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Oct 25 10 10:02a <br />P.10 <br />Form w -9 (Raw. io -xoon ieya 2 <br />e The U.S. grantor or other owner of a grantor trust and not the <br />trust, and <br />e The U.S. trust (other than a gm tbor truss) and not the <br />beneficiaries of the trust. <br />Foreign person. If you are a foreign person. do not use Form <br />W -9. Instead, use the appropriate Form W-8 (see Publication <br />515, Withholding of Tax on Nonresident Alkens and Foreign <br />Entities). <br />Nonreslderit alien who becomes a resident alien. Generally, <br />only a nonresident alien Individual may use the terms of a tax <br />treaty to reduce or eliminate U.S, tax on certain types of income. <br />However, most tax treaties contain a provision known as a <br />"saving clause.' Exceptions specified in the saving clause may <br />permit an exemption from tax to continue for certain types of <br />Income even after the payee has otherwise become a U.S. <br />resident alien for tax purposes. <br />If you are a U.S. resident alien who is relying on an exception <br />contained in the saving clause of a tax treaty to claim an <br />exemption from U.S. tax on certain types of income, you moat <br />attach a statement to Form W -9 that specifies the following five <br />items: <br />1. The treaty country. Generally, this must be the same treaty <br />under which you claimed exemption from lax as a nonresident <br />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 eowepdons. <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 taut under the <br />terms of the treaty article. <br />Example. Article 20 of the US: China income tax treaty slows <br />an exemption from tax for scholarshiQ Income received by a <br />Chinese student temporarily present in the United States. Under <br />U.S. law, this student will become a resident alien for tax <br />purposes if his or her stay in the United States exceeds 5 <br />calendar years. However, paragraph 2 of the first Protocol to the <br />U.S. -China treaty (dated April 30, 1984) allows the provisions of <br />Article 20 to continue to apply even after the Chinese 'student <br />becomes a resident alien of the United States. A Chinese <br />student who qualifies for this exception (under paragraph 2 of <br />the first protocol) and is relying of this exception to claim an <br />exemption from tax on his or her scholarship or fellowship <br />income would attach to Form W -9 a statement that includes the <br />information described above to support that exemption. <br />If you are a nonresident alien or a foreign entity not subject to <br />backup withholding, give the requester the appropriate <br />completed Form W -8. <br />What is backup withholding? Persons making certain payments <br />to you must under certain conditions withhold and pay to the <br />IRS 28% of such payments. This is called 'backup withholding," <br />Payments that may be subject to backup withholding include <br />interest, tax - exempt interest, dividends, broker and barter <br />exchange transactions, rents, royalties, nonernployee pay, and <br />certain payments from fisting boat operators. Real estate <br />transactions are not 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 the <br />Proper certifications, and report all your taxable interest and <br />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 11 <br />instructions on page 3 for details), <br />3. The IRS tells the requester that you furnished an incorrect <br />TIN, <br />4 The IRS left you that you are subject to backup <br />withholding because you did not report all you interest and <br />dividends on your tax return (for reportable interest and <br />dividends only), or <br />8. You do not certify to the requester that you are not subject <br />to backup withholding under 4 above obr reportable interest and <br />dividend accounts opened after 1983 only). <br />Certain payees and payments are exempt from backup <br />withholding. See the WW I" below and the separate <br />Instructions for the Requester of Form W-9. <br />Also sea Special rules for parUmsfte on page 1. <br />Penalties <br />Failure to furnish TiN. It you fait to furnish your correct TiN to a <br />requester, you are subject to a penalty of $50 for each such <br />failure unless your Whine Is due to reasonable cause and not to <br />willful neglect. <br />Civil penalty for false information with respect to <br />withholding. if you make a false statement with no reasonable <br />basis that results in no backup withholding, you are subject to a <br />$500 penalty. <br />Criminal penally for falsifying information. Willfully falsifying <br />certifications or affimrelions may subject your to criminal <br />penalties Including fines andror imprisonment. <br />Misuse of TINS. If the requester discloses or uses TINS in <br />violation of federal law, the requester may be subject to dud and <br />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 retum. However, if you have changed <br />your test name, for instance, due to marriage without informing <br />the Social Security Administration of the name change, enter <br />your first name, the last name shown on your amid security <br />card, and your new last name. <br />If the account is in joint names, list first, and then circle, the <br />name of the person or entity whose number you entered in Part 1 <br />of the form. <br />Sole proprietor. Fetter your individual name as shown on your <br />income tax return on the "Name" brie. You may enter your <br />business, trade, or "doing business as (1313/)" name on the <br />'Business name" line. <br />Lknited liability company (LLC). Check the "Umlted liability <br />company" box only and otter the appropriate rode for the tax <br />classification ("D" for disregarded entity, "C" for corporation, "P" <br />for partnership) in the space provided. <br />For a single- member LLC (including a foreign LLC with a <br />domestic owner) that is disregarded as an entity separate from <br />its owner under Regulations section 301.7701 -3. enter the <br />owner's name on the "Name" line. Ester the LLC's name on the <br />"Business name" line. <br />For an LLC classified as a partnership or a corporation, enter <br />the LLC's name on the "Name" line and any business, trade, or <br />DBA name on the "Business name" line. <br />Other entities. Enter your business name as shown on required <br />federal tax documents on the "Name" line. This name should <br />match the name shown on the charter or other legal document <br />creating the entity. You may enter any business, trade, or DBA <br />name on the "Business name' line. <br />Note. You are requested to check the appropriate box for your <br />status (individual /sole proprietor, corporation, etc.). <br />Exempt Payee <br />If you are exempt from backup withholding, enter your name as <br />described above and check the appropriate box for your status, <br />then check the "Exempt payee" box in the line following the <br />business name, sign and date the form. <br />25K -34 <br />