EFTA Document EFTA01298083

Fenn W-9 (Rev. ~2013) Depennwit d tee Tree«, lartl Arena Sera« Request for Taxpayer Identification Number and Certification Gin Porn tott« nag ante. Do not und to th• IRS. d 1 C ° !I I ,.,, . 2 (13 Nuns («ram, on you- Mm kos /am) Southern Financial, LI.0 ~re rerridolaregerded raw en a drat from to« Check stiroorate bore fot «dealt« clanikiettor 0 indocili ty.* ~ea DeGroote.« 0 6 Ciorporellen 0 PØ Chlualeeree K Lc'.... Unit« «Salty corn Enter fa tat deseillandr,fese ~Ica 13.4 capontkn, elsorteereht9 C Other two Inoue.") le le S Exempekne Era« «Yee Execration cod•Of any) (e•• ketrunknak otida 01 illal Iran FATGA npor.« AA!~ p9Ø,area. end opt- or arena) IMO Red Kook Duarte BS Ritoparteme rams end salmi (iatkedi ay, nett ZIP Mal MI 00802 end St. Thomas, tat errant «abo(e) tare «ogre. Log Taxpayer tcluntlfication Number (i1N) Enter your TIN In the «prop:ate box. TS, TIN provided mud match the rearm given on the •Name' line to avoid backup withholding. For Individuals, titler is your «del security number ($52). However, for • reeldeM alien, sole proprietor, or diaregarded onlity. me the Pat I Instruction. on page 3. For other omtina it lc your employer kientMcatbn number (Elk4 M you do not have a number, tee How to get • M on page 3. Notre. If the account le in me« than one name, en the chart on peg* 4 for guldeMnres on whose number to enter. Solel «aunty neite Ens keys Iddinalketkri numb tat Centlfization Under penal«« of perjury, I certify that 1. TM number shown on this font, Is my correct taxpayer Identification number (or I am waiting for a number to be Issued lo ins), and 2. I an not subject to beckup withholding bean: (Siam exempt from backup withholding, a (b) I have not been notified by the Internal Revenue &ask* (IRS) that ern subject to backup wlthhoiding as a reouh of • failure to report ail Intr.« or dal:kind& or (c) the URSA,* notified me that I an no longer *object to backup wIthholoing, and & I am • U.S. oØ or othe U.S. person (ddlned below), and 4. The FATCA *Ode(*) entered on this form (M any) Indicating that I an exempt kern FATCA reporting is comer. Cettlfkation katuellons. You must Grose out 2 above if you have boy% «WOW by the IRS that you are currently subject to backup MINIM: NV bemuse you have fined to repot WI Infonaut end Wends on yourjax. return. For real estate tramuctIons. hem 2 does not apply. For mortgage Intend Paid, «par.« or 6n ment of secur property ,colloolistIon of debt orthibuttons to an Individual retirement turengentent (IRA). and generally. payment* other ten« and you me not required tosIgn the certification, but you mast provide your correct TIN. See the instructions on page 3. Mfirt senate es Neiel Uxt. preen e. General Instructions -- tietekn refennom re to te tam] Revere Code mine ahem« noted. Fa« developments The IRS la created • pep• on Mgr for liontko aa Fam W-9. et WAN?. if, 4)0064 , «flew «out err Mum ohmelccocente Shaba Fam (Ouch es aeration emoted ata rearm Neill be posted mFnpWe- Purpose of Font A person who le rested to lee at bearnatbn man wi« «ale neat «tab wa correct noon, idrecrial ono MN to Mood, fa eons« hØ pdd to Ku. ~metemodeto you In ealonent of pawners or end JAW party network eleneerant, red Sete eeneerfons ~Ago* intred young ender« a dandorlitiont d wowed property. ~Son of debt, or csontrbulkne you needs to en MA. Use Fars W-9 any/ Øre • U.& person (naming •reilder4 Monk to prose yea coma TIN to the «neon requsetina tre rare« end. when eppikatile to 1. Genie/ tat the 119: wore 0410 M ca red Yre YOU we eating kr • arbor tot» «mg, 2. Cory Val you ere not «elect to teas. wiltokeng.« 3. Clem ~from ~Sup «Nakano I you ra a u.S. ~pi pay°, a eraceb« you re Leo ~Wino that se • U.S. person. your «oat% e/use pertnen4 inane from • U.S. side or biehoes Is not abject tots Ø. 9- 3- ( -a trtheking than berg. pertmes' ton <I ~comb, combated indony and 4. Catty.« FATCA «de« eared on«, farerap seie le.oettio «et Wu as stem from the FATCA renatIng, cared. Note. If you en. • US. parson «deep's.« eat« you • ken «her Men Form W.9 to recast ~TINy you mat rat nqueeters kern a I le ~flay era« to thia roan W4. Defrilion stalk& Issess. Fa Went ter pupae, you on ~fled • U.& pre« a you WE • An Ørar le • U.& Olken or U.S. ~am an • A perffina. ~conk" compa-y. a ~wan mad a wind h IPA United Stet« a under the laws of tie Unit« Stet«, • An «we (atar Merr a lor~ gag. a • A dogmata mat Ose da bal h Reguletkra actin $31.2701-1). tosokel See lot peirtnerelipe.11ertnenkie «et omduct a tale «buns, h the Ur« Sores en generetiy raga« to pay aWBistag lax order «aka 1446 al any foreign pubes' dam of dfactirely ortneded bribes nor« tarn rah burrs. Fortes, hoorah armtante a Form W4 has not been reared. the rules miler earl« 1446 rota« a pertnereNg to ran« gig esker le • foreignper" end pay the section 1446 wit/holdno tex. messes, If you we • U& person Ow Is • partner el • penmet« conducting • «de a huge« has United~ arcade Fonn W-9 to tie ~ere* to «Sabi« yore U.& area a nd avoid doeikil 1446 withholding al your shin of pet~il Ø. Oa N. 10231X Fant W-9 err. S-2013) SCINT_Ghl_00062037 CONFIDENTIAL - PURSUANT TO FED. R.QP .N,F I D ENTIAL DB-SDNY-0024862 EFTA 00172547 EFTA01298083