘A person who Is requires to fle an information ren with the IRS must ‘obtain your correct taxpayer dentition number (TN) t0r9p0%, for ‘example, income paid to you, realestate rarsactions, martgage interest ‘You pad, aoguiston or abandonment of geourod property, cancalaion Bt asbt, or contbutions you mace to an IRA Use Form W-9 only ifyou area US. person fasting a resent aon), te provide your correct TIN to te person requesting it the requester and, when applicable, to: 1, Cenify that the TIN you are ging Is comect or you ere wating fora umber toe eve, 2. Cenity that you are not subject to backup withholding, ot 8. Claim exemption fom backup withholding it you ave 2 US. exempt ‘payee. appioable, you aro algo Gertfying thal 38 a U.S. poeson, your flocable share of any partnership income fom a U.S, tage or business IS nt subject to tne wthnalaing tax foroign parrer’ share ot effectively conrected Income. rary Note if requester gives you a form othor then Form W-9 19 request yourTIN, you must ube the requester’ form tis substantially sitar to this Form W-9, Definition of U.S. porson. For ledera tax purposes, you are onsidored a U.S. person ityou are ‘An india who i @ US. cizen or US. resident ale, +A partnership, corporation, company, or association created o° ‘organized inthe United States or under the laws o the United Stats, + An estate (other than a foregn este), or | A domestic ust (as dated in Ragustions section 307.7701-7) ‘Special rules for partnerships, Partnerships that conduct a vase or business inthe Unted Stats are genoraly requ to pay a withokeng ‘con any forlgn partners share of income rom such eusiness Further in certain eases where 2 Fotm W-8 has ot been ceived, 8 partnerstip i required to presume thal partners foregn parson, land pay the witlaing fax. Therefor, you ae @U.S. person thal a partner n/a partnership conducting a tade or business in the Unitas ‘lates, provide Porm W8 tothe partnership to establish your U.S, ‘Stas and avoid wihhalding on your share of partnership come, Pom WO iar 12701

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