Request for Taxpayer Some a
rest ay Identification Number and Certification Tete
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impayer Identification Number (TIN)
Ester your Tin the appropriate box. Th TN provided mest maid he mame ea on fhe-Nane™ ine [SASS maar |
to avoid backup mlhnelding For indicual, ise your socal socury rumba (SSN), However, or 2
resident allen, sole proprietor, or disregarded en, s09 the Part | instructions on page 3. For of
entes, its your employer dentfeation numbar (EN). I you do nat have a mumber, 0 How fo get
TiN on page 8.
Note. Ifthe account iin mare than one name, see the chart on page 4 fo guidlines on whose
umber to ear.
ER —Coniiteation
‘Under penis of peru, oortiy that
1. Tho number shown on this form is my combat taxpayer Kentifoaton number or! ar waling fora number tobe Issued to me), and
2, Lam not subject backup withhading because: Lam exempl fram backup withholding, of () have not been noted by the Internal Revenue
Senige (RS) that | am eubject to backup wihnlding a rout of far to ropoet al naret or civends, oF) tho IRS hes noted me that Tam
rn longer subject to backup whaling, and
3. Lamas. elzen or other U.S. porson (defined baton).
Certification instructions. You must cross out iter 2 above if you have been noted bythe IAS that you aro curently subject o backup withholding
‘because you have faled to ror al intrest and dvdanda on Your tax totum. Fr oa tata vaneaoion
tom 2 does not apply. For morgage
interest paid, acqubsiton or abandonment of socured property. cancalation of debt, contbutlons to an indvidual element arrangarent (RA), and
general, payments otter than itrostand dividends, you a8 not quid to sign the certification, bul you must provide your correc TIN, Se the
Instructions on page 4
Sign "| signature ot
Here | USrerson>
Dato
General Instructions
Section reterenees are tothe Inlemal Rovere Code unless otherwise
oto
Purpose of Form
parson who fe roquited to fe a nfrmation tun eth tho 2S must
‘obtain your corroct taxpayer identifaton number (TiN) to rapor or
‘exampl,incams pad fo you, eal estate rensections, mortgage florost
you pal, aequistton or abandonment of secured proparty, cancalalon
f cobt, or contibution you mace to an IRA.
Use Form ¥.9 only you we @U.S. person feuding a raidont
aay, to prove your sorrct TIN tothe peroa requesting It he
Tequeste) and, when applicable, to:
1. Cory thatthe TIN you are giving correct (or you sve waiting fora
umber tobe eeiod),
2. Cortiy that you are not subject to backup withholding, or
3. Ciakm exemption fom backup witolding you ar a U.S. examot
payee. appleabl, you are aaa eortiying that as 2 US. person, your
llocebe sho of any partarship income from a U.S. Wade o business
isnot subject to the withing tx on foreign partners share of
lective connected neome.
Gt Ro.
ote. request aves you a frm oiher then Form W-2 to request
your TIN, you must use the requester’ frm fis substantial ser
Xe thio Form Wo.
Definition of U.S. person. For federal ax purposes, you are
‘conskdered U.S. parson Ifyou ae:
+ An individual who fsa US. citzen oF US. resident aon,
+ Aparinsestip, caporation, company, or association created or
‘organized in tho United Stato or under tho ws ofthe Urled Sates,
+ Anette (lher than a forelan estat), or
+ A domestic tus (as fined in Regulations section 201.7701-7)
‘Spectal rule for partnerships. Partnerships that conduc trade or
‘business inthe United States are general required to pay a wthhctang
{axon any foreign partners’ share of income frm suah business.
Further, incerta eas whore Form W-9 has nat buon ecoWved, @
partnardhip fs requred to resume that a partner i. forlgn person,
‘and pay the witeing tax Therefor, you are a U.S. person that fs a
partner na partnership conductrg a vada or bushess in tie United
State, provide Form W.9 tothe partnership to ectabish your US.
slau and avd withholding on your share of partnership come,
Fam W-9 fi 12201)