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efta-efta01392882DOJ Data Set 10CorrespondenceEFTA Document EFTA01392882
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Form W-9
Mar. Decernber 2011)
Dopelnwe of the Treaty
Morel Aran« Senior
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS-
t
if
11
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Receesters nem red sorsa (opricoe)
Part I
Taxpayer Identification Number (TIN)
•
Enter your TIN In the appropriate box. The TIN provided must match the nas' glee« on the 'Name fine
to avoid backup withholding. For individued, this b you eocial security number (SSW). HOWIN0f, for a
mordent Oen, sole proprietor, or diaregamed entity, see ere Pert I instruct:ens on page 3. Fur other
entities, it is your employer identification number (EIN). If you do not have a numt*Cilee How to get a
nN on page 3.
Note. R the account ie ti more thm one none, see the that on page 4 for guidelines on.hivives
number to enter.
•
Soda wanly numb*
Ulan
Certification
Under penuties of penury. I certify that.
1. The number shown on this form is
taxpayer Identioation «ober (or I ern waiting fora ranter to be Issued to me), end
2- lam not subject to backup withholding became: (a) 1 anketempt Merit backup withholding, a (b) I have not been notified by the Internal Revenue
SeMoe (IRS) that tam subject to backup withholding se Italia of a *lure to report all Interest or dividends, or (c) the IRS has notified me that I Mn,
no longer abject to backup withholding, and
3. I ern a U.S. citizen or other U.S. peon (defined 1:4frlori).
Canso bon inetruatena You meet cross pd ilim."2•above M You have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report WI altered* dMdentle on your tax nsturn. For real estate transactions, Item 2 doos net apply. For mortgage
interest paid, aequishion or abandonment of s
probily.eincellatIon of debt, cootributions to an individual telinerneint amingernint (IRA). and
generally, payments other than interest end dividd
you ire not required to lignite certification, but you mot provide yaw Smoot TN. See the
Instruction* on Pege 4.
Sign
Sanaa* et
/
Here
us. pew
General Instrudtions
Section re trances are to the Internal Revenue Code ides Othenda
noted.
Purpose of Form
A anon who le roared to the an information return with the IRS mutt
obtain your come « taxpayer Modification number (TIN) Ic report, for
exempla income paid to you, real estate traneactione mortgage interest
you paid. acquisition or abamkoment id saved pntparty. cancellation
of debt, or contributions you made ton RA.
Use Form W-9 only if you are a U.S. person (including a resident
alien), to preside your oorrect TN to the Demon requesting h (the
requester) and, when applicable. to:
1. Certify that the TN you we 0vong is correct (or you are waiting for a
number to be isstra),
2. Certify that you are not subloct to backup withholding. or
3. Claim exempton from backup withholding it you are a U.S. exempt
payee. If applicable. you are alto carrying that as a U.S. pe•5011, your
amide ahem of any partnership Inonme from a U.S. trade or wanes,
is not (abject to the withholding tax on foreign partners' share
effectivety connected Income.
twot-2a-13
,. Note. If a requester pleas you a fa no other than Forrn W-9 to raped
your TIN, you must use the requester's torn It It is substantalty diner
to thle Form W-9.
Definition of a U.S. parson. For federal tax purposes, you an
considered a U.S. person Ill you art
• All hid/vides/ who le a U.S. citizen or V.S. resident alien,
• A partnership, corporabon. company, or associabon crested a
organized In the United States cr under thelaws of the United Stake,
• An estate (othor than a foreign estate), «
• A domestic bust (as defined In Regulations section 301.7701-7).
Special mks for partner•Nps.Partnertifilpe that conduct a bade a
buckle« in the United Stable are generally required to pay a withholding
lax on any foreign pertness share of income horn such business.
Further, in certain cases when a Fonts W-9 has nee been received, a
partnership o required to presume that • partner is a foreign person.
and pay the withholding tax. Therefore, h you are a U.S. person that ito a
partner h a partnenthlp conducting a trade or business in the Unified
States. provide Form Wi9 to the pertneNhip to establish your U.S;
(status and avoid withlsoklaig on your share of partnee-ship income
Ca No 1023IX
Form W-9 Rev 12-2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0098178
CONFIDENTIAL
SDNY_GM_00244362
EFTA01392882
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