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W-9 <br />w..9 <br />Request for Taxpayer <br />ohms Ponm to the <br />Fam <br />r,e..October a0lq <br />Identiftn fon Number and Certlflcatlon <br />r gt,.,ter. Do not <br />lrrc.rtrwntd w r,.•r,rr <br />send to the IRE. <br />tnettew rsw+ee strike <br />1. 00 W .�-,. irs.{pWr<aeeieN9 la Inabrrelbne end the latest Ielwwretlon. <br />i <br />I rr..rr N .0- &%vow neoem lis �aiV �q �fxrettee •e�tYed � o e..k1 e,r :ri-.• 1i.n 1r, k" n <br />- <br />Nunes ContlnKIion. Inc. <br />7 nW11N ntrnx.Onhr"rrdrp Mani nim rlsersro nem a.o•T <br />a O ick oppmpnne bw b. Iederd tar daedic~ of ete pomw ■t+ose norm is enured on m►n 1 Crwr arty w d ill <br />a Ei (coder appl/ dA' m <br />aro ma brant nmres, <br />m O.rtIln <br />uflaem ttrN4 ra nata,rb; sr <br />b ❑ Indvduel/sds p'ee•tetoror 13C l.orpwtlbn S S CdpwWon ❑ f�rretxsiip ❑ TnrVaelels <br />newctiono on pop 4 <br />wtys+•a~ LLC <br />E•W * payer code it WO <br />❑ Li noted Isseuycomprq,Ewanerne tin dosaalcMdnIC•,CcorporaoogE•SorporanonP.wnnvift)► <br />7Leer CMcA 11w •Vi '+-. .1 .- .: •... ..� ... .. ,, .... ... Mriul fl'gri <br />F.nmpden 60rrt FATCA row;rq <br />` <br />U.Ca•5ettCr�ssai•dterlaiat•qe..r.a...t.'..,'•:,,:Mw•y•.1r.�t',••-� ...... WallLLC If <br />Coos to"M <br />er5a hW Ire tr+A,• not dwyrnudOf" ms wee k+ U dodereUsptrer•uri Or,rtrsw is rrgiewni.,sR Ll r, <br />gad owded yom Fru 7Knw srt6•rid Vs@0 W* anoroodsov, OoKNo here fir dostdcol n of W owwov. <br />UCWW!••+ tnitnxts.-. � F <br />/,a•M ft .-.it �.ftvY hcairn <br />- <br />•. A.41 n -- :. I'. -- .„ .*,.a ,C! err„ee rwJ be. Mlleticdpfy, - _ - <br />nrgw•trt rant. •r,,r-.•., .. <br />6400 SW 62nd Ave. <br />u.1:tr . . <br />SouthNIS&W, FL 33143 <br />F LO W000t nrvr-'vo nw-10 <br />Ttlttpgor Entiffcabon NurnlW-ffN) <br />Ener your TIN h Ihe appoprtoDor. The TIN prodded rrrsl match the name phare en Ine 1 to a%vW ia.Yit "4111100a,eerr <br />backup vtrMtt00ng• For Irditfidusk, MM to gerwety your *octal awtb rarnber (SW, ibwever, fora j'`�``"�"`y �j'`� <br />r"Wor t mart sola woprisim, at disregarded arwy, see the vokoctlons br Part I, %for. For other I `I j -� 'I I L- <br />MtMmkbVowwnOoWdwo0k~mmvibwOM."youdoMhm <br />number. see Now to pat a 1 J + } <br />TYmt later, or <br />Nolo: If the accourrl Is in more Man one rams, see the Ins4uctkn : forllne 1. Also no Whet Afoul. ieV F• e�P! thadn _ <br />Al T%W To (34V VW ROQLAWW for gudWft on whoee rwrriber to enter. <br />Ccrtirictlt)ori b1 ��9 �-0 <br />Under pandNea of porpy, I cMtty that <br />1. The number eltorwm on this lorm k my apnea UD;wyer Idrkthntlon nunbof lar I am wakhg lora rhmrnbar to be i{need to ma); end <br />2. I em reel euDlea to t'a�p ! ec n x: ,sl s . r rueropt loan tsar . • w1Mah0 C"' orIb► I Ivrw r of been ndtred by tfhe kvlWnd fievanus <br />Swvbs JIM that I M hieral or d1•tdrda, a (e) the NLS ted notlf ed me IMl Ism <br />no brtgw af4ocl to bukW waNWdhF and <br />3. I am a US. citizen or Oliver U.S. perwn "eltned below); red <br />4. The FATCA code(p entered on thle form M errh IndkNYmg Mat I a m arwrpt from FATCA row" Is oormL <br />Cefhncetfon YtarUpBow You must cross out Item 2 tl r,, il.0 , have ban notified byte i45 that you we tunny a fled to bedap Wtftidhg becaue0 <br />you 1-o.r rased to repW IS rows+ r td dvda+ds ona• Fa real slow w4actierms, tam 2 does nom apply. Fed mdbspe hlwest Calci, <br />eo*mwon or .bat dr Fr) d .doled 1001Y.kxt S� t4 <br />. nrtitw.s.b an rmdtrkW regantre arrangrrwY OA°J arw 9 -OW row—, <br />other 1►han Meetsl Lola rwt b aMaalbrm t1u1 you mtrLe prtwtie your bproct rr{ the tnca,tvss hx:marl it fitter, <br />Sign swtowv of- <br />Fnitlfei VA Pt�+••t Pais■ <br />Veeridi8l I r18tlr[lctin s • Form 1090-0N (dirlaeride, n as xt• • from blocks a m" <br />Aind1) <br />Seotbri relererhoes ars to the Mlerrhal lieverrse Code urtlou aktarYAso <br />rioted. <br />FhhWe dswlopmee s. For the blew Wonrotion about dsvolopnisMs <br />related to Form vv -9 trod Ito inetrue WIL such a k9wialkn WWOW <br />filer they were , -ihod go to "m.vs 9w forml <br />Purpose of Form <br />An MdWdtel or etltlty (Form VY -9 requester) who Is raqulrod to 1110 in <br />btlormation rehm with the ft mut obugn ypur perfect larpaysr <br />i . Ill ti n rarrtber (TIM tt4dclt MY be your socialsecvroy rorrkm <br />(SSM, kxtvU d larpayw Iderl"Itallon rtunber ITfM4. adcptton <br />talmpeyer I w*kauw mo bw (ATMA, or wnployr lderOlcatim nrntbw <br />07M• to MW on an Wormatlon rearm the amouft paid to you, of purer <br />anatnt reportable on an hrormeton return. Evi rrCiag of irdormatlon <br />rolurrd ftlsde, bdl are rot limited to. VM lol ow". <br />• Form 1096 -INT (1rMwest named or paid) <br />C.t No 10231X <br />• Farm 1(til WIM (wlrtrwA tyr'~t,h M krrmie, r -rim, Awards, or Rose <br />pooeeds) <br />• Form 1099.11 (stock or mutual Md sella and consin o"w <br />bsrraatbs by txoams) <br />• Form 1099.3 (probesds 1•om real Istat. troraoams) <br />• Form 1099-k (narchaM card and k+lyd party network IrarsesUgnl <br />• Form 109E (home mortgage #hferost , 1096-E "idem loan hara0, <br />109E -T (luteon) <br />• Fpm 1099-C (tided debt) <br />• Fpm 1099-A IapquWW or absr4o inert of.ecured property) <br />Use Farm W9 only if you aro a U.S. pawn (W"org a realdra <br />WWO, to provide yaw correct TIN. <br />U you db not return Farm W-9 eo ro requester wan a M you aWW <br />be &A*d to fiaciap w*WsokOV See What is baokup w&*hddkp, <br />War, <br />Farm W4tnr• IOLVI i <br />Nunez Construction, Inc. I Bid No. ITB -22-05-01 pg.4 <br />