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Foie,: W - 9
Request for Taxpayer
Om, 0rccm t es 201I)
Identification Number and Certification
Nionftmont of the Treaany
Intenal Renenue Sante
Give Conn to the
requester. Do not
0011d to the IRS.
Name (so Steen on your ;Acorn* of Nalco)
Southern Trust Comps
, Inc
a
ga
&ninon namokfluegreed antay narne7Telatitant ficm above
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€
Check appropriate box for korai tax omen-canon:
O inomdusvaose motto,
O C Corporator,
0
S Corporation
O netre.h.,, O Tent/ego.
Q United Meaty company. Cele( the tax dantacation ;cc corporation. SS corporation P.r.parineiselp)1.
------__
Other ON instrUctMns)/P
—
Ennio payee
sil
as 1
Address Weber. street and apt. or sultana.)
6100 Red Hook Quartet B3
neavosters name and widow (appeal
t
05
City. Mete. wool ZIP cos*
St. Thomas, USVI 00802
Oa ecowni number(a) here icsithonal)
•art I
Tax ayer Identification Number (TIN)
Enter your TIN In the appropriate box. Tie TIN provided must match the name given on the "Nemo" Me
social vocuritv number
to avoid
resident
entities,
sten, sole proprietor. or disregarded entity, see the Part I instruCtions on page 3. For other
backup withholding. For irdwiduals, this is your social security number (SSN). However, for a
FT I]
it is your employer identification number (8N). if you do not have a number, see How to got a
t. I
L.
- r n
-
—I
TIN on page 3.
Note. II the account Is in more than one name, see the chart on page a for guidelines on whose
number to error.
LEM
Certification
Under penalties of perjury, I certify that:
I. The number shown on this form Is my correct taxpayer identilcation number (or I am wartng for a number to be Issued to me), and
2. tam not subject to backup withholding because: (a) I am 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, or (c) the IRS has notified me that I am
no longer subject to backup withholding. and
3. I am a V.S. citizen or other U.S. person (defined below).
Certification Instructions. 'You must cross out ROM 2 above if you have been notified by the IRS that you are cunently subject to backup Whine ding
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 obandonmentgf.
ured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), rd
generally, payments other then Interagia
cdS, you are not refilli adtoisignthe cetficellon, but you must provide your correct TIN. See the
instructions on page 4.
sign
segmeure of
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-
Here
Vi a.person►r
Data le
— ,;"1. --I 3
General Instructiot
Section references are to the tenet Revenue C&
noted.
Purpose of Form
A person who S required to file an information return with the Ifi9 must
obtain your correct taxpayer Identification number (TIM to report, for
example, Income paid to you, rear estate transactions. malign(' interest
you paid. acquisition or abandonment of secured property. cancellation
of debt, or contnbuti0ns you made to an IRA.
Use Form W-9 only p1 you ate a U.S. person (including a resident
alien), to provide your correct TIN to the person requesting it (the
requested and, when applicable. to:
1. Certify that the TIN you are gIvIrg Is correct (or you are waiting for a
nurnter to be issued),
2. Codify Mat you are not subject to backup withholrang, or
3. Claim exemption from backup withhckfing t you are a U.S. exempt
payee. If applicable, you are also codifying that as a V.S. person, your
actable share of any partnership Income from a U.S. trade or business
a not eublect to the Wthhokfing tax on foreign partners' share of
effectively connected income.
anvil:war leenelicadon number
Note. ire requester gives you a form other than Form W-9 to request
your TN, you must use tho requester's form if it Is substantially awokar
to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you we
considered a U.S. person if you are:
• M individual who :a 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 Unite Stares,
• An estate (other than a foreign estate), or
• A domestic that (as defined in Regulations secacn 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or
business In the United Stales are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further, in certain cases where a Form W-9 has not been received, a
pannersht, Is required to presume that a partner Is a foreign person,
and pay the withholding tax. Therefore, if you area U.S. person tMt 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 partwaship income.
Cat No. 10231X
Form W.9 (Rev. 12.2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
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