Case File
efta-01299080DOJ Data Set 10OtherEFTA01299080
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01299080
Pages
2
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Rem W-9
(Rev. December 2011)
Doceerient of tie ReaSay
Sint nmenue Service
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
a c4
b
. 2
a
Name (act ellomn on your Income tax omen)
Southern Trust Company, Inc
Swam narnneksregardea entity name, if different from above
Check appropriate box for federal tax cassearaticec
O Ind ritherescae proms
O C Corporation
S capordton IJ pannemh.p Li huOVestats
Limited Saheb, company. Enter the tax daSedration (GC corporation. S=S corporation. P:Dannersh:01.
D other beo ristructiongm
Address (number, Meek and mot or suite no.)
I neamsders name and flaws Ombra*
Lim, start and OP code
St. Thomas, USVI 00802
List emote% number(S) here loOtions0
Exempt payee
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name' line
to avoid backup withholding. For individuals, this is your social security number (SSW However. for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
entities, II 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 than on page 4 for guidelines on whose
number to enter.
Part II
Certification
! Social security number
Frn
Employer klenalication number
Under penalties of perjury. I certify that:
. The number shown on this form 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 withholding because: (a) I am exempt from backup withholding, or (b)l have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result Malmo:a to report all 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 must cross 00 item 2 above if you have been notified by the IRS that you are currently subject to backup wIthhoktng
because you have failed to report as interest and dividends on your tax return. For real estate transactions. item 2 does not apply. For mortgage
interest paid, acquisition or abandonment
ured property, cancellation of debt. CantribUt.0nS to an indiVidual retirement arrangement ORA), and
generally. payments other than interest arid dn)rdends. you are not rvyulecl.to sign the certification, but you must provide your correct TIN. See the
instructions on Page 4.
Sign
Meneeme of
Here
U.S.
DM, * 1-.2.-13
General Instructions
Section references are to the internal Revenue •••• cei
ise
noted.
Purpose of Form
A person who is required to Re an information return with the IRS must
obtain your correct taxpayer identification number (TTh to report, for
example, income paid to you. real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property. cancellateon
of debt, or contributions you made to an IFtA.
Use Form W-9 only if you are a US. person (including a resident
then), to provide your correct TIN to the person requesting it (the
requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a V.S. exempt
payee. If appecable you are also certifying that as a U.S. person, your
allocable share of any partnership income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effect.vey connected income.
Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's forme it is substantially similar
to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person If you art
• An individual who Is a U.S. citizen or U.S. resident alien,
• A partnership. corporation. company, or association created or
agonized in the United States a under the laws of the United States,
• An estate (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 Cr
busineSS in the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further. in certain cases where a Form W-9 has not been received, a
partnership is required to presume that a partner is a 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
Slates, provide Form W-9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership income.
Cat. No. 10231X
Form W-9 Met 12-2011)
SDNY Gti_00064626
CONFIDENTIAL - PURSUANT TO FED. R.Q0
I DENTIAL
DB-SDNY-0027451
EFTA_00175129
EFTA01299080
Form
(Rev.
perm
December
oe
ient
intone
W-9
2011)
of the Teeny
ae'.n, Serape
Request for Taxpayer
identification Number and Certification
Glee Form to the
r
s quester. Do not
end to the IRS.
1,
6
I
O
I f,
S
en
Name (as shavn on your income tax return
Southern Trust Company, Inc.
Business namedolsregarced entity name. it delarent Iran above
Southern Financial LLC
Deck eraropeate
O indmaselos
united eablity
O aryl Nee instnec
am for hard tax clesslficetiat
Tnateestate
II' ..--------
—........r
exemptpayee
proprietor
O C Corporation
GI SComoration
■IMF/treatise O
company. Enter the lax clasalcaton (CAC corporation. SAS caPorsean F•Permennk)
sisi a
Address inumots steel.
cry, 03m ale ZIP
St. Thomas, USVI
and ese. of none no.)
rRequesten name and ens (option*
cede
00802
Lia account numbees) here (ootions)
Lam
Taxpe_yer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Marne" line
l Sochi recalty natter
to avoid backup withholding. For individuals. this is your social security number (SSIQ. However, fora
resident gran. sole proprietor, or disregarded entity, see the Pan I instructions on page 3. For other
entities, pis your employer identification number (Eith. If you do not have a number. see How to get a
TIN on page 3.
Note. II the account is in more than one name. see the chart on page 4 for guidelines on whose
number to enter.
Empioyer Identification MOWS
Cr"
"TM
- C1- T
Part II
Certification
Under penalties of PeOurY. I certify that:
1. The number shown on this form 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 withholding because: (a) I am exempt from backup vAthhokfing, a (b) I have not heal notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report as 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 bear).
Certification Instructions. You must cross 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 all interest and Credende on your tax return. For real estate transactions, Item 2 does not apply. For mortgage
Interest paid, acquisition or abandonment.o seared property, cancellation of debt. contributions to an Individual retirement arrangement (IRA), and
generally, payments other than interest and avidends, you are not respired to sign the certification, but you must provide your correct TIN. See the
instructions on page 4.
Sign
I Signatures
Here
us. person*
General Instructions
Section references are to the Internal Revenue C2dtupeess
noted.
Purpose of Form
A person who is required to file an information return with the IRS must
obtain your correct taxpayer identification number mho to report, for
example, income paid to you, real estate transactions, mortgage inter/at
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 US. person (Including a resident
alien), to provide your correct TIN to the person requesting it (the
requester) and, when yellows to:
1. Certify that the TIN you are giving is correct (Or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding. or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S. person, your
allocable share of any partnership interne from a U.S. trade or business
is not subject to the withholding tax on foreign partners' Was of
effectively connected income.
Dan'
1
-13
Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's fain If It is substantially similar
to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you we
considered a U.S. parser, If you art
• An individual who is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company. or association created or
organized in the United States or under the laws of the United States.
• An estate (other than a foreign estate). or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partriershIps. Partnerships that conduct a trade 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, in certain cases where a Form W-9 has not been received, a
partnership bi required to presume that a partner is a foreign person,
and pay the withholding tax. Therefore, if you we a U.S. person that is a
partner In a partnerviNp 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 share of partnership Income.
Cat. No. 10231x
Form W-9 (Rev. t2-2o11)
SDNY_GM_00064627
CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL
DB-SONY-0027452
EFTA_OOTT51.30
EFTA01299081
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