EFTA Document EFTA01298044

Finn W-9 (Rey Docents 2011) Departed at the Tansy Farrel Fawns Senior Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. a 1 i oI Airr".0. A "le a.W il ie rwra tr i t oday Ousiness " name, 1 dillaora from Nee. Check ansteltaile boa for lederel tax claestatatico: • IndlAckaaThola secretor O C Corporation O a/us ed shift cowpony. Eno the tax cieseincetim (CeC O Otherbeeinstructionele O Enrage Mu S Corporation • Partnere* 0 7nel/este', SeS PaPerinesNall2sasio 4 corporation. caporeficn. .dc . Ent" .7i:VstM- •r ' ovi.- 5 3 none and address (optional ay. ZiP et,i5, l.P5 vi t9° S°2,- -- .1,4 ity tie acceutt man-.a) here (opt tign Taxpayer Identification Number (TIN) Enter yow TIN in the appropriate box. The TIN provided must match the mama given on the 'Name lire to avoid backup withholding. For individuals, this le your social security number (SSW However, for • 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 get • 11N on page 3. Note. If the account is in more than one name, see the chart on page 4 for guldelnes on whose number to enter. Social wiewity number Part II Codification Under penalties of penury, I ostrty that: 1. The number shown on this form is my correct taxpayer identification number (orient waning for a number to be issued to me). and 2. I am not subject to backup withholding because: (a) I fern exempt from backup withholding, a (b) I have not bean notified by the Internal Revenue Service (ES) that I am subject to backup withholding as a result of a faiure to report all interest or dividends, or (c) the IRS has notified me Matt 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 it 2 above It you have been notified by the IRS that you are currently subject to baokup withholding because you have tailed to report all interest and itt 3 Cent on your tax m. For real estate transactions, hem 2 does not apply. Fa mortgage • interest paid. acquisition or abandonment of secu property. of debt, contributions to an hxlividual retirement anangernent (IRA), and generally, payments other then interest and dividerxis. not required 10 sir the certification, but you must provide your correct TIN. See the instructions cn paps 4. / Sign Signature et 7 Here U.S. person. bailee 9// /5 General Instructions Section references are to the Internal Revenue Code 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 contributions you made to an IRA. Use Form W-9 only It you area U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, whin applicable, to 1. Certify that the TIN you we giving is correct (or you are waitng for a number to be issued). 2. Certify that you are not subject to backup withhoiding, or 3. Claim exemption from backup withholding if you we a U.S. exempt payee. If applicable, you are also certifying that as a V.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. Note. if a requester gives you a form other than Form W-9 to mount your TIN, you must use the requester's form If It is ellbetantittly almlw to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you at • An individual who lea U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the lime of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701-7). Special nabs for partneralips. Partnerships that conduct a trade or business in the United States are genersty required to pay a withholding tax on any foreign partnere' share of Income from such bud:seas 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 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 inane. Cat No 10231X Form IN-9 (Roy. 12.2011) SDNY_GIvl_00061 850 CONFIDENTIAL - PURSUANT TO FED- R.QP .NE I DENTIAL DB-SDNY-0024675 EFTA_00172362 EFTA01298044