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efta-01448847DOJ Data Set 10Other

EFTA01448847

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efta-01448847
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EFTA Disclosure
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Form Ift1-9 fie% December int1) Oeportment a/ th, Treesay Norma RevenueSeirke Request for Taxpayer Identification Number and Certification Give Fonn to the requester, Do not send to the IRS. I 0 i 0 r .7 Name ras shown on your hams tax ream) The Haze Trust Business rianardisregerded (way name, a dlderera amebae* Check sppropriele box for Iodine tax clesslricedon: 0 lorliikluslarole proprietor 0 C Corporation 0 s Corporation Pertnershp [El Trutt/sets* Limited Salary carpany. Enter the tax daselficatIon (C-.0 capotallon. S=S ccepOtatkn. P-41/01010IdiP) II" Othis Sow hotrod/cm)" 0 Exerrot Payee Requester's name and address (options Address inurber, street, end*. a sae no.) 6100 Red Hook Quarter B3 Cary, sane we ZIP code St. Thomas, U.S.V.I. 00802 Lai concert rarreier(s) here freakier) Past I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Names line I Social security nun* to avoid backup withholding, For individuals, this le your social security number (SSft. However. for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to gets 77N on page 3. Note. If the account is in more then one name, see the chart on page 4 for guidelines on whose number to enter. Employer Identalcatice number 3 7 1 S 4 1 4 Part II Under penalties of perjury, I certify that 1. The number shown on this form is my correct taxpayer identification number (or Ian waiting for a number to be issued to me). and 2. I am not subject to backup withholding because: (a) l am exempt from backup withholding. or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure 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). Cartflattion Instructions. You must woes out Item 2 above if you have been notified by the IRS that you ere currently subject to backup withholding because you have failed to report WI Interest and dividends on your tax return. For real estate transactions, hem 2 does not apply. For mortgage interest paid. acquisition or abandonment of secured property, oencellation of debt. contributions to an individual retirement arrangement (IRA). and generally, payments other than interest and dividends, you are not required to sign the certification but you must provide your correct TIN. See the instructions on page 4. Sign Here Certification 11110natur* % Tr--)C.CA Cf...A..-1/4 V %.(- A General Instructions Section references an to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who le required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, Income paid to you, real estate transactions, mortgage interest you paid. acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only ti you we a U.S. person (including a resident alien), 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 we 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 income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. 3 Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form f it le substantially similar to this Form W-9. Definition of a U.B. person. For federal tax purpose:, you are considered a V.S. person if you at • 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 partnerships. 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 sedan 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 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. 10231% Faro W-9 (Rev. 12-2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SONY GM_00250183 DB-SDNY-0103979 EFTA01448847

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