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Form W-9 (Rev. 11-2005) Page 2 <br />• The U.S. grantor or other owner of a grantor trust and not <br />the trust, and <br />• The U.S. trust (other than a grantor trust) and not the <br />beneficiaries of the trust. <br />Foreign person. If you are a foreign person, do not use <br />Form W-9. Instead, use the appropriate Form W-8 (see <br />Publication 515, Withholding of Tax on Nonresident Aliens <br />and Foreign Entities). <br />Nonresident alien who becomes a resident alien. <br />Generally, only a nonresident alien individual may use the <br />terms of a tax treaty to reduce or eliminate U.S. tax on <br />certain types of income. However, most tax treaties contain a <br />provision known as a "saving clause." Exceptions specified <br />in the saving clause may permit an exemption from tax to <br />continue for certain types of income even after the recipient <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 <br />exception contained in the saving clause of a tax treaty to <br />claim an exemption from U.S. tax on certain types of income, <br />you must attach a statement to Form W-9 that specifies the <br />following five items: <br />1. The treaty country. Generally, this must be the same <br />treaty under which you claimed exemption from tax as a <br />nonresident alien. <br />2. The treaty article addressing the income. <br />3. The article number (or location) in the tax treaty that <br />contains the saving clause and its exceptions. <br />4. The type and amount of income that qualifies for the <br />exemption from tax. <br />5. Sufficient facts to justify the exemption from tax under <br />the terms of the treaty article. <br />Example. Article 20 of the U.S.-China income tax treaty <br />allows an exemption from tax for scholarship income <br />received by a Chinese student temporarily present In the <br />United States. Under U.S. law, this student will become a <br />resident alien for tax purposes if his or her stay in the United <br />States exceeds 5 calendar years. However, paragraph 2 of <br />the first Protocol to the U.S.-China treaty (dated April 30, <br />1984) allows the provisions of Article 20 to continue to apply <br />even after the Chinese student becomes a resident alien of <br />the United States. A Chinese student who qualifies for this <br />exception (under paragraph 2 of the first protocol) and is <br />relying on this exception to claim an exemption from tax on <br />his or her scholarship or fellowship income would attach to <br />Form W-9 a statement that includes the information <br />described above to support that exemption. <br />If you are a nonresident alien or a foreign entity not subject <br />to backup withholding, give the requester the appropriate <br />completed Form W-8. <br />What Is backup withholding? Persons making certain <br />payments to you must under certain conditions withhold and <br />pay to the IRS 28% of such payments (after December 31, <br />2002). This is called "backup withholding." Payments that <br />may be subject to backup withholding include interest, <br />dividends, broker and barter exchange transactions, rents, <br />royalties, nonemployee pay, and certain payments from <br />fishing boat operators. Real estate transactions are not <br />subject to backup withholding. <br />You will not be subject to backup withholding on payments <br />you receive if you give the requester your correct TIN, make <br />the proper certifications, and report all your taxable interest <br />and dividends on your tax return. <br />Payments you receive will be subject to backup <br />withholding if: <br />1. You do not furnish your TIN to the requester, <br />2. You do not certify your TIN when required (see the Part <br />11 instructions on page 4 for details), <br />3. The IRS tells the requester that you furnished an <br />Incorrect TIN, <br />4. The IRS tells you that you are subject to backup <br />withholding because you did not report all your interest and <br />dividends on your tax return (for reportable interest and <br />dividends only), or <br />5. You do not certify to the requester that you are not <br />subject to backup withholding under 4 above (for reportable <br />interest and dividend accounts opened after 1983 only). <br />Certain payees and payments are exempt from backup <br />withholding. See the instructions below and the separate <br />Instructions for the Requester of Form W-9. <br />Also see Special rules regarding partnerships on page 1. <br />Penalties <br />Failure to furnish TIN. If you fail to furnish your correct TIN <br />to a requester, you are subject to a penalty of $50 for each <br />such failure unless your failure is due to reasonable cause <br />and not to willful neglect. <br />Civil penalty for false information with respect to <br />withholding. If you make a false statement with no <br />reasonable basis that results in no backup withholding, you <br />are subject to a $500 penalty. <br />Criminal penalty for falsifying information. Willfully <br />falsifying certifications or affirmations may subject you to <br />criminal penalties including fines and/or imprisonment. <br />Misuse of TINs. If the requester discloses or uses TINs in <br />violation of federal law, the requester may be subject to civil <br />and criminal penalties. <br />Specific Instructions <br />Name <br />If you are an individual, you must generally enter the name <br />shown on your income tax return. However, if you have <br />changed your last name, for instance, due to marriage <br />without informing the Social Security Administration of the <br />name change, enter your first name, the last name shown on <br />your social security card, and your new last name. <br />If the account is in joint names, list first, and then circle, <br />the name of the person or entity whose number you entered <br />In Part I of the form. <br />Sole proprietor. Enter your individual name as shown on <br />your income tax return on the "Name" line. You may enter <br />your business, trade, or "doing business as (DBA)" name on <br />the "Business name" line. <br />Limited liability company (LLC). If you are a single -member <br />LLC (including a foreign LLC with a domestic owner) that is <br />disregarded as an entity separate from its owner under <br />Treasury regulations section 301.7701-3, enter the owner's <br />name on the "Name" line. Enter the LLC's name on the <br />"Business name" line. Check the appropriate box for your <br />filing status (sole proprietor, corporation, etc.), then check <br />the box for "Other" and enter "LLC" in the space provided. <br />Other entities. Enter your business name as shown on <br />required federal tax documents on the "Name" line. This <br />name should match the name shown on the charter or other <br />legal document creating the entity. You may enter any <br />business, trade, or DBA name on the "Business name" line. <br />Note. You are requested to check the appropriate box for <br />your status (individual/sole proprietor, corporation, etc.). <br />Exempt From Backup Withholding <br />If you are exempt, enter your name as described above and <br />check the appropriate box for your status, then check the <br />"Exempt from backup withholding" box in the line following <br />the business name, sign and date the form. <br />