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1 <br /> rm W-9 Request for Taxpayer Give Form to the <br /> (Rev October2018) Identification Number and Certification requester.Do not <br /> Department of the Treasury send to the IRS. <br /> Internal Revenue Service ►Go to wivw.Irs.gov/FormW9 for Instructions and the latest information. <br /> 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. <br /> Southeastern Printing CO, Inc. <br /> 2 Businessname/disregarded entity name,if different from above <br /> Southeastern <br /> 3 Check.appropriate box for federal tax classification of theperson whose name is entered on line 1.Check onlyone'of the 4 Exein tions(codes applyonly <br /> aPP P� P' to . <br /> following seven boxes. certain entities,not individuals;see <br /> a instructions on page 3): <br /> o 0 Individual/sole proprietor or 0 C Corporation 0 S Corporation 0 Partnership 0 Trust/estate <br /> m c <br /> mc Exempt Exempt payee code(if any) <br /> ao <br /> ❑•Limited liability company.Enter-the tax classification(CFC corporation,S=S corporation,P=Partnership)► <br /> p 3Note:Check the appropriate box in the line above'for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting <br /> in LLC if the LLC Is classified as.a single-member LLC that is disregarded from the owner unless the owner of the LLC is <br /> c e another LLC that is not disregarded from the owner for U,S.federal tax purposes.Otherwise,a single-member LLC that code'(d any) <br /> a ° is disregarded from the owner should check the appropriate box for the tax ciacsification of its owner. <br /> m <br /> 0 Other(see instructions)► pippar w accounts rnebetatnarfa,aa.the u.sf <br /> N 5 Address(number,street,and apt.Or suite no.)See instructions. Requester's name and address(optional) <br /> 3E01 SE Dixie I- ghway <br /> co <br /> 6 City,state,and ZIP code <br /> Stuart,FL 34997 <br /> 7 List account number(s)here(optional) <br /> Part I Taxpayer Identification Number(TIN) <br /> Enter your TIN in the appropriate box.The TIN provided must match the name given on line1 to avoid (.Social security number <br /> backup withholding.For individuals,this is generally your social security number(SSN).However,for <br /> resident alien,sole proprietor,or disregarded entity,see the instructions.for Part I,later.For other — - <br /> entitles,it is your employer identification number(EIN).If you do not have a number,see How to get a <br /> TIN,later. or <br /> Note:If the account is in more than one name,see the instructions for line 1,Also see What Name_and Employer identification number <br /> Number To Give•the Requester for guidelines on whose to enter. <br /> 6 5 - 0 7 1 7 1 1 9 <br /> Part II Certification <br /> Under penalties 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 tome);and <br /> 2.I 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 report all interest or dividends,or(c)the IRS has notified me that I am <br /> ho longer subject to backup withholding;and <br /> 3.I am a U.S.citizen or other U.S.person(defined below);and <br /> 4.The FATCA code(s)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 because: <br /> you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, <br /> acquisition or abandonment of secured property,cancellation of debt,contributions town individual retirement arrangement(IRA),and generally,payments <br /> :other than interest and dividends;youare not required to sign the certification,but you must provide your correct TIN.Seethe instructionsfor Part ll;later. <br /> Sign Signature ofJanuary 1; 2020 <br /> Here u:s.person►_Rebecca Wise_�m Date► <br /> General Instructions •Form 1099-DIV(dividends;'including those from stocks ormutual <br /> 'funds) <br /> Section references are to the Internal Revenue Code unless:otherwise" •:Form 1099=MISC(various types of income,prizes,awards,or gross <br /> noted. proceeds) <br /> Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund aales and certain other <br /> related to Form W-9 and,iits"instruction%such as legislation enacted transactions by brokers) <br /> after they were published,go to www.irs.gov/FormW9: •Form 1099-S(proceeds from real estate transactions) <br /> Purpose of Form I •Form 1099-K(merchant card and third party network transactions) <br /> An individual or entity(Form W-9 requester)whois required to file an •Form 1098(home mortgage.interest);1098=E(student Loan interest), <br /> information return with the IRS must obtain your correct taxpayer 1098-T.(tuition) <br /> identification number(TIN)which may be your social security number I Form 1099=C(canceled debt) <br /> (SSN),individual taxpayer identification number(IT1N),adoption •Form 1099-A(acquisition or abandonment of secured property) <br /> taxpayer identification,-number(ATIN),or employer identification number <br /> (EIN),to report on an information return the amount paid to you,or otherUse Form W-9 only if you are a U.S.person(including a resident <br /> amount reportable on an information return.Examples-of information alien),to provide your correct TIN. <br /> returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might <br /> •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, <br /> later. <br /> Cat.No.10231X Form W-9(Rev.10-2018) <br />