Case File
efta-01480056DOJ Data Set 10OtherEFTA01480056
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Unknown
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DOJ Data Set 10
Reference
efta-01480056
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1
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0
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Fenn W-9
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the Treas
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Rewi
Sery
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
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Taxpayer Identification Number (TIN)
Enter yost TIN In the appropriate box. The TIN provided must match the name given on the 'Name' line
i Social swath number
to avoi0 backup withholder°. For individuals. this Is you social security number (SSN). However. for a
resident elan, sole Pornsfor, or disregarded entity. see the Pall instructions on page 3. For other
swathes. k is your employer Identificahon number (EIN). It you do not have a number, see How to get a
-
-
TIN on page 3.
Note. If the account IS In mere than one name, see the chart on page 4 for guidelines on whose
number to enter.
Employer Wentificseon umber
Part II
Certification
Under penman of perjury. I certify that:
1. The number When on this form is my correct taxpayer Identification number (or I em walling for a number to be issued to me). and
2. lam not subject a ',ICAO vittrtROWIRR because: fa) I em exempt from backup withholding, or (b) I have not been minted by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a resat of a failure to report 0ll Interest or dividends. or (ci the IRS has notified me that I am
no longer subject to backup withfrOleng. and
3. t am a U.S. Olken or other U.S. person (defined bekow).
Certinc.ation Instructions. You must a
because you have failed to report
interest paid, scqutsstion or aba
generagy. esymems other the
intimationsonpage 4.
Sign
Here
t item 2 above it you have been notified
the
that you are currently subject to backup withholding
dividends on your tax
estate tronSactIons. item 2 does not apply. For mortgage
ed p
debt, contnbutions to an Individual retirement arrangement (IRA), and
ere nol required to
certification. but you must provide your correct TIN. See the
Uensta is et
U.S. ;seen',
0ete e
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who Is retailed to lee an information ream with the IRS must
obtain your correct taxpayer tartar-anon number (TIN) to report. for
Waredle. Income paid to you. real estate transactions. mortgage Interest
you paid. acquisition or abandonment of secured property. cancellation
of debt or contributons you rnade to an IRA.
Use Form W-9 only a you woe V S. pram (ndud frig a resident
Olen). to Provide ycur correct TIN to the person requesting II (the
requester) and, when applicable to:
1. Certify that the TIN you are giving Is correct (Cr you we waiting for a
number to b0 issued).
2. Certify that you are not subject to backup withholding. or
3. Claim exemption from backup wIthhOldira If you are a U.S. OxeMpt
payee. If applicable. you are also cendyng that as a U.S. person, your
allocable share of any oartnershp Income hom a U.S. trade or buskins
Is not subject to the withholding tax on foreign partners' share of
electively connected moths.
Note. II a requester gees you a form other than Form W-9 to request
your TIN, you must use the requester's lam If 0 is substantially similar
to this Form W-9.
Definition of a U.S. person. FOr federal tax purposes, you are
considered a U.S. preen If you are:
• An Individual who is a U.S. citizen or U.S. resident alien.
• A partnership, corporation. company, or association created or
Organized es the United Slates or under the Laws of the United States.
• An estate (other than a foreign estate), or
• A domestic bust (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 wIthhoking
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
partneteNp is required to presene that a partner is a foreign person.
and pay the withholding tax. Therefore, II you are a U.S. person that is a
panne in a partnership conducting a trade or business In the United
States. provide Form W-9 t0 the partnership to establish your U.S.
status and avoid withholding on your share of partnership Income.
Cat. No. 10231%
Form W-9 (Rev. 12.2011)
Confidential Treatment Requested by
JPMorgan Chase
CONFIDENTIAL
JPM-SDNY-00002104
SDNY_GM 00271302
EFTA01480056
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