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efta-efta01298638DOJ Data Set 10Correspondence

EFTA Document EFTA01298638

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DOJ Data Set 10
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Fain W.9 (Rev December 2011) ed. apeman a so mean antral R Sarno. Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. & a 0 ° S 1 i 0 I Nene fel shomemow g1COM etajax t rthrft - -fei.N Banns otila Lem dalete torn above falitle t t d MA) 1) ' spy tnolocka gr Robe •box SVIStalf140 . for federal tat clumacatka ClEximpt purrs pouring? U C Corpcnten 0 SCorocrecon 0 istnnentip 0 Trustresurie Enter en dessificeticriree Sr P4WIMOIMS. NI tares &bay oormany. tax corner; --S OXPOrlinn _sass.. ......................... Othle 44)• Add rev. bleed, t, ..I.L.RI5 al no k 0 VAti 8 1$ Fleas/Ws nes and amnia (onto* etc. elate. wid.Z. ZIP code Tics,ii 4 5 IA vi oc;c502...„ Lie noon numbiels) two looticon Part I Taxpayer Ithenbficatiott Number (TIN) Enter your TIN in the appropriate boa The TIN provided most match the name given on the 'Name' line to avoid backup withholding. For individuals. this is your social security number (SSN). However. for a resident alien, sole proprietor. or disregarded salty, tee the Part I instruct:ins an page 3. For other entities, it is your employer identification number (FIN). N you do not have a number. see How to gore TIN on page 3. Note. lI the account Is In more then one name. see the chart on page 4 for guidelines on whose number to enter. Enthieyer klenaratten manlier IMUL Certification Urder penalties of perjury. I certify that: 1. The number shown an this loan is my correct taxpayer identification number (orient 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 withhokling or (b) I have not been notified by the Internal Revenue Service ORS) that I am subject to backup withholding re a result of a faiure to report a interest or dividends. or (c) the IRS has notified me that I ern no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. paean (defined below). Ceortflestion instruceons. You must cross out Item 2 above if you have been notified by the IRS that you are currently eubamt to backup withholding because you have failed to report all Wrest and dieidende on your tax Mum. For real estate frantaations. nein 2 does not apply. For mortgage Interest paid. acqubilch or abandonmentotmoured property, cancegatkin .debt: Contributions to an indniclusl retirement anngarrient (IRA), and generay. payments other than Interest end dkidends, you are not to sign the certification, but you must provide your coned TIN. See the Insbuction a on page 4. Sign Sienstre or HOT* us. parson • General Instruthions Section references we to the Internal Rover \Cods noted. Purpose of Form A person who is required to file an information Mum with the IRS nwst obtain your correct taxpayer identification number (TIM to report. for marralo, inane paid to you. real estate Pernaction% mortgage interest you paid. &NS:Shinn or abandonment of secured rimer/, ceralloson of debt a Contrthuticen you made to en IRA Use Fans W-9 oaf), if yes area U.S. person (ooluding a resident alien). to provide your sanest TN to the person fe200111019 It (the requester) and, when applicable, to: 1. Certify that the TIN you we gtving is correct (or you we wang for a number to be issued). 2. Certify that you are not subject to backup withhold-g. or 3. Claim exemption horn backup whhholderg if you we a U.S. exempt Payee a applicable. you am also certifying that as a U.S. person. your a/locale share of any partnemhip income from a U.S. trade or business is not subject to the withholding tax of foreign partners' share ol effectively oonnected insane. 1T Debt • 70 1 4/ Note. It a requester gnu you a loan other than Form W-9 to request your TIN, you must use the requesters Icon k it is substantiay mnilr to this Form W.9. DefiNtion of a U.S. person For fedora two purposes, you are considered • U.S. person if you are • An individual who is a U.S. citizen or U.S. resident Wien. • A partnership. corporation. company, or association created or organized in the United Slain or under the laws of the United Slates • an estate (other than a Ionian estate), or • A domestic Not (as defined in Regulations section 301.7701.7). Genial Sea for partnerShiPs. Partnere/lips that conduct a bade or business in the United States am generally required to pay a withholding tax on any foreign partnere share of income born 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 your. a U.S. Waco that is a partner in a partnership conducting a trade or lousiness n the United States. provide Form W-9 to the partnership to establish your U.S. status and avoid withhceding en your share of oartnenthip tea 001. NO. 10231X Form IN-9 (Rev. 12-2011) CONFIDENTIAL - PURSUANT TO FED. CCIN Fe) DENTIAL SDNY_GM_00063546 0B-SDNY-0026371 EFTA_00174054 EFTA01298638

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