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poem W-9

DOJ EFTA Data Set 10 document EFTA01298560

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DOJ EFTA Data Set 10 document EFTA01298560

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EFTA Disclosure
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poem W-9 0ev. December 2011) ouratart of the Turn Internet RewnwiSrayke Request for Taxpayer Identification Number and Certification Give Form to the reqUeeter. Do not send to the IRS. ni 1 6 q 0 I 0 . 1 t a Name (es shown on your beans tax tees aware, Inc. Rabat norne/draregirdrid rum* if defend Fran above Check appropnete box for Word tea classfrottlon. MONO( C Corporetion Ca S Carporellon 0 arenership 0 Trust/estate company. Enter theta cimellicetim (CC osilastion. Bea =Porton. P•Pareurshb) k Examit peyee WICIMOUIM3016 0 limited Ilebetty Cellar bee Instructional Adana Guntur, sent. ended a site no..) 6100 Red Hook Ouarter B3 norm end Wares (qXkard City. stets and Zia cods St. Thomas, U.S.V.I. 00002 Lia aware numbers) here (epitome Igen Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the *Name One to avoid backup withholding. For Individuals, this Is your social security number (SS14). However. for a reeklent alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities it is your employer kkrntification number (SIN). tf you do not have a number, see How to got a TIN at 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. law Certification Under penalties of per)tay, I catty that: 1. The number shown on this form is my correct taxpayer Identification number (or I an waiting for a number to be issued to me). and 2. I am not subject to backup withhdding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue SONIC. (RS) that I ern subject to backup withholding's& mutt of to report all interest or dividends. or (c) the IRS has notified me that I an no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Cerlincieflon Irtstuctorts. You must croes out item 2 above if you have been notified by the RS that you we currently subject to backup withhokling because you have failed to report all Interest and dividends on your tax return. For reel estate transactions, Item 2 doss not apply. For mortgage Interest paid, acquisition or abandonment of secxr4d property, cancellation of debt, ooMnbutione to an individual retirement arrangement PRA), and generally, payments other than interest and 4* you are not required to eign the certification, but you must provide your comsat TIN. See the !remotions on page 4. Sign Here us. persona General Instrudtions Section references are to the Internal Revenue Code w4seenthoWilesti 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 pald, acquisition or abandonment of secured property, cancellation c4 debt, or contrbuticne you made to an IRA. Use Form W-1) only if you area U.S. person (including a resident Ron), to provide your correct TIN to the person requesting it (the requester) end, when applicable, to: 1. Certify that the TIN you are giving is convict (or you are waiting for a number to be issued), 2. Certify that you we not subject to backup withholding, or 3. Claim exemption from backup withholding If you are a U.S. scrampt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership Income horn a U.S. trade or business Is not subject to the withholding tax on foreign partners' slurs of offeollysty connected Income. Social security number /Bole. If a requester gives you a toms other than Form W4 to request your TIN, you must use the regards?, form If It is substantially similar to this Form WA. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person If you ens • An Individual who le 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 that (as defined in Regulations section 301.77014). Special rules for parthareNpe. Partnerships that conduct a bade or business In the United States AM 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 are a V.S. person that Is a partner In a partnership conducting a bode or Isis/noes 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. Cet. No 10231X Fain W-9 ouv.12.2011) SDNY_GM_00063416 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0026241 EFTA_00173924 EFTA01298560

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