Case File
efta-01581877DOJ Data Set 10OtherEFTA01581877
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DOJ Data Set 10
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efta-01581877
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Form W-9
(Rev. December 2011)
Department el the Treasury
Intemsl Revenue Sauce
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
(.4
S
I.
Name (a sho)r on your Income tax ret.i7,
ttc
Business neme/cfieregerded entity name, if different from above
Check appropriate box for federal tax classWicatiorx
0 Individual/sole proprietor
K C Corporation
0 S Corporation
0
Pannershop 0 Trust/estate
Limited liability company. Enter the tax classification (C=C corporation, S-S corporation, Pe partnership)* C4(5142 jej
O Exempt payee
0
Other (see instructions) b
Address (number. street and apt or suite no.)
6/O0
6040
ok artegit,
City, slats, and ap code
57-:
Thoma-s
US(/
t l eg r
List scooted number(*) here (optiond)
Part I
Requester's name and address (optional)
Taxpayer Identification Number (TIN)
Enter your TIN In the appropriate box. The TIN provided must match the name given on the 'Name" line
l
ocial security number
to avoid backup withholding. For Individuals, this Is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other
entitles, it is your employer identification number (SIN). If you do not have a number, see How to get a
TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Part
Certification
I Employer identMcatIon number
6 _ v, -A9 fi
Under penalties of perjury, I certify that:
1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be Issued to me), and
2. I am not subject to backup withholding because: (a) I 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).
Certification Instructions. You must cross out Kern 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all Interest and dividends on your tax reta.For real-estate transactions, item 2 does not apply. For mortgage
Interest paid, acquisition or abandonment of seared properyeanceltaion of debt, contributions to an Individual retirement arrangement (IRA), and
generally, payments other than Interest and drvidenolsryar are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 4.
Sign
Here
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to file an inform.'
r 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 if you are a U.S. person Qncluding 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 are waiting for a
number to be issued).
2. Certify that you are not subject to backup withholdng, or
3. Claim exemption from backup withholding If you are a V.S. exempt
payee. If appticable, 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.
Sigmas* of
U.S. person,
N.
Date.
/i O
Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's form if It is substantially similar
to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person 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 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 certain 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 area 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.
Cal. No. 10231%
Form W9 (Rev. 12-2011)
Confidential Treatment Requested by JPMorgan Chase
JPM-SDNY-00061329
EFTA01581877
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