Text extracted via OCR from the original document. May contain errors from the scanning process.
Fenn W-9
(Rev December 20in
Department of the Treasury
Internal Rewue Seewce
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
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Nano (as shown on your income tax 'roan.
Southern Trus Company, Inc.
Buiness nanateregarded entity name. if different from above
Southern Financial LLC
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D Limited fobility
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box for wend tax classification
TrusVostate
o
Exantit Payee
proprietor
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C Corporation
0 S Corpastion
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Pa4nership El
comp:fry. Enter the tax classification (C=C Corporation, 94 CC(Poratlal. Pmeortnalinsa)
•
___....—..
Address (number. street and apt. er sue* no)
6100 Red Hook Quarter 83
Requesterenemeand addrew (optional)
City, state, and ZIP code
St. Thomas, USVI 00602
list account numbed.) nere (options)
• art I
Tax • ayer 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 individuals, this is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Pan I Instructions on page 3. For other
entities, it is your employer identification number (Ells0. If you do not hey e a number, see How to get 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.
Sedal sway number
I Dr•ployer klenalleallen number
Part II
Certification
0 7 9 9 1
2
Under penalties of perjury. I certify that:
,. The number shown on this form is my correct taxpayer identification number (odarn waiting for a number to be issued to me), and
2. lam not subject to backup withholding because: (a) I ant exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, a (c) the IRS has notified me that I am
no longer subject to backup 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 it 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 transaction, item 2 does not aeon/. For mortgage
interest paid, acquisition or abandon/tient-4f secured property. cancellation of debt. contrtutions to an individual retirement arrangement (IRA), and
generally, payments other than interest and efividonds, you are not rintired to sign the certification, but you must provide your correct TIN. See the
instructions on page 4.
Sign i s,9,„,1„„,0
Here
us persons.
t\
General Instructions
Section references are to the Internal Revenue Codeon ass o
noted.
Purpose of Form
A person who is required to fire an informatkvi return with the IRS must
obtain your correct taxpayer identilicatiOn number (DM to report, for
exampie, income paid to you, real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property. cancellation
of debt, a contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN to the person requesting it (the
requester) and, when app
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 SUbieCt to backup withholding. or
3. Palm exemption from backup withholding if you we a U.S. exempt
payee. If applicable, you are also certifying that as a U.S. person, your
allocable share 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.
Data
3
Note. II a requester glass you a form other than Form Wii9 to request
your TIN, you must use the requester's form if it is substantially similar
to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. Person 0 you are:
• An individual who is 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 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 partners' share of income from such business.
Further, In oertain 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 U.S. person that is a
partner in a partnership conducting a trade or business 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.
Cat. No. 10231X
Form W-9 (Ftev. t2-2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0049672
SDNY_GM_00195856
EFTA01360974