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EFTA Document EFTA01390351Case File
efta-efta01390351DOJ Data Set 10CorrespondenceEFTA Document EFTA01390351
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Form W
(M. december 2011)
Demme of Selman
mitrrelReurue anew
Print or 01»
See sp,akc ensbvcticres on Pegs 2.
mere (-Ian al yaw mew tax rei um
Southern Trust Company, Inc
Bule« neneteredwdad enter ~Pew«
free Set
Check gottesertete box tor federal tee dasettsolon.
O kiekklueisehe proprietor
C] c cowmen
al • ~Op
0 aermenrip R T441/04,"
CI unties nels'ay
.
company. Enter the tax isessorosehn /CC contoretim. SS coma
NawtreralM .
C
I
O
t
i
r
lea witt~
e
3 b.pt pen.
Mdrees Samba ~l
and sot. w yaw no.)
on DO Red Hook quarter El3
Rerwerplinem• arel manes tOprmp
Cry. new, er4 Zie 0356
Se. 'MOM" USR 00802
Lid exam rwrsteisl twee toralonel
Ian
Taxpayer Identification NumberriTIN)
The
Sowes socurtfYouniew
Enter your 11N In tut appropiale bat.
Tel provided must watch the ~edam on the ~a'
rene
J
to aro 6 bedew withholding. For IndhUttlelf Waft Your sods' NaPrifY meter fSSIO. Mown, for •
r..,
Men, sae prOpiator, or die regarded entry. soe the Pert I bitniCtbra cm page 3. For other
rehire, biz YOU, 4MOIOY4, Idle/nation hUthfer (tin). 11 you do not here a number. see Now to get a
—
i
T-
1
i
-
-
TIN on page 3.
Nett It ate octant Is In more then one name, saw
cl-wt cm page 4 for auk/rents on whoa
number to enter.
-9
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
EM.0714 Wertalealin ereinbar
Ligia
Certification
Under webers of perjury, I Wry that
1. The titres shown on tas form Is my Oran taribuyer (Same cation nsnbe, (alon) welting for a number tO ba Issued to me), and
afore not a0Ø to beckup withholding because: (e) lam exempt Or Deakin) wtthokling, or (b) I have not been notril by the Internal Renate
Service We Menem subjet 10 taiwp withno4o4og mental «ahem:is to report all interest or ditdends, r (e the SS has notified me that am
no longer subject to backup wirnhckling, end
3. I am a U.S. char or Pew U.S. person (0eaned betoril.
Certification Instructions. You must cross ovt item 2 above If you have been rotted by the IRS that you ere current/y subleot 10 teacup enthholgng
because you hew Wog to report all in Weal rer 0Mcliands ai your tax return. For real oast* transactions, nem 2 dawn« 'MY. For mortgage
interest paid, acquisition or abandonmentga
properly, canorbilern of dop, cone/Manna to at. Indy1duel ef
n recentere put), ane
generally, payments other than interest,a6d mr ~Os. your we not rs
3o sortie min
tron, but you west prows your cm« nit See, the
instructions on Page 4.
/
Sign
leserter• et
Here
UAL persona
%sib
General instructions
Section references sn to the terns neven
noted.
Purpose of Form
A person who Is tepurid to be an informed«. MOM with the ms must
obtain your correct taxpayer tatrafkation number (TIN) to tepee" for
Wren*" !Mimi paid to you, real *State trestavn., mortgage Interest
you pad. a00uisttlon a ininctorireene of secured property. oencellatIon
ot debt, or contrtedcre you made to ei IRA
Use Fait W-9 only a you we a US person (induct hg a resident
apery, to pØ
your Øe t TIN to the person requeallng It (the
requested and, when IMPfictitele, to:
1. Certify that the TIN you anrgherig h owed (or you we waning ter a
numb« so be kaue.
•
2. Gently Vest you va n subjest t0 bockup waleceding or
3. Palm exerrodon from backup withhciceng a you ant a U.S. exempt
payee Ir apfrecable you are alp cadging Mal is a U.S, person, your
Road* Owe of any partners)* Please from a U.S. vide or Ouslness
is not etuteRt to the wariceeng tax on foreign ParmerV sham of
ellettbely °Drone:leg iXxxne.
Nolen Master give* you e berm other es Forn1W-9 to request
YOw-11N, you must use tre requtleWs feel If k is sut slanheb åt
54
q this Form bum.
Definition of a US. Penton. For leaflet tlapurposes, yea, ant
• ~Owed a U.S. person 11 you ve:
• An Individual who Ise U.S. cl*em or U.S. raskont alien.
• A Outnership. corporaticn, company, or association coated a
orgenteci in the United Slaw or under the less of ion UMW Stan,
• M estate New than e foreign «tale), or
, • A damesek trust (ea defined InRegulations »Mon 301.7701.7).
Special Mkt for pittrwrrehipe isanneretepe pet conduct a beds or
busiest In the Mad States are getaway NOW 10 pay a elate:adlog
lax on any foreign ~ere
share of Roomer from such business.
Further, in arum cats where • Form W-9 Ira rot been received. a
Pertnerehlp fa requireti to presume that a pryerl e tandem personk
and pay the withholding tax. -Therefore if yob are e U.S price seal is a
pre in e partnorshlp conducting a trade Of ~ea
In the teete0
States. provide Form W-3 to the partnership to istableh your U.&
Status and awed ireerthotcling an your shore of penneriNP name,
Cr. No. 10231X
Fans W-$ pa. 12-20111
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
SDNY_GM_00241014
DB-SDNY-0094830
EFTA01390351
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Phone
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