EFTA Document EFTA01379067

Fenn vii""9 Mee. DeWitt" 2014) Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. [Bores ..- it ce theTosser, Interne Rekruo Seance Print or type See Specific Instructions on page 2. 1 Name (as shown on your income tax return). Name is rewired on the fine: do not leave aus line blank. The 2017 Caterpillar Trust 2 Business name/dIvegarded entity name, if different from above 3 CMd appropriate Ci Indrviduakscee saga-member 0 Limited tisbity Note. Fora Single the tax classiecation 0 Other Noe InsirucConsi box for federal tea classeicationi check only one of me blowing seven bozos: prooriela or 0 C Corr-ration 0 S Corporation 0 Partnership 0 Trusteuate LLC company. Enter the lax canseicatien (CmC corporation. 9.5 oorpotatIon, Papartriershipt• 4 Exemptions r atlijo " Z ict Exempt payee Exemption cute et WW) sewn a riirou-i (codas apps/ only to orwtor r ums; in coda gf any) from FATCA reporting -member LLC that is disregarded. do not check LLC: check the epompriate box in the line above !or of me single-member owner- l' ...wee easonmuSu 5 Addinase (number. street, and apt- or suite no.) Theaues!res name and 6100 Red Hook Quarter 83, addreW Rrationg: 6 cay. state. and 2a, code St Thomas 0 .08002 7 List account riaaitalt(S) lien (0CPcnag Pad I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on Gne 1 to avoid backup withholding. For individualS, this is generally your social security number (SSN). However, for a resident allen, sole proprietor, or disregarded entity. see the Part I instructions on page 3. For other entities, it is your employer idemification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. II the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whOSO number to enter. Social security number or I Employer Identification number Part II Certification Under penalties of pequiy. I certify that 1. The number shown on Otis teem is my correct taxpayer identification number (or I am waiting for a number to be issued to me): and 2. I am 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 (RS) that I am subject to backup withholding as a result of a failure to report ail imerest or dividends, Or (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): and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above h you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and I:Fmk:lands 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, contributions 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 correct TIN. See the instructions on page a Sign Here Signature of U.S. person • General Instructions Section references are to tno internal Revenue Code unless OtreninSe noted. Future developments. Information attOdt developments affectiro Fenn W.9 as legislation enacted alter we release it) is at www.iragovinv9. Purpose of Form An inovidual or entity (Form W-9 requester) who is required to Se en information rats" Min the IRS must obtain your correct taxpayer identification number (T4.4) which may be your social Sec-wily menber (SSN). indtvklual taxpayer identification number (TIN). adoption taxpayer hetet:catkin number (ATtN), or employer identification number (Elm). to repo: en an Information return Me amount pad to you. or other amount reportable on on information MUD EMMA% of taitranerien returns include, but are not baited to. the fotiorring: • Form 10994NT (Interest earned or pale • Form -MOS-DIV (dividends. ncluding those from stocks or mutual Ands) • Form 1099-MISC (various types ot ?come. prizes, awards. or gross proceeds) • Form 1099.8 (stock or mutual fund sales and certain other tame:bons by brokers) • Form 1099-S (proceeds awn real estate Minsactiass) • Form 10994( (rnerchant card and :him party network transacttons) • Form 1098 agree mortgage intern*. 10984 (Student Man (mann) • perm 1099-C lamed debt) h • Form teSS-R (aolasition or abandonment of secured property) Use Form W-9 only if you aro a U.S. Orson unctions' a resident alien). to provide your MAIM TIN. If you donor 'alum Form W.9 to ire requester Mtn • TIN, you rnighc be sublet? to bade°. riatTheiceng. Soo Waal is boohoo wilMokling? on page 2. By signing toe faledeut form. you: teensy mat etc TIN you are giving d ccerect (or you are waiting fora number to be owed). 2. Cern/ that ',ou are no: subtect to backup withecaling. 3 alert exemption from backup withholding If you are a U.S. attempt payee. ir Widliewele you are also certifying that as a US. person. your alocable ware at WY partnership InCOme (?ben a U.S. trade or business is not subject to the withholdro tax on %reign partners' Share of electively Connected Income, and 4. Cattily that FATCA code(s) entered on bid form (it any) indicating that you are exempt from Ine FATCA reputing, Is correct. Sea Minis FATCA reporting? on page 2 for further information tterest). 1096.7 Cat No 1023IX Form W-9 (Rev. 12-2010 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0076372 SDNY GM_00222556 EFTA01379067