Farm W -9 (Rev. 8 -2013) Page 2
<br />In the cases below, the following person must give Form We 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 Stales;
<br />• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the
<br />disregarded entity and not the entity,
<br />• In the case of a grantor trust with a U.S. grantor or other US. owner, generally,
<br />the US, grantor or other U.S, owner of the grantor trust and not the trust, and
<br />r 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 baneficierlea of the trust.
<br />Foreign person. If you are a foreign person at 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 -8 or Form 8233 (see Publlcatlon 515, Withholding of Tax
<br />on Nonresident Aliens and Foreign Entldes).
<br />Nonresident alien who becomes a resident alien. Generally, only a nonresident
<br />alien Individual may use the terms of a tax treaty to reduce or eliminate US. tax on
<br />certain types of Income. However, most tax treaties contain a provision known as
<br />a "saving clause," Exceptions speclfied 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 Form W -0 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 for 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 />5. Sufficient facts to justlN the exemption from tax under the terms of the treaty
<br />article.
<br />Examplo. Article 20 of the U.S; China Income tax treaty allows an exam tlon
<br />ardent will become a resident alien for
<br />I States exceeds 6 calendar years.
<br />to the U.S. -China treaty (dated April 30,
<br />continue to apply even after the
<br />of inn United Slates. A Chinese student
<br />igraph 2 of the }last protocol) and Is
<br />etlon from tax on his or her scholarship
<br />information described above to support that exemption.
<br />If you area nonresident alien or a foreign entity, give the requester the
<br />appropriate completed Form W -8 or Form 6233,
<br />What Is backup withholding? Persons making certain payments to you must
<br />under certain condhlons withhold and pay to the IRS a percentage of such
<br />payments. This Is called "backup withholding." Payments that may be subject to
<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 part network transactions, and certain
<br />payments from fishing boat operators. Real estate transactions are not subject to
<br />backup withholding.
<br />You will not he subject to backup withholding on payments you receive it you
<br />give the requester your correct TIN, make the proper certifications, and report all
<br />your taxable Interest 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 on not sanity your TIN when required (seethe Part II Instructions on page
<br />3 for details),
<br />a, The IRS calls the requester that you furnished an Idoormat TIN,
<br />4. The IRS tells you that you are subject to backup withholding because you did
<br />not report all your Internet and dividends on your tax return (for reportable Interest
<br />and dividends only), or
<br />5. You do not certlfy 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 Farm
<br />W-g for more II matlon,
<br />Also see Special rules forparfnershlps on page 1.
<br />What Is FATCA roporting? The Foreign Account Tax Compliance Act (FATCA)
<br />requires a participating foreign financial Institution to report all United States
<br />nascent holders that are specified United States persons. Certain payees are
<br />exempt from FATCA reporting. See Exemption from FATCA reporting code on
<br />page 0 and the Instructions for the Requester of Farm W -9 for more Infa'motion.
<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 are 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 corporation 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 W9 If the name or TIN changes for the account, for example, lithe grantor
<br />of a grantor trust also
<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 willful neglect.
<br />Civil penalty for false Information 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 falsifying Information. Willfully falsifying certifications or
<br />affirmations may subject you to criminal penalties deluding fines and /or
<br />Imprisonment.
<br />Misuse of TINS. if the reqnester discloses or uses The In violation of federal law,
<br />the requester may le su a act to civil and criminal penalties.
<br />Specific instructions
<br />Name
<br />If you ere on Individual, you must generally enter the name shown on your Income
<br />tax return. However, if you have changed your last name, for Instance, due to
<br />marriage without Informing the Social Security Administration of the name change,
<br />enter your first name, the last name shown on your social security card, and your
<br />new last name.
<br />If the account Is In joint names, 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 Indlvldual name as shown on your Income tax return
<br />on the "Name" line, You may enter your business, trade, or "doing business as
<br />(CBA)" name on the "Business nano /disrogarded entity name" line.
<br />Partnership, C Corporation, or S Corporation. Enter the entlty's name on the
<br />"Name" line and any bualnoss, trade, or "doing business as (DBA) name" on the
<br />"Business name /disregarded 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." See
<br />Regulation section 301.7701- 2(c)(2)(III) Enter the owner's name on the "Neal
<br />Ilne, The name of the entity entered on the "Name" line should never be a
<br />disregarded entity. The name on the "Name" line must do the name shown on the
<br />Income tax return on which the Income should be reported. For example, if a
<br />foreign LLC that is treated as a dlaregarded entity for U.S, federal tax purposes
<br />has a single owner that Is a US. person, the U.S. owner's name Is required to he
<br />provided on the "Name" line. If the direct owner of the entity Is also a dlaregarded
<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/dlsregamed 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 W -9, 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 tie "Name" line (Indlvldual /oole proprietor,
<br />Partnership, C Corporation, S Corporation, Trust/estate).
<br />Limited Liability Company (LLC). If the person Identified on the "Name" line is an
<br />LLC, check the "Umlted 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 9882 or Form 2663 to be
<br />taxed as a corporation, enter "C" for C corporation or "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 301.7701 -3 (except for employment and excise
<br />tax), do not check the LLC box unless the owner of the 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 Is disregarded as an entity separate from Its
<br />owner, enter the appropriate tax classification of the owner Identified on the
<br />"Name" line.
<br />Other entities. Enter your business name as shown on required U,S. federal tax
<br />documents on the "Name" line. This name should match the name shown on the
<br />charter or other legal document creating tiro entity. You may enter any business,
<br />trade, or TEA name on the %shriss name /dlaregarded entity name' line.
<br />Exemptions
<br />If you are exempt from backup withholding and /or FATCA reporting, enter in the
<br />Exemptlons box, any ccde(s) that may apply to you. See Exempt payee code and
<br />Exemptlon from FATCA reporting code as page 3,
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