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W-9 FROM - --
<br />Form W-9
<br />(Rev. October 20 16)
<br />Dopo"manl of the Treasury
<br />Internal Revenue Service
<br />ZTC
<br />► _ •0t /I
<br />Request for Taxpayer
<br />Identification Number and Certification
<br />► Cdo to www.lrs.gov/ForinW9 for instructlona and file telco( Informatlon.
<br />i rvemo les snown on your income tax relurr
<br />on
<br />Custom Tree Care, Inc.
<br />2 Business name/disregarded entity name, I'
<br />CTC Disaster Response, Inc.
<br />y 3 Chock appropriate box for fedora) tax clossificolion of the poreon whose nomo is entered on lino 1. Chock only ono of iho
<br />following seven boxes,
<br />n
<br />o ❑ Individual/sole proprietor or C Corporation ElS Corporation ❑ Partnership E3Trust/estate
<br />ai singlo-member LLC Exempt
<br />0
<br />❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
<br />`o Note: Check the appropriate box in the lino above for the tax classification of the single -member owner. Do not check
<br />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 />another LLC that Is not disregnrded from the owner for U.S. federal tax purposes. Otherwise, a singte-member LLC the
<br />Is disregarded from the owner should chock the appropriate box for the tax classification of its owner.
<br />E] Other (see Instructions) ► (MPr••
<br />6 Address (number, street, and apt, or suite no.) Seo Instructions. Requester's name
<br />u)6021 SW 29th St. PMB#130
<br />6 Cily, state, and ZIP code
<br />Topeka, KS 66614
<br />4 Exemptions (codon apply only to
<br />cortoin entities, not Individuals; see
<br />Instructions on page 3);
<br />0,
<br />Give Form to the
<br />requester. Do not
<br />send to the IRS.
<br />payee code (If ony)
<br />Exemption from FATCA reporting
<br />code (II any)
<br />ro •ccounn mrinrrNb •uaw• IM U.ef
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on Ilne 1 to avoid I Social security number
<br />backup withholding. For Individuals, this Is d entity, your social security number , late . However, for o — m —
<br />resident ellen, sole proprietor, or disregarded entity, see lite Instructions for Part I, later. For other
<br />entities, it Is your employer Identification number (EIN). If you do not have a number, see How to get a
<br />'IN, later. or
<br />Note: If the account is in more than one name, see the Instructions for line 1. Also see What Name and I Employer Identification number
<br />Number To Give the Requester for guidelines on whose number to enter.
<br />4 8 -1 11 2 4 5 9 6 8
<br />■'lTia1■ certification
<br />Under penalties of perjury, I cert
<br />ify lflal:
<br />1. The number shown on this form is my correct taxpayer identification number (or I am waiting fora number to be Issued to me); 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 to report all Interest or dividends, or (c) the IRS has notified me that I am
<br />no longer subject to backup withholding; and
<br />3. I am a U.S. citizen or outer U.S. person (defined below); and
<br />�. 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 />acqulsltlon or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
<br />other than Interest and dividends, you are not required to slgWhegertlflcation, but you must provide your correct TIN. See the Instructions for Part 11, later.
<br />Sign Signature of
<br />Here U.S. parson►
<br />General Instructions
<br />Section references are to the Internal Rovenuo Code unless otherwise
<br />notedI
<br />Future developments. For the latest Informatlon about developments
<br />related to Form W-9 and Its Instructions, such as legislation enacted
<br />after they were published, go to www.1rs.gov/FormW9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />Informatlon return with the IRS must obtain your correct taxpayer
<br />Iden111icalion number (TIN) which may be your social security number
<br />(SSN), Individual taxpayer Identification number (ITIN), adoption
<br />taxpayer Identification number (ATIN), or employer Identification number
<br />(EIN), to report on an Information return the amount paid to you, or other
<br />amount reportable on an Information rolurn. Examples of Information
<br />returns includo, but are not limited to, the following.
<br />• Form 1099 -INT (Interest earned or paid)
<br />• Form 1099 -DIV (dividends, Including those from stocks or mutual
<br />funds)
<br />• Form 1099-MISC (various types of income, prizes, awards, or gross
<br />proceeds)
<br />• Form 1099-© (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />• Farm 1099-S (proceeds from real estate transactions)
<br />• Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage Interest), 1098-E (student loan Interest),
<br />1098-T (tuition)
<br />• Form 1099-0 (canceled debt)
<br />• Forin 1099-A (acquisition or abandonment of secured property)
<br />Use Form W-9 only If you are a U.S. person (Including a resident
<br />611en), to provide your correct TIN.
<br />l/ you do not return Form W-9 to the requester with a TIN, you might
<br />be sub/ect to backup withholding. See What Is backup withholding,
<br />/afar.
<br />Cat.
<br />Data Ow 1/20/2023
<br />No. 10231X Form W -g (Rev. 10.2016)
<br />Page 7 of 87
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