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Form W-9 (Rev. 0.201 <br />In the cases below, the following person must give Form W-9 to the partnership <br />for purposes of establishing Its U.S. status and avoiding withholding on its <br />allocable share of net Income from the partnership conducting a trade or business <br />In the United States: <br />• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the <br />disregarded entity and rot the entity, <br />• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, <br />the U.S. grantor or other U.S, owner of the grantor trust and not the trust, and <br />• In the case of a U.S, trust (other than a grantor trust), the U.S. trust (other than a <br />grantor trust) and not the beneficiaries of the trust. <br />Foreign person. If you are a foreign person or the U.S. branch of a foreign bank <br />that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use <br />the appropriate Form W -S or Form 8233 (see Publication 615, Withholding of Tax <br />on Nonresident Aliens and Foreign Entitles). <br />Nonresident alien who becomes a resident allen. Generally, only a nonresident <br />alien Individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on <br />certain types of Income. However, most tax treaties contain a prevision known as <br />a'saving clause." Exceptions specified In the saving clause may permit an <br />exemption from tax to continue for certain types of Income even after the payee <br />has otherwise become a U.S. resident alien for tax purposes. <br />If you are a U.S. resident alien who Is relying on an exception contained In the <br />saving clause of a tax treaty to claim an exemption from U.S. tax on certain types <br />of Income, you must attach a statement to Farm W-9 that specifies the following <br />five Items: <br />1. The treaty country. Generally, this must be the same treaty under which you <br />claimed exemption from tax as a nonresident alien. <br />2. The treaty article addressing the Income. <br />3. The article number (at location) in the tax treaty that contains the saving <br />clause and Its exceptions. <br />4. The type and amount of Income that qualifies for the exemption from tax. <br />S. Sufficient facts to justify the exemption from tax under the terms of the treaty <br />article. <br />Example. Article 20 of the U.S: CNna Income tax treaty allows an exemptlon <br />from tax for scholarship Income received by a Chinese student temporarily present <br />N the United States. Under U.S. law, this student will become a resident alien for <br />tax purposes if his or her stay in the United States exceeds 5 calendar years. <br />However, paregreph 2 of the first Protocol to the U.S.-China treaty (dated April 30, <br />1984) allows the provisions of Article 20 to continue to appy even after the <br />Chinese student becomes a resident alien of the United States. A Chinese student <br />who qualities for this exception (under paragraph 2 of the that protocol) and Is <br />relying on this exception to claim an exemption from tax on his or her scholarship <br />or fellowship Income would attach to Form W-9 a statement that Includes the <br />Information described above to support that exemption. <br />If you am a nonresident alien or a foreign entity, give the requester the <br />appropriate completed Form W-8 or Form a233. <br />What Is backup withholding? Persons making certain payments to you must <br />under certain conditions withhold and pay to the IRS a percentage of such <br />payments. This is called"backup withholding/' Payments that maybe subjectto <br />backup withholding Include Interest, tax-exempt Interest, dividends, broker and <br />barter exchange transactions, rents, royalties, nonemployee pay, payments made <br />in settlement of payment card and third party network transactions, and certain <br />payments from fishing boat operators. Rest estate transactions are not subject to <br />backup withholding. <br />You will not be subject to backup withholding on payments you receive If you <br />give the requester your correct TIN, make the proper certifications, and report all <br />your taxable Interest and dividends on your tax retum. <br />Payments you receive will be subject to backup <br />withholding If: <br />1. You do net furnish ycurllN to the requester, <br />2. You do net certify your TIN when required (see the Part II Instructions an page <br />3 for detailal, <br />3. The IRS tells the requester that you furnished an Incorrect TIN, <br />4. The IRS tells you that you are subject to backup withholding because you did <br />not report all your Interest and dividends on your tax return (far reportable Interest <br />and divklends ont or <br />S. You do not certify to the requester that you are not subject to backup <br />withholding under 4 above (for reportable Interest and dividend accounts opened <br />after 1983 only). <br />Certain payees and payments are exempt from backup withholding. See Exempt <br />payee code on page 3 and the separate Instructions for the Requester of Form <br />W-9 for more Information. <br />Also sea SpecW miss for partnerships on page 1. <br />What Is FATCA rep will ng? The Foreign Account Tax Compliance Act (FATCA) <br />requires a participating foreign financial Institution to report all United States <br />account holders that are specified United States persons. Certain payees are <br />exempt from FATCA reporting. See Exemption from FATCA reporting code on <br />page 3 and the Instructions for the Requester of Form W-9 for more Information. <br />Updating Your Information <br />You must provide updated information to any person to whom you claimed to be <br />an exempt payee If you we no longer an exempt payee and anticipate receiving <br />reportable payments In the future from this person. For example, you may need to <br />provide updated Information If you are a C coryomtion that elects to be an S <br />corporation, or If you no longer are tax exempt. In addition, you must furnish a new <br />Form W-9 If the name or TIN changes for the account, for example, if the grantor <br />of a grantor trust dies. <br />Penalties <br />Failure to furnish TIN. If you fall to furnish your correct TIN to a requester, you are <br />subject to a penalty of $50 for each such failure unless your failure Is due to <br />reasonable cause and not to wlltfu[ neglect. <br />Civil penalty for false Informatlon with respect to withholding. If you make a <br />false statement with no reasonable basis that results In no backup withholding, <br />you are subject to a $500 penalty. <br />Criminal penalty for falsify] no Informatlon. Willfully falsifying certifications or <br />afnrmatens may subject you to criminal penalties Including fines and/or <br />Imprisonment. <br />Misuse of TINS. It the requester discloses or uses TINs In violation of federal law, <br />the requester may be subject to civil and criminal penalties. <br />Specific Instructions <br />Name <br />If you are an Individual, you must generally enter the name shown on your Income <br />tax return. However, 9 you have changed your last name, for instance, due to <br />marriage without informing the Social Security Administmtlon of the name change, <br />enter your first name, the last name shown on your social security card, and your <br />neer [set name. <br />If the account Is In joint assess, list first, and then circle, the name of the person <br />or entity whose number you entered in Part I of the form. <br />Sole proprietor. Enter your Individual name as shown on your Income tett ratum <br />on the "Name" line. You may enter your business, trade, or "doing business as <br />(DBA)" name on the "Buslitess name/disregarded entity name" line. <br />Partnership, C Corporation, or S Corporation. Enter the entity's name on the <br />"Name" line and any business, trade, or "doing business as (DBA) name" on the <br />"Business name/dlsregarded entity name" line. <br />Disregarded entity. For U.S. federal tax purposes, an entity that Is disregarded as <br />an entity separate from its owner Is treated as a "disregarded entity" Sea <br />Regulation section 301.7701-2(c)(2)(I10. Enter the owner's name on the "Name" <br />line. The name of the entity entered on the "Name" line should never be a <br />disregarded entity. The name on the "Name" line must be the name shown on the <br />incoms tax return on which the Income should be reported. For example, If a <br />foreign LLC that Is treated as a disregarded entity for U.S. federal tax purposes <br />has a single owner that Is a U.S. person, the U.S. owner's name Is required to be <br />provided on the "Name" line. If the direct owner of the entity Is also a disregarded <br />entity, enter the first owner that Is not disregarded for federal tax purposes. Enter <br />the disregarded entity's name on the "Business name/disregarded entity name' <br />line. If the owner of the disregarded entity Is a foreign person, the owner must <br />complete an appropriate Form W-8 Instead of a Form W9. This Is the case even If <br />the foreign person has a U.S. TIN. <br />Note. Check the appropriate box for the U.S. federal tax classification of the <br />person whose name is entered on the 'Name' line (Individuallsole proprietor, <br />Partnership, C Corporation, S Corporation, Trustlestate). <br />Umited Ualelity Company (LLC). If the pemon Identified on the 'Name' line Is an <br />LLC, check the "Limited liability company" box only and enter the appropriate <br />code for the U.S. federal tax classification In the space provided. If you are an LLC <br />that Is treated as a partnership for U,S, federal tax purposes, enter'P" for <br />partnership. If you are an LLC that has filed a Form 8832 or a Form 2553 to be <br />laxed as a corporation, enter "C' for C corporation m "S" for S corporation, as <br />appropriate. If you are an LLC that is disregarded as an entity separate from Its <br />owner under Regulation section 301.77013 (except for employment and excise <br />tax), do not check the LLC box unless the owner "a LLC (required to be <br />Identified on the "Name" line) is another LLC that is not disregarded for U.S. <br />federal tax purposes. If the LLC N disregarded as an entity separate from its <br />owner, enter the appropriate tax classification of the owner Identified on the <br />'Name' line. <br />Otherentities. Enter yourbusiness name as shown on required U.S. federal tax <br />documents on the "Name" Ilne. This name should match the name shown on the <br />charter or other legal document creating the entity. You may enter any business, <br />trade, wDBA name on the "Business name/disregarded entity name' line. <br />Exemptions <br />H you ere exempt from backup withholding and/or FATCA reporting enter In the <br />Exemptions box, any cede(s) that may apply to you. See Exemptpayee code and <br />Exemption from FATCA reporting code on page S. <br />25C-72 <br />