Form W-9 (Rev. B-2013)
<br />In the cases below, the following person must give Form W-9 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 States:
<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 U.S. owner, generally,
<br />the U.S. grantor or other U.S. owner of the grantor trust and not the trust, and
<br />• 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 beneficiaries of the trust.
<br />Foreign person. If you are a foreign person or 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 Publication 515, Withholding of Tax
<br />on Nonresident Aliens and Foreign Entities).
<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 U.S, tax on
<br />certain types of Income. However, most tax treaties contain a provision known as
<br />a "saving clause." Exceptions specified 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-9 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 (or 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 justify the exemption from tax under the terms of the treaty
<br />article.
<br />Example. Article 20 of the U.S.-China income tax treaty allows an exemption
<br />from tax for scholarship Income received by a Chinese student temporarily present
<br />in the United States. Under U.S. law, this student will become a resident alien for
<br />tax purposes if his or her stay in the United States exceeds 5 calendaryears.
<br />However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30,
<br />1984) allows the provisions of Article 20 to continue to apply even after the
<br />Chinese student becomes a resident alien of the United States. A Chinese student
<br />who qualifies for this exception (under paragraph 2 of the first protocol) and is
<br />relying on this exception to claim an exemption from tax on his or her scholarship
<br />or fellowship 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, give the requester the
<br />appropriate completed Form W-8 or Form 8233.
<br />What is backup withholding? Persons making certain payments to you must
<br />under certain conditions 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 party network transactions, and certain
<br />payments from fishing boat operators. Real estate transactions are not subject to
<br />backup withholding.
<br />You will not be subject to backup withholding on payments you receive if you
<br />give the requester your correct TIN, make the proper certifications, and report all
<br />your taxable interest and dividends on yourtax 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 II Instructions on page
<br />3 for detalls),
<br />3. The IRS tells the requesterthat you furnished an Incorrect TIN,
<br />4. The IRS tells you that you are subject to backup withholding because you did
<br />not report all your interest and dividends on your tax return (for reportable interest
<br />and dividends only), or
<br />5. You do not certify 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 Form
<br />W-9 for more Information.
<br />Also see Special rules for partnerships on page 1.
<br />What is FATCA reporting? The Foreign Account Tax Compliance Act (FATCA)
<br />requires a participating foreign financial institution to report all United States
<br />account holders that are specified United States persons. Certain payees are
<br />exempt from FATCA reporting. See Exemption from FATCA reporting code on
<br />page 3 and the Instructions for the Requester of Form W-9 for more Information.
<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 W-9 if the name or TIN changes for the account, for example, if the grantor
<br />of a grantor trust dies.
<br />Penalties
<br />Failure to furnish TIN. If you fail 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. Will falsifying certifications or
<br />affirmations may subject you to criminal penalties Including fines and/or
<br />Imprisonment.
<br />Misuse of TINS. If the requester discloses or uses TINs in violation of federal law,
<br />the requester may be subject to civil and criminal penalties.
<br />Specific Instructions
<br />Name
<br />If you are an 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 individual name as shown on your Income tax return
<br />on the "Name" line. You may enter your business, trade, or "doing business as
<br />(DBA)" name on the "Business name/disregarded entity name" line.
<br />Partnership, C Corporation, or S Corporation. Enter the entity's name on the
<br />"Name" line and any business, 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)(111). Enter the owner's name on the "Name"
<br />line. The name of the entity entered on the "Name" line should never be a
<br />disregarded entity. The name on the "Name" line must be 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 disregarded entity for U.S. federal tax purposes
<br />has a single owner that is a U.S. person, the U.S. owner's name is required to be
<br />provided on the "Name" line. If the direct owner of the entity is also a disregarded
<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/disregarded 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 the "Name" line (Individual/sole 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 "Limited 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 flied a Form 8832 or a Form 2553 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 the entity. You may enter any business,
<br />trade, or DBA name on the "Business name/disregarded entity name" line.
<br />Exemptions
<br />If you are exempt from backup withholding and/or FATCA reporting, enter in the
<br />Exemptions box, any codes) that may apply to you. See Exempt payee code and
<br />Exemption from FATCA reporting code on page 3.
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