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Oct 25 10 10:02a <br />P. 11 <br />Form W -0 ray.10 -20071 pop 3 <br />Generally, individuals pnduding sole proprietors) are not exempt <br />from backup withholding. Corporations are exempt from backup <br />withholding for certain payments, such as interest and dividends. <br />Note. If you are exempt from backup withholding, you should <br />still complete tlhia form to avoid possible erroneous backup <br />withholding. <br />The following payees are exempt from backup wilthliotdiry <br />1. An organization exempt from tax under section 501(a), any <br />IRA, or a custodial account under section 408 ft?) if the account <br />satlefles the requirements of section 4010, <br />2. The United States or any of its agencies or <br />instrumentalities, <br />3. A state, the District of Columbia, a possession of the United <br />States, or any of their political subdivisions or Instrumentalities, <br />4. A foreign gw4emment or any of its political subdivisions, <br />agencies, or instrumentalities, or <br />S. An international organization or any of Its agencies or <br />instrumentalities. <br />Other payees that may be exempt from backup withholding <br />include: <br />6. A corporation. <br />7. A foreign central bank of issue, <br />S. A dealer in securliies or commodities required to register in <br />the United Stales, the District of Cokunbia, or a possession of <br />the United States. <br />9. A futures commission merchant registered with the <br />Commodity Futures Trading Commission, <br />10. A real estate investment trust, <br />11. An entity registered at all times during the tax year under <br />the Investment Company Act of 1940, <br />12. A common trust fund operated by a bank under section <br />584(a). <br />13. A financial institution, <br />14. A middleman known in the investment community as a <br />nominee or custodian, or <br />15. A trust exempt from tax under section 664 or described in <br />section 4947. <br />The chart below shows types of payments that may be <br />exempt from backup withholding. The chart applies to the <br />exempt payees Read above, 1 through 15. <br />IF the payment Is for ... <br />THEN the payment is exempt <br />for. <br />Interest and dividend payments <br />All exempt payees except <br />for 9 <br />Broker transactions <br />Exempt payees 1 through 13. <br />Also, a person registered under <br />the Westmont Advisers Act of <br />1940 who regularly acts as a <br />broker <br />Barter exchange transactions <br />Exempt payees 1 through 5 <br />and patronage dividends <br />Payments over $600 required <br />Generaiy, gempt payees <br />to be reported and direct <br />_ <br />i through 7 <br />sales over $5,000' <br />Sea Fprm 10994AISC. Mlaoelianeous Incorne, end Its instructions. -- <br />However. the foNowirtg PeYmertts made to a corporation pncludng gross <br />proceeds paid to an attamey under section 6045M even 0 the attorney is a <br />corporation) and reportable on Form 1099 -MISC are not exempt from <br />backup withholding: medical and health care payments. aMOmeys' lass. and <br />Aayrnenta for services paid by a tederal axommv agency. <br />Part 1. Taxpayer IdentiRcadon <br />Number (TIN) <br />Enter your TIN in the appropriate boot. If you are a resident <br />alien and you do not have and are not eligible to ggeett an SSN, <br />your TIN Is your IRS Individual taxpayer Identification number <br />QTiM. Enter it In the social security number box. If you do not <br />have an ITIN, see How to yet a 771V below. <br />N you are a sole proprietor and you have an EIN, you may <br />enter either your WN or 9N. However. the M prefers that you <br />use your SSN. <br />N you are a single - member LLC that is disregarded as an <br />entity separate from its owner (see LknMed Uabilijr company <br />40 on pme 2L enter the owners SSN (or EIN if the owner <br />has one). Do not enter the disregarded entity s 9A. If the I LC is <br />classified as a corporation or partnership, ender the entity's EIN. <br />Nato See the chant on page 4 for father clarification of name <br />and TIN combinations. <br />How to get a TIN. If you do not have a TIN, apply for one <br />Immediately. To apply for an SSN, get Farm SS-6, Application <br />for a Sock Security Card, from your local Social Security <br />Administration office or get this form online at www.ssa.gov. You <br />may also get this torn by calling 1-800- 772 -1219. Use Form <br />W-7. Application for IRS Individual Taxpayer Identification <br />Number, to applyY for an I11N, or From SS-4, Application for <br />Employer tdentiftcation Number, to apply for an EIN. You can <br />apply for an EiN online by aoceasirtg the IRS webeite at <br />www.hs.govIbuslnesses and clicking on Employer Identification <br />Number (W under Starting a Business. You can get Forms W -7 <br />and SS4 from the IRS by visiting www.ks.gov or by calling <br />14K*- TAX -FORM (1- 800 - 829 - 3676). <br />If you are asked to complete Form W9 but do not have a TIN, <br />write "Applied For" In the space for the TIN, sign and date the <br />form, and give it to the requester. For Interest and dividend <br />payments, and certain payments made with respect to readily <br />tradable instruments, generally you will have 60 days to get a <br />TIN and give it to the requester before you are subject to backup <br />withholding on payments. The 60 -day rule does not apply to <br />other types of payments. You will be subject to backup <br />withholding on all such payments until you provide your TIN to <br />the requester. <br />Note. Entering "Applied For" means that you have already <br />applied for a TIN or that you intend to apply for one soon. <br />Caudion: A disregarded domesbc enVty that has a foreign owner <br />must use the appropriate Form W-8. <br />Part 11. Certification <br />To establish to the withholding agent that you are a U.S. person, <br />or resident alien, sign Form W -9. You may be requested to sign <br />by the withholding agent even if ftems 1, 4, and 5 below Indicate <br />otherwise. <br />For a joint account, only the person whose TiN Is shown in <br />Part 1 should sign (when required). Exempt payees, we Exempt <br />Payee on page 2. <br />Signature requirements. Complete the certification as indicated <br />in 1 through 5 below. <br />1. interest, dividend, and barter exchange accounts <br />opened before 1984 and broker accounts considered active <br />during 1983. You must give your correct TIN, but you do not <br />have to sign the certification, <br />I Interes% dividend, broker, and barter excdhango <br />accotmts opened after 1683 and broker accounts considered <br />inactive during 1983. You must sign the certification or backup <br />withhokfmg will apply. if you are subject to backup withholding <br />and you are merely providing your correct TIN to the requester, <br />YOU must cross out item 2 in the certification before signing the <br />form. <br />25K -35 <br />