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efta-01357148DOJ Data Set 10Other

EFTA01357148

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DOJ Data Set 10
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efta-01357148
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Form We iftev, Drcarear 2914 Otertrent twins Ari of e3an Dks atum erms Request for Taxpayer Identification Number and Certification Give Form to the requester. Oa not send to the IRS. cv . 2,0 a ° 0 g 6 .a. w :c E • E i rot ' raffn 7 Nemo fee Shown on yore income lex retard. Herne a roquitodan nee its: do not beve Me bank Southern Trust Company, Inc. 2 Ewan narnakflemeardod emery nein, a deemed from above Southern Financial, LLC a Chick appromrtale bat for federal is classilkatbn: died, on' one ol ihe folicelefo saw bores O C S O IdnivSlualleCa0 prOpreifee ot orpovemo O gee:wa n O pancnthi p O unwed Z' ' aC Nycarnpatry. Enter the fee OsseffinetUel f:.° et.fiefallon. 5.8 deracea5da- P•Pawfwm/VPI Mow Fora snot's-int-meet LLC that h c-srogartke, do not cheek MC; check me appropriale box Ls ex In clerodmotion of me shoe worts cmnw. m in dmor boa Irotructkonst• n K i. L_i flank" o' 4 Exemptions Certain onliiios. bibiNCUOMS Exempt pare bampeon Cade (4 Cod Valdes susearavind (cocias so* ray 40 not Inedetais sea on Pzte 4 comae Of mid kern FATCArmeetb; Um I ab ovef ase tali 5 Addram (sneer. Meet. WM apt erste' Ms) 6100 Red Hook Quarter, B3 Recenter a twee arid eddies fopfcete) I City. sole, arc) ZIP coos St. Thomas, USVI 00802 7 Ust account manta(*) here Open° Taxpayer Identification Number(TIN) Enter your na In the appropriate box. The 11N provided must match the name given on Emilio avoid I node backup withhotrAng. For Individuals. this Is generally your social security number (3SN). However, rem a resident alien. sole proprietor, or dipiegardsd ondly, See the Part I Instructions on page 3. For other entities, It Is your employs.' Ideintlficatron number (EIN). If you do riot have e number, see Now fo gate TIN on paged. Or Nolo. IF the account Is In more than one nano. ma the InsUUCSOn5 fa!In0 I end the chart on gaga 4 tor rEmPloyor Identification number 'fly number -1 guidelines on whose number to enter. Certification Undor penalties of perjury. I certify that 1. The number shown on this form is my correct taxpayer identilitatIon number (detain walling for a number to be (Med to met and 2. I om not suoieci to backup withhokierig because: (a) I om exempt from backup withholding, cr (b) I have not been notified by the Internal Revenue Service (IRS) that I ern subject to backup vA1hh0Iding as a mutt of o Neve to repent 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 ?Mont and 4, The FATCA code(s) enlisted on this form El any) indicating that I DM exempt from FATCA reporting is correct. CarlffIcadon Instructions. You mug cross out Item 2 above If you have been notified by the IRS that you No tyranny subject to backup %engaging beams* you have failed to amen all Interest and dividends on your tax trdUm. For real estate hancaolior.s, Item 2 does no/ apply. For rriOn9a3* Interact paid, acquisition Or abanoonmont of secured progeny. cancelePon of debt, contributions to en frwevkloal talk ernont arrangement gimt end genaratki. payments other than Warm and dividends, you are not requirea to sign the certifca0on, but you must provide your coned TIN. See the instructions On page 3. Sign Hero u.s. Sterarbare pormont orMT General Instructions Section r ice em to the Mwnal Revenue Cade u,l Othenvea MOO Future devoloprminta. Intern-wain about dewlap-nem Sleeting Form W-9 (math as kobteden enacted as we release 't)bia www.fraltoWNS- Purpose of Fonn Ni mdividual Cr on* (Poem W-9 sootientr) an ft rectiMed lo No an Intennetica Maim eth the IRS mat obtern yea correct to loentinattien mambos (n9) with may to your =Le SeOity Inchtduid teems kTenlWat.aeon ternbor OTh1, adoption lama kienalloaten amber fAllte or employer can,lcadon masts( EIS to report M en Intetwirlon reams theamount paid to You. or other amount roportabe on Si kaormatWn Man Examples of trionnatkn ratans ineLda, but ore not Ignited to the follow* • Form 1029-Itir Omens^ era; or paid) • Fenn 1099.0W (sNwends. Maxim those from stab or mutverkeictst • Fawn 109SMISC paten types of Income. pram, ands. ar gross procords) • ram 1099-9 (stook a indket fund sake and cent oat tramactione by broers) • Form 1099.3 (proceeds horn rest estate transztlont4 • Form 1099-K 9nerthant card and Wed party network eansactiOn5) one P /f/j(VlzalliT • haert 1008 (Mete mortgage Unrest). 1090A tawaSent loan Wapiti. t091-T Mien) • Fors 1099-C Monceba elaq • Form 109114 ("twinge/I er Sennckeveent of ceased property) Use roan W•9 ONE if you am a U.S. POMO(' cOttUtthel a Miklant faot fortroldeyotv eommt N. d nu do nor rarum roan W-9 to Om rcqueste wan a TIN. Ate mp1/4 no &bloc; rebores nithrooldind. Ewe 'MWis tur.kup .tithoWtg? on pine 2. By spring as limet-aut lean. vas: 1. Gee* Owl the Ni you am OM NI Is cowed for you era *Mkt, kr a na-ntsw to be Sued), 2. Cen)ty that you ere not outdoes to beam winveuire, 3. Maim escmption from bat wehholdlea ky0a we a US. tempt payee. If tippiteette. you too corarhis awl as a U.S. 'furze year Stable ewe of any Wanted* efeOrrva from a U S, Veda of bus Ittil ,3 not SUCOCt to the wahlioserg tax on Ionian partneve Sure of effeethefi comodod Wean NC 4. Cerny Oral PAl CA coatis) entered on Mb Non of any) hdkrlrgOW you Wo exempt front Ins FATCA teminte, b tarred. Sea 1Vrtat 13 FATCA itweelbit page 2 for fathet Inkomairm Cat No. 10231X Fenn W-9 (Rev.12-2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0043515 SONY GM_00189599 EFTA01357148

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