Case File
efta-01357148DOJ Data Set 10OtherEFTA01357148
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DOJ Data Set 10
Reference
efta-01357148
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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 .
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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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