Text extracted via OCR from the original document. May contain errors from the scanning process.
Form W-9
(Rev. Deamber 2011)
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Request for Taxpayer
Identification Number and Certification
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requester. Do not
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Part I
Taxpayer Identification Number (TIN)
Enter your TIN In the appropriate box. The TIN provided must match the name given on the 'Name' line
to avoid backup withholding. For lixfividuale. this Is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, seethe Part I Instructions on page 3. For other
entities, it is your employer identification number (FIN). It you do not have a number, see How to got a
TIN on page 3.
Note. II the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
LAM
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number forlorn watirg fora number to be issued to me), and
2. I arn not subject to backup withholdingbeoeutie: (a) I am exempt from backup withholding. or (b) I have not been notified by the Internal Revenue
Service (IRS) that I rim subject to backup withholding as a result of a felucca to report all Interest or dividends, or (c) the IRS has notified me that I an
no longer subject to bacicup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions. item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, ciontributione to an Individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your cornet TIN. See the
instructions on page 4.
Sign
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General Instructions
Section references are to the Internal Revenue Code urges. otherwise
noted.
Purpose of Form
A person who is required to We 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 paid, acquisition or abandonment of secured property, cancellation
of debt, or contributions you made to an IRA
Use Form W-9 only If you are a US. person (including a resident
alien), to provide your correct TIN to the person requesting it (the
requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Clelm exemption from backup withholding it you are a U.S. exempt
payee. If applicable, you are also certifying that as a V.S. person. your
allocable sham of any partnership Income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively Connected income.
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Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's form if it is substantially similar
to this Form W-9.
Definition of a V.S. person. For federal tax purposes, you are
considered a U.S. person if you ere:
• An individual who is a U.S. citizen or U.S. resident then,
• 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 trust (as defined in Regulations section 301.7701.7).
Special rules for partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax on any foreign partnere' share of income from such business.
Further, in certain cases where a Form W-9 has not been received, a
partnership le required to presume that a partner is a foreign person,
and pay the withholding tax. Therefore, if you are a U.S. person that Is a
partner In • partnered* conducting a trade or business in the United
States, provide Form Wig to the partnership to establish your U.S.
statue and avoid withholding on your share of partnership income
Cat No. 10231X
Fe:m*4103ov 12-2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0043752
SONY GM_00189936
EFTA01357299