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Form W-8 (Rev. 12-201
<br />Note. If you are a U.S. person and a requester gives you a form ether than Form
<br />W-9 to request your TIN, you must use the requester's form If It Is substantially
<br />similar to this Farm W-9.
<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 Is a U.S. citizen or U.S. residual ellen;
<br />• A partnership, corporation, company, or association created or organized In the
<br />United States or under the laws of the United States;
<br />• An estate (other than a foreign estate); 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 />the United States are generally required to pay a withholding lax under section
<br />1446 on anyforelgn partners' share of effectively connected taxable Income from
<br />such business. Further, In certain cases where a Form W.9 has not been mcolved,
<br />the rules undersectlon 1446 require a partnership to presume that a partnerfs a
<br />foreign person, and paythe section 1446 withholding tax. Therefore, If you are a
<br />U.S, person trot Is a padnerin a partnership 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 withholding on yourshare of partnership Income.
<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 nal Incomefrom 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 US. 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 irusti, the U.S, trust (other than a
<br />granter trust) and not the beneficiaries of the trust.
<br />Foreign person. If you are aforelgn parson or the U.S. branch of a foreign bank
<br />that has elected to he treated as a U,S. person, do not use Form W-9, Instead, use
<br />the appropriate Form W -g or Form 8233 (see Publication 515, Withholding of Tax
<br />on Nonresident Aliens and Foreign Entitles).
<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 atax treaty to claim an exemption from U.S. tax on certain typos
<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, Thu 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 />A. Sufficient facts to justify the exemption from tax undcr ibe terms of the treaty
<br />amain,
<br />Example. Article 20 of the U,S: China income tax treaty allows an exemption
<br />from lax forschoiamhip Income received by a Chinese student temporarily present
<br />in the United States. Under U.S. law, this student will became 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 Apra 30,
<br />1984) allows the provisions of ANiele 20 to continuo to apply even offer 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 ora foreign entity, give the requester the
<br />appropriate completed Farm W-8 or Form 6233.
<br />Backup Withholding
<br />What Is backup withholding? Persons making certain payments to you must
<br />under certain conditions withhold and pay to the IRS 2801a of such payments. This
<br />Is called "backup wlthholdintl " Payments that may be subject to backup
<br />withholding Include interest, tax-exempt Interest, dividends, broker and barter
<br />exchange transactions, rents, royalties, nonemployee pay, payments made In
<br />settlement of payment card and third party network interactions, 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 requostor your correct TIN, make the proper certifications, and report all
<br />your taxable interest and dividends an your tax return.
<br />Payments you receive will be subject to backup 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 damlls),
<br />Page'2
<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 />C artain payees and payments are exempt from backup withholding. See Exempt
<br />payee cede on page 3 and the separate Instructions for the Requester of Form
<br />W-9 for more Information.
<br />Also see Special rules forpartnendlps above.
<br />What is FATCA reporting?
<br />The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign
<br />financial Institution to report all United States account holders that are specified
<br />United States parsons. Certain payees are exempt from FATCA reporting. See
<br />Exemption from FATCA reporting code on page 3 and the Instructions for the
<br />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 fell 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 hot 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 regard law,
<br />the requester may be subject to civil and criminal penalties.
<br />Specific Instructions
<br />Line 1
<br />You must enter one of the following on this line; de not leave this line blank. The
<br />name should match the name on your tax return.
<br />Ifthis Form W-9 is for a joint account, list first, and then circle, the name of the
<br />person or entity whose number you entered In Part I of Form W-9.
<br />a, Individual. Generally, enter the name shown on your tax return. If you have
<br />changed your last name without Informing the social Security Administration (GSA)
<br />of the name change, enter your first name, the last name as shown on your social
<br />security card, and your new last name.
<br />Note. ITIN applicant: Enter your Individual name as It was entered on your Form
<br />W-7 application, line ia. This should also be the settle as the name you entered on
<br />the Form 104011040All040EZ you flied with your application.
<br />b. Sole proprietor or single -member LEG, Enter your individual name as
<br />shown on your 1040/1040All 040 EZ on line 1. You may enter your business, trade,
<br />or "doing business aa" IDEA) name on line 2.
<br />a Partnership, LEC that Is note single -member LLC, C Corporation, or S
<br />Corporation. Enterthe entity's name as shown on the entity's tax return on line 1
<br />and any business, trade, or DSA name on line 2.
<br />d. Other entities. Enter your name as shown on required U.S. federal tax
<br />documents an line 1. This name should match the name shown on the charter or
<br />other legal document creating the entity. You may enter any business, trade, or
<br />DSA name an line 2.
<br />e. Disregarded entity. For U.S. federal tax purposes, an entity that Is
<br />disregarded as an entity separate from Its owner In treated as a "disregarded
<br />entity." Sea Regulations section 301,7701-2(e)(2)(iiiJ. Enter the owner's name on
<br />line 1. The name of the entity entered on line 1 should never be a disregarded
<br />entity. The name on line 1 should be the mune shown on the income tax return on
<br />which the Income should be reported. For example, if a foreign LLC that Is treated
<br />as a disregarded entity for U.S, federal tax purposes has a single Owner that Is a
<br />U.S, person, the U.S. owner's name Is requh'ad to be provided on line 1. If the
<br />direct owner of the entity In also a disregarded notify, rotor the first owner that Is
<br />not disregarded for federal tax purposes. Enter the disregarded entity's name on
<br />line 2, "Business naroddleregarded entity name." II the owner of the disregarded
<br />entity Is a foreign person, the owner must complete an appropriate Form W-3
<br />Instead of a Form W-8. This is the case even if the foreign person has a U.S. TIN.
<br />75M-56
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