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Farm W-9 (Ras. 12-2014) <br />Note. If you are a U.S. person and a requester gives you a form other than Form <br />W-8 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. resident ellen; <br />• A partnership, corporation, company, or association created or organized In the <br />United States or under the laws of the United Stales; <br />• An estate (other than a forelgn estate); or <br />• A domestic trust (as datlned In Regulations section 301.7101-7). <br />Spacial rules for perinereh(ps. Partnerships that conduct a trade or business in <br />the United State. are generally required 10 pay a withholding tax under section <br />1446 on any foreign partners' share of effectively connected taxable Income from <br />such business. Further, 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 padnelis a <br />foreign person, and pay the section 1446 withholding tax. Therefore, if you are a <br />U.S, person that Is a partner in a partnershtp 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 en your share 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 net Income from the partnership conducting atrade 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 granter 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 aforeign person or the U.S. branch o1 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-3 or Form 0233 (sea publication 5151 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 became 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, lax on certain types <br />of Income, you most attach a statement to Form W-9 that specifies the following <br />five Items: <br />L The treaty country. Generally, this must be the same treaty under which you <br />'clowned 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 farm tax. <br />5. Sufficient facts to justify the exemption from tax under the terms of the treaty <br />article. <br />Example. At dole 20 of the U.S.-China Income tax treaty allows an exemption <br />from tax far 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: Ghina 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 Steles. A Chinese student <br />who qualifies for this exception (under paragraph 2 of the first protocol) and Is <br />relying an this exception to claim an exemption from tax on his or bar 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 Form W-8 or Form 8233. <br />Backup Withholding <br />What In backup withholding? Persons making certain payments to you must <br />under certain conditions withheld and pay to the IRS 28% at such payments. This <br />Is called "backup withholding." 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 transactions, and cerialn <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 withholding rh <br />1. You do not furnish your TIN to the requester, <br />2. You do not certify your TIN when required (sec the Part II instructions on page <br />3 for details), <br />Pago 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 />S. You do not certify to the requester that you are not subject W backup <br />withholding under 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 Farm <br />W-9 for more Information. <br />Also see Special rules forpartnerships above. <br />What is FATCA reporting? <br />The Foreign Account Tax Compliance Act (FATCA) requires a particlpating foreign <br />financial institution to report all United States account holders that are specified <br />United States persons. Certain payees are exempt from FATCA reporting. See <br />EXanifyi from FATCA Micart(ng code on page 3 and the Instructlons forthe <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 parson. 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 bads 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 evictor <br />Impdaemment <br />Misuse of TINs. If the requester discloses cruses TINS In violation of federal 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 fallowing an this line; do not leave this line blank. The <br />name should match the name on your tax return. <br />If this Form W-0 Is for a joint account, list first, and then circle, the name of the <br />person or entity whose number you entered In Pad 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 Administmtlon (SSA) <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 1a. This should also be the same as the name you entered on <br />the Form 1040/1040A/l040 EZ you filed with your application. <br />b. Sole proprietor or single -member LLC. Enter your individual name as <br />shown on your 1040/1040A71040EZ on line 1. You may enter your business, trade, <br />or"doing business as" (CDA) name on line 2. <br />a Partnership, LLC that to not a single -member LLC, C Corporation, or S <br />Corporation. Enter the entity's name as shown on the entity's tax return on line 1 <br />and any business, trade, or USA name online 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 />CRA name on 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 is treated ss a "di.regorded <br />entity." Sea Regulations section 301.7701-2(cj(2)(iiq. Enter the owner's name on <br />line 1. The name of the entity entered on lime 1 should never be a disregarded <br />entity. The name on line'I should be the name 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 required to be provided on line 1. If the <br />client owner of the entity Is also a disregarded entity, enter the first owner that is <br />not disappointed for federal tax purposes. Enter the disregarded entity's name on <br />line 2, "Business name/disregarded entity name." If the Owner of the disregarded <br />entliy Is a forelgn person, the owner most complete an appropriate Farm W-8 <br />Instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. <br />75N-50 <br />