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efta-efta00168741DOJ Data Set 9Other

Four W-9

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Unknown
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DOJ Data Set 9
Reference
EFTA 00168741
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1
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Summary

Four W-9 ay. Decent. 2011) Data Flev , of Is Te ap rn Hal inue Sw Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. I 2 i l , (7 Name Ns tax rang ll. "TP reel 154e dikrent rieded Airy fron t shove E 5 Chock epproprhte box for federel tax der asks ri 6., irdratial/eole proprietor O C C.orporetion O S Cotperebon O Penni* O nua,.....te O linked ay company. Erer the tax dreelicetkn (c-C CCIPCfli‘r. S.'S corporaat P •Partneen)* O Car Oa rebuctisnue O E.xerrpi pawn Address (raw. street. ingest a suite no.) , . ,...-% (Of OCI kfi) th ale tAytvier. g9 flequesansneme rad actress (coma ., ay. rate end ZIP cod• i --yr Tit Loa, fl U" 00301-- lit roam numbers here foolknel) Paris I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name line to avoid backup withholding. For indridualsMN is your social security num

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Four W-9 ay. Decent. 2011) Data Flev , of Is Te ap rn Hal inue Sw Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. I 2 i l , (7 Name Ns tax rang ll. "TP reel 154e dikrent rieded Airy fron t shove E 5 Chock epproprhte box for federel tax der asks ri 6., irdratial/eole proprietor O C C.orporetion O S Cotperebon O Penni* O nua,.....te O linked ay company. Erer the tax dreelicetkn (c-C CCIPCfli‘r. S.'S corporaat P •Partneen)* O Car Oa rebuctisnue O E.xerrpi pawn Address (raw. street. ingest a suite no.) , . ,...-% (Of OCI kfi) th ale tAytvier. g9 flequesansneme rad actress (coma ., ay. rate end ZIP cod• i --yr Tit Loa, fl U" 00301-- lit roam numbers here foolknel) Paris I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name line to avoid backup withholding. For indridualsMN is your social security number (SSN). Hooey, to 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 (EN). If you do not have a number, see How fo gel 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. Rani./ NetilitVranhdr Employer idenencauen ramnbor P 1 r II Certification Under penalties of pettily. 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 0)) I have not been notified by the Internal Revenue Service (RS) that I am subject to backup withholdings a result of • 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 6m • U.S. citizen or other U.S. person (defined below). Crertifketion instructions. You must CFOSs out item 2 above x you have been notified by the IRS that you we currently subject to backup withhokling because you have tailed to report all interestengsfividende on your tax return. For real estate transactions, horn 2 dorm not apply. For mortgage Interest paid, acquisition a abandomant of secunid property, cancellation of debt, contributions to an lndMdual retirement arrangement PRA), and ariefellY. payments other thanyrterest and dividenkle, you are not n u oelprrthe-cantificstion, but you must provide your correct TIN. Seethe Instructions on page 4. Here us.praon/ &9n Sense of/ General Instructions Section references are to the Internal Revenue CAie unless otherwise noted. Purpose of Form A person who is 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 contnbuticns you made to an IRA. Use Form W-9 only t you WO • 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 coned (or you are walling for a number to be issued), 2. Certify that you re not subject to backup withholding, or 3. Claim exemption horn backup withholding If you we • U.S. exempt payee. If applicable you are also certifying that se a US. person, your allocable sham 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 borne ( Date e Note. If • requester gives you a form thanForm W-9 to request your TIN, you must use the requester's form If It is substantially amity to this Form W-9. Definition of a U.S. person. For federal tax mimosa, you are considered a U.S. person If you re: • M individual who Is a U.S. citizen or V.S. resident alien, • A partnership, corporation, company, or association created or organized In the United States or under the laws of the United States. • Mn estate (other than • foreign estate), or • A domestic Met (as defined in Regulations section 301.7701-7). Special See for partnerships. Partnerships that conduct a trade a business in the United States are pinerelly required to pay a withholding tax on any foreign partnere' share of income from such business. Further, In certain cases where • Form W-9 has not been received, a partnership's required to presume that • partner Is • foreign person. and pay the withholding tax. Therefcredf you re • U.S. person that is a partner in a partnership conducting a trade or business in the United Slates, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income Cr No. 10231X CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e). ram W-90ire. 120A1) DB-SONY-0000120 USAO_001084 EFFA_00018994 EFTA00168741

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