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ATTACHMENT <br />to ter your TINavoid back p the appropriate Forhex. The ls, t is Is you muss mann int mote gw SN). H ,� ' - <br />to avoid backup withholding. For Individuals, this Is your social seeudfy number (SSNJ. However, for a <br />disregarded entity, see the Part I Instructions on page 3. Forother <br />® <br />Request for Taxpayer <br />Give Form to the <br />Form <br />fill August 2013) <br />identification Number and Certification <br />requester. Da not <br />send to the IRS. <br />Department of the Treasury <br />Internal Revanue Ssruice <br />Identification number <br />I <br />mEmployer <br />I <br />I <br />Name (as shown on your Income tax return) <br />Suslness name/disre9erded entity name, if different from above <br />m <br />°- <br />Check appropride box for federal tax classlflcation: <br />Exemptions (sae instructions): <br />O <br />❑ Individual/sola proprietor ❑ C Corporation ❑ 3 Corporation EJ partnership ❑ TmsVestate <br />y o <br />Exempt payee code Of any) <br />t� <br />F-1 Limited liability company. Aller the tax classification (C=C corporation, 8=3 corporation, P=pednerehlp)> <br />Exemption from FATCA reporting <br />`o L <br />code (if any) <br />y❑ <br />Other (see instructlons)► <br />address (options)) <br />AUdress (number, alreet, end apt. arsons an.) <br />a, <br />]-F�eq�uooer'8and <br />Cfly, state, and ZIP code <br />m <br />N <br />List account numbor(s) hero (optional) <br />• <br />Tax oyer Identification Number (TIN) <br />to ter your TINavoid back p the appropriate Forhex. The ls, t is Is you muss mann int mote gw SN). H ,� ' - <br />to avoid backup withholding. For Individuals, this Is your social seeudfy number (SSNJ. However, for a <br />disregarded entity, see the Part I Instructions on page 3. Forother <br />_ m _ <br />resident alien, solo proprietor, or <br />entities, it Is your employer Identification number (EIN). If you do not have a number, see How to get e <br />LJJ--f—f <br />TW on page 3. <br />Nate. If the account is in more than one name, sae the chart on page 4 for guidelines on whose <br />number to enter. <br />Identification number <br />I <br />mEmployer <br />I <br />I <br />Under penaites of perjury, I certify that: <br />1. The number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be Issued to me), and <br />2. [am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue <br />Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest ordlvidends, or (c) the IRS has notified me that I am <br />no longer subject to backup withholding, and <br />3. 1 am a U,S, citizen or other U.S. person (defined below), and <br />4. The FATCA code(a) entered on this form (if any) Indicating that I am exempt from FATCA reporting is correct, <br />Certification instructions. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding <br />because you have felled to report all Interest and divired property, <br />on cncellationreturn, <br />of debt, contributions to an individual retirement em 2 does not apply. <br />arrangement (IFor RA), and <br />Interest paid, mantoioth or abandonment of secured property, <br />nanarally. navmenls other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the <br />Instructions on page 3. <br />Sign Signature of <br />Here U.S. person 0, <br />General Instructions <br />Section references are to the Internal Revenue Code unless otherwise noted. <br />Future developments. The IRS has created a page on IRS.gov for information <br />about Form W-9, atuAVW IM40VAV9. [marination about any future developments <br />affecting Form W-9 (such as legislation enacted after we release Ii will be posted <br />on that page. <br />Purpose of Form <br />A person who Is required to Its an Information return with the IRS must obtain your <br />correct taxpayer Identification number (11N) to report, for example, Income paid to <br />you, payments made to you in settlement of payment card and third party no twork <br />transactions, real estate transactions, mortgage interest you paid, acquisition or <br />abandonment of secured property, cancellation of debt, orconldbutton6 you made <br />to an IRA. <br />Use, Form W-9 only If you are a U.S. person Including, a resident alien), to <br />provide your correct TIN to the person requesting It (the requester) and, when <br />applicable, to: <br />1. Certify that lheTIN you are giving Is correct (or you are waiting for a number <br />to be issued), <br />2. Certify that you are not subject to backup withholding, or <br />3. Claim exemption from backup withholding if you are a Ui exempt payee. If <br />applicable, you are also certifying that as a U.S. person, your allocable share of <br />env oadnamhlo Income from a U.S. trade or business Is not subject to the <br />Data P <br />withholding tax on foreign partners' share of effectively connected Income, and <br />4. Ca1IWhet FATCA code($) entered on this form (if any) Indicating that you We <br />exempt from the FATCA reporting, is Centel. <br />Note. If you are a US, person and a requester gives you a form other than Form <br />W-9 to request your TIN, you must use the requester's form If It Is substantially <br />similar to this Form W -g. <br />Definition of a U.S. person. For federal tax purposes, you are considered a U.S. <br />person If you are: <br />• An Individual who to a U.S. citizen or U.S, resident alien, <br />A parn irship, corporation, company, aassociation created or organized in the <br />United States or under the laws of the United Slates, <br />• An "late (other than a foreign social, or <br />•,A domestic trust (as defined in Regulations section 301.7701-7). <br />Special rules for partnerships. Partnerships that conduct a trade or business In <br />tha United Stales are generally required to pay a withholding tax under station <br />1446 on any foreign parmase' share of effectively connected taxable Income from <br />such business. Fudher, in certain cases where a Form W-9 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 withholding lax. Therefore. If you are a <br />U.S. person that Is a partner In a padnemhip conducting a trade or business In the <br />United States, provide Form W-9 to the partnership to establish your U.S. status <br />and avoid section 1446 Wihholding on your there of partnership Income. <br />Cat. No. 102SIX <br />75E-31 <br />Form <br />B-2013) <br />