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Form W-9 (Rev. 8-2013) <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 fortax 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 calendar years. <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 qualifles 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 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 II instructions on page <br />3 for details), <br />3. The IRS tells the requester that 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 forpartnerships 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 />Pace 2 <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. Willfully 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 BRA) 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)(lil). 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, Trustlestate), <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 filed 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 code(s) that may apply to you. See Exempt payee code and <br />Exemption from FATCA reporting code on page 3. <br />