Farm W-9

Farm W-9 Department Glee Timex" keener Peenue Seisms Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name ias shown on your trtChhe :ate reran; Business namedieregarded entity name. if different from above Check appropriate box for federal tax classrfceion- O ,„,,,„,,,,„„„,,, propr,„ or O c copormc. O s cnner,auc., Li Partnern- ip O D Limited liabrAy company. Enter the tax dassifranan (C=C corporation. SS ocrecration.Pr.partrership) O Other (see as-gut:Wrist • Tnirdestate lh Exemptions Exenv Payee Exemption coda el any) (see nstructionse code (A any) from FATCA reportrg AddreSS (Minter. street. and apt or suite nO I Requesters name and address tookonad City, state. and ZIP code List account nutmeat here raptorial) Part I Taxpayer Identification Number (TIN) Enter Our TIN in the appropriate box. The TIN provided must match the name green on the "Name" Ire Social security ntereer to avoid backup vnthholdng. Fa individuals, this a your social seventy number (SSN). However. for a resident alien, sole propnetor. Or diSregarded entity, see the Part I instructions on page 3. For other entities. It is your employer identification number lEIN). 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. I Employer elentnication number Part II Certification Under penalties of perjury. I certify teat: I. 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 I am not subleSt to backup withholding because: (a) I am exempt from backup withholding, or lb) 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 tenger subject to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reponing is correct. Certification instructions. You must cross out item 2 above it 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 return. For real estate transactions. item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation 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 :nstructions on page 3. Sign I SgpletUre Of Here c u _ oerson Date. General Instructions Jo untEgS otherwise fluted Future developments 'b., 4.ar on IRS gOv for information taut Form W-9. at www its gpisior nfvecnatOn about any future developments affecting Form W-9 fare, as legislation enacted after be relents th we be posted co mat Page Purpose of Form A OersOn wino e, fogad Od to foie an tilormabon return with the MS met obtain you correct taxpayer dentItCabOn number IN) to report. lot exempt*. income pact to vou, payments made to you n settlement of orient cad and third party network transactions. real estate tu•Sactiond mortgage merest yOu pan, acquisition a atondonmera of secured PrOPerty. Canceesson of debt or contribuhre you made to an IRA Use Form w-9 eery if you as a U S person tincture a resider'[ alien). o provide yes crect TIN to me person rectum-we a WV reclueStee and. wren amicable. to. 1 Certify that the TIN you are rang is correct (or you we waiting for a further to be issued). 2 Certify dial you are not subject to backup wallesefing, 3. claim exemption from backup wahhoeng a you me a ti S exempt payee If sefocable. you are to certifying that as a U.S. person. yese allocable share of Pannenno income tram a u S trade or business is not SUOteC110 the wfthhokling tax on foreign partners' share oleflettively connected income. and 4. Certify that FATCA coders) entered on the form /it eny1indiCalrng that yOJ me exempt from the FATCA reporting. is correct Note. If you are a U.S. person and a requester gives 'muse:4m other than Form 'N-9 to request your TIN. you must use the requester's form it e is substantially similes to the Form W-9. Definition of a U.S. perfect. Fa federal tax pumoses. you are consi0ered a U.S. persona yOU are' • An neltvadual whO is a U.S. citizen or U.S resident alsen • A partnership. CO, poelbOn. COrnPany. Or aikinciatiort created or organized n the Urged States or under the laws Or the United States. • Ni estate (other than a foreign estate). a • domestic vire ;as oared n Root:rations section 301.7701-4 Special rules for partnerships. Pannersnos that conduct a trade or forams n the United Stales are generally requred to pry a Mttholding tax under section 1446 co any 'amen partners' snare Ol etledtteh corrected taxable ...come from such business. Further. n Cedar Cases where a Form W-9 !es not been reCeNel the rues inoer section 1446 require a partnership to presume !isotope:Met is a foreign person, and pay the section 1446 erthhOkleb tax. Therefore. if you se a US person that is a partner n a ormersno conducting a trade or business in the United States. provide Form W.9 to the demesne to establish your US. status and avoid SOCbon 1346 withholding on your snare of partnership income. Car No 10231x Form W-9 'Pe, B.2013) EFTA00301200