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Form V r9
<br />(Rev. October 2018)
<br />D6 atlmerlIpl the Treasury
<br />Iatemal Revenue Servlse
<br />Request for Taxpayer
<br />Identification Number and Certification
<br />► Go to wwwdrs.govfFOM119 for instructions and the latest information.
<br />Give Form to the
<br />requester. Do not
<br />send to the IRS.
<br />f NafhA (qs shown on your Income tax return). Naus, is required on this Rita•, do not leave this line blank,
<br />General Pump Company, Inc.
<br />2 Business nnirwaisregarded entity name, If different from above
<br />of
<br />3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the
<br />following seven boxes.
<br />4 Exemptlons (codes apply only to
<br />a
<br />cenaln entities, not individuals; sae
<br />c
<br />❑ Individuallsole proprietor or ❑ CCorporation 1218Corporation ❑ Partnership ❑ Trust/estate
<br />instructions on page 3):
<br />single -member LLC
<br />0
<br />'�
<br />❑ Urn led liability company. Enter the tax classification (C=C corporation, S=S
<br />Exempt payee code (if any)
<br />`o
<br />corporation, P=Partnership) ►
<br />Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check
<br />LLC If the LLC is classified as a single -member LLC that Is disregarded from the
<br />Exemption from FATCA reporting
<br />R
<br />owner unless the owner of the LLC Is
<br />another LLC that Is not disregarded Imm the owner for U S. federal tax purposes. Otherwise, a single -member LLC that
<br />code )if any)
<br />is disregarded from the owner should check the appropriate box for the tax classification of its owner
<br />Q Other(serarer,
<br />rw.0 .+o•�a.,mnm»nra„eaoummrce
<br />rn
<br />u.sl
<br />G Address (number, street, and apt. or suite no.) See instructions Requester's name and address (optional) _.
<br />Street,an
<br />�i
<br />159 IN Acacia St
<br />8 City, state, and ZIP code
<br />San Dimas, CA 91773
<br />7 List account numbers) hero (optional) -
<br />—
<br />• . •
<br />-fie vnAvnr IAnnFSb...•r.... u...,..r-�- n........ -
<br />----
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line Ito avoid
<br />backup withholding. For individuals, this is generally your social security number ISSN). However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other
<br />entities, it Is your employer identification number (EIN). If you do not have a number, see Now to get a
<br />TIN, later.
<br />or
<br />1. The number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 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
<br />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
<br />no longer subject to backup withholding; and
<br />3. 1 am a U.S. citizen or other U.S. person (defined below); and
<br />4. The FATCA code(s) entered on this form (If any) Indicating that I am exempt from FATCA reporting Is correct.
<br />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
<br />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,
<br />acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments
<br />other than interest and dividends, yauare not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
<br />olyrr Signature of
<br />Here U.S. person)
<br />General Instr
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest Information about developments
<br />related to Form W-9 and Its Instructions, such as legislation enacted
<br />after they were published, go to www.1rs.gov/F0rmW9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who Is required to file an
<br />information return with the IRS must obtain your correct taxpayer
<br />identification number (TIN) which may be your social security number
<br />ISSN), Individual taxpayer Identification number (ITIN), adoption
<br />taxpayer identification number (ATIN), or employer Identification number
<br />(EIN), to report on an information return the amount paid to you, or other
<br />amount reportable on an information return. Examples of informatlon
<br />returns Include, but are not limited to, the following.
<br />• Form 1099-INT (Interest earned or paid)
<br />Date► 01/26/2021
<br />• Form 1099-DIV (dividends, including those from stocks or mutual
<br />funds)
<br />• Form 1099-MISC (various types of Income, prizes, awards, or gross
<br />proceeds)
<br />• Form 1099-B (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />• Form 1099-5 (proceeds from real estate transactions)
<br />• Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage interest), 1098-E (student loan Interest),
<br />1 g98-T (tuition)
<br />• Form 1099-C (canceled debt)
<br />• Form 1099-A (acquisition or abandonment of secured property)
<br />Use Form W-9 only if you are a U.S, person (Including a resident
<br />alien), to provide your correct TIN.
<br />If you do not return Form W-9 to the requester with a TIN, you might
<br />be sub/ect to backup withholding. See What is backup withholding,
<br />later.
<br />Cat. No 10231 X Form UU-9 (Rev. 10-2018)
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