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<br />rive Fame to the
<br />a r
<br />Request for Taxpayer
<br />R last e s
<br />',
<br />Identification number and Certification
<br />requester. Do not
<br />a er r Ino r .nary
<br />sand to the Iris.
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<br />I'd'ama as IIhowa pn yuur nocme lax return;
<br />AFCOM, Technical Services, Inc.
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<br />Exempt payee code (0 ani
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<br />code (it any)
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<br />Address inpmbel', sbevl, and aGr. or suite nv ]
<br />Requester's name -and address (optional?
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<br />515 S. Hewer Street
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<br />City, rata, are Z!P code
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<br />Lo, An err.Sr CA 90071
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<br />Ta�i1¢ayelr VrJwntifcatiotl Ntarrsiarr fffhJ)
<br />Enter yr;ur TIN it the appropriate box. The TIN provident must match the name given on the "Name' line 3oglat seourity number _�___�
<br />to avoid bacRuo withholding. For indiv du tls nes is your soaml Security number (SSN). However, far a) f" -
<br />resident ahcn o r propretor, or disregarded entity, sea the Part I Instructions on page 3. For other I -[-i 1
<br />entities, it is your eau rloyer identification 1 rnpo (EIPI). If you do not have a number, J
<br />see flow to get a
<br />TIN on road 3.
<br />Note. If the acccurt is in more than one name, sea the chart on page 4 for guidelines an whose Employer IdentiFlcetion numher
<br />number to prier_ f �I
<br />
<br />
<br />
<br />Under penalties cf perjury, I cedihj tha*
<br />1. The number mown an the form 7s my correct taxpayer identification number (or I ern wolfing for a number to be is red to rut and
<br />2. 1 am not subi to backuP withholding because'. (a) I am exempt from backup wfthl'tolcing, or (b) I have not been notified by the Internal Revenue
<br />Stanton tIASJ that 1 am subject 'o backup withholding as a result of a failure m report all interest or dividends, or (c) the IRS has notified me that I am
<br />no loader s:,'rjzct to backup withholding. and
<br />3 1 am a U.S, cltiter 0r other US. person (defined below), and
<br />q. The FA,7l code;s; entered on this form (if any) Indicating that I am exempt from FA CA reporting Is correct.
<br />Ce!2ification Ind motions. Ycu must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
<br />becausr--->ou nr-,ve failed to report all interest and dividends on your tax return. For real estate transactions, hand 2 does not apply. For mortgage
<br />interest Fluid, aCcUiri tion or abandonment of secured property, cancellation of debt, contributions to an Individual re. irerrtant arrangement (IRA), and
<br />generally, paymsnbs othcr than intares, ono dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
<br />Instructions on pas© 9.
<br />`trign3lgneture an
<br />Here I U.S. Penrod'�' � .FK, n_ C.x3 \ Date P i � '�, i=x C>i`-9
<br />Caenel l instructions
<br />Section mforencas aro to vre Internal Ravernad Code yless otherwise noted
<br />Future developments. Toe IRS has coretadl a page on Rags, for Informal
<br />aheol Form'VIA at ww, fr.gav/'.v9. !nforc iron about any future developments
<br />attracting Foca W -g Luch as log ration affected ateeve release 11) will be posted
<br />art Haar page.
<br />p45rpose of gorril
<br />A person who, is required to flit, an mfarmation return wan the IRS must obtain your
<br />Correct taxpayer fd'virscation number I7N) to moor[, far stee le, Income paid to
<br />you, dayFlurin onzfig to you In sehJemem o.r f ai surd a.0 t third party network
<br />admixrtbns. real estate Fnasolione. ummgago 7ntarl you paid, acquisition or
<br />aben m,reent of samred property, carQela4cn at debt, or contributions you made
<br />to an Ino.
<br />Use Farm *-9 z,,,, r you are a LLa par=son f!ndUding a resid_at site,), to
<br />provide your rarreat +Ifi to the person requesiiog It fine rsq,feter) and, when
<br />applasim in
<br />1. CCYd P} char ; "Fit you ar gPoing is =rtrrt (or you are waiting for a numbor
<br />!a iso iaaaedl,
<br />2. Cali that qou Fra out sub!eottn backoo wfthirm[or g, or
<br />3. Clam examp6on trom backup wChholtligg if you area -r S. exempt payee, if
<br />actua blas you fee ak_a cret ging that as a US_ person.. your alWcable share of
<br />any partnership income from a ll. S. trade or buainass- is not Subject to the
<br />,unnhotding tax an foreign partnersshare arerfdotWa;y conn€cted income, and
<br />4. Cartify that FATCA codas) entered on this form lir any) Indicating that you are
<br />es=_mpt from the FATCA reporting, is correct.
<br />Note. It you are a U.S. person and a requester gives you a form other than Form
<br />V1.9 to request your TIN, you must use the mquoster's form if it is substantially
<br />similar to this Farm W-9.
<br />Dentition of a U.S. person. For foderai tax pFrpatu s, you are considered a U.S.
<br />person if you ere:
<br />An indvidual who Is a U.S. citizen or U_5. resident alien.
<br />A partnership, corporation, company, or association created or organized In the
<br />United Stated or under the laws of fee United States.
<br />e An estate (other than a foreign esfate), or
<br />• A Cartel trust tats defined in, Regulations auction 301.7701-n_
<br />Special Aloe for partnerships. Partne ,hips that conduct a trade or business in
<br />the United States are generally required to pay a withholding tax under section
<br />1446 an any foreign partners' share of effectively connaoted taxable Income from
<br />such business. Further, in certain cases v,h=_ra s Form W -F) has not been received,
<br />the rules under section 1446 require a partnership to presume that a partner is a
<br />foreign person, and pay the section 1446 rdalso ming tax. Therefore. If you are a
<br />US person, that Is a partner in a partnership conducting a trade or business in the
<br />Unit States, provide Form W-9 to the partnership to establish your I S_ status
<br />and avoid section 1446 withholding on your share of partnership income_
<br />Cat. No. 101a1X Fnnr, Vi lRev. 6-2013)
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