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efta-01362843DOJ Data Set 10Other

EFTA01362843

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efta-01362843
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Form W '''9 (Rm. ocarierene Navin* of the Own( Nun Range Santa Request for Taxpayer Identification Number and Certification Civil Form to the requester. 0o net send to the IRS. ni ; .;.li. ! t S p a t soo, * 0 s z c , E t to a I Nam as sawn on yew Inecene lax worn} Nome :4 a °quirt", on This lint. 00 not tem ,Mt Inn blank Southern Trust Company, Inc. pum a ma namereistegardoci enely Ire, Nallorenf Item above Southern Financial, LLC 3 Crack *egoistae O lnenagli5,350 shyomenber O Untied Malfit tort a brogbalictibel Ow Ia ounlecterm box ter Wen lax otaaellhagon: OW on a.. el the tonotrIng swan ton= groan et ❑O 0 Caverebe 0 S Canteen O Panne-We O Tne-Vesiato U..0 'compsy. Iola the tar ciamaketka PAC oceporattn. SeS corporation. PaparacrahhOP tic WI 4 C.3:0904130, se net enek LW; rhea he appnen3le box D the raban3 for lhO sign mamba/ CFACIf. 4 Exemption gas° anteogrEiter31 EA anti payee bemPtic" coda et my) 64.0.. ex vannhavaniorvavo (codas aceit Otto fee eon et ash keen FATCAnPerni Ill pow foto InstnaoroP• ...vat 5 11/454•333 (nUelber•Onet. and sp. ceaes tied 6100 Red Hook Quarter, .B3 Requesara mete and addiff4 amino/ aCity. stilt snarl'? cot* St. Thomas, USVI 00802 7 Ust account maenad Nee leptieral :Pa -t c Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box:therm provided must match the name given on tine 1 to avoid backup withheldIng. Foe tide/ duds. IMS Is generalty your social security number (SSN). However, for o resident alien. sole plOcat0f, or dtcreganled entity, sea the Part I Instructions on paged For other amides. It Is your eMployerldentIDCOUOCI number (EIN). If you do not have a number, see How CO 911! TIN on page 3. Unto. If the account Is hi mote lhan one name. see the Inaltuollons for line I and the chart on page 4 lot guldenes on whose number to enter. God* unynumber or Rendes& Identification number alb 0 7 7 9 7i; Certification Undo/ ponaftles oI perjury. leen& that 1. The number shown on this form Is my WOOS taxpayer identification number (or t am waiting (outnumber to be VMS to me) and 2. I arn not sugect to tedittp withhtheing because, (a) I ern exempt from backup withholding, a Mitt/Ivo riot been nothied by the Internal Raven.* Service fit/St that I ern subject to backup withholding as o /mat of a Wily!a to facial ell interest or divklends. Of the IRS has notified no that I OM nO longer subject to backup velthholenth and 3. I em a U.S. citizen or other U.S person (defined Wont and 4, The MICA coding entered on tNs form W any) indicating thole/a exempt from FATCA reporlinolscarect. CartHleadan LnatructIons. You must cross out Rent 2 above If you have been notified by the IRS that you we currently subject to backup sidithilIng because you have failed to report shinier/al end dividends on your tax return. For real estate hansackons. kern 2 (loan not apply. For trion0.96 interest paid. acquisition or abandonment of secured property. cetneellation of debt, cOntributiOn3 loan haviduel Munn! arrangement (MK end generally. payments other than Interest end dividends, you ere net required Wean the cerliCostiort, but you neat goads Your correct 11N. Seethe instructions cm doge 3. Sign Hero SIgnalure el US. porton► General Instructions Seaton telOtelbes 010 le the bon' Flower 0300 Unbent Otherwise noted. Future davelOprnenb. Inter make and awelooments anectue Form W.9 (nth as agistabn enacted *nor we release igi s I I tort...input/W. Purpose of Form An frollyktue; Or any (Form W-9 'Daunted en is imp:ye 10 Do an intention rttsn wkh the OX.Itnat obtain yea cerroet to Wave losolteabon umber 1DM *nth "thy bows sor-bi (00-erf manta PSNOellidual taxpayer identaitatron number prin, adoption tamayor tOinielcellon Dauber OM or emSayel dendficalion Marto: (En to report on an Inhanadon rotten ineamowtt paid le you, or she anoint reportable an on DIcarnaeCct return. Example, or Informatan nuns eclat. but ore net linked to, the loaner • Form 1099-IN! (edam amen or pad) • Fort icied-DIV (thisenco, hoaxing those ham node a mond West • Fenn 1099•MISC furioustypos of Income, prim awan. or onte3 precoech) • Fenn 1099.0 Ono* or mutt e fund Ste on anal OS trareactions by broken) • "coo 1039.S owned. from red estate Uareadlond • Form 1099-K (montane cad and tiled pasty network ranractlats) este Ida0L901* • Fenn %ea a'cm'e mortgage Neese. nett "dent lean snag. flYST (tuktorn • Form 1099.0 Panned (so • Form i099•Agerariatin et &Wm:err:lent of mewed Property) Use Then Wei orkft you we a U.S person Padua% a resdeni 0 04 00 rgaVloe yaw *wool TIN. drarob nor mom Foam Vi-9 so me neensity wk., • MN, stu Mentes rope to becatanirthokang, See Mats soap niabokerd? on page 2. By sQtq to leadout loon you: 1. CerVify ewe the Tor you are ono Is owed lor you aro *Wing barman to be bough. 2. Coney that you an not sung to beekuo wencher**, ow 2. Ctirn manglon ham backup milleldlog If you ent a U.S. aueret payee if appease you are 640 Cenlyhg Meg meat person your allombh awe of any pornorolp 'room* Porn a U.S. trade or aunt b not oi•Ofoof a he watmodirg tax on Wean MOW tat Of elfvelhobe cuaiedod le4014. at 4. Cagy mat FAT CA onart need nab Ion ef ere helical% hit you Na Mutat from Via FATCA teronhg. acanc. Soo Mot a MICA topenni?on WW2 tor bier hformation. Ca. No. 10230( Form W-9 (Rot 12-201q CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0052492 SONY GM_00198676 EFTA01362843

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