|
W-9
<br />WWrite!) I Request for Taxpayer I Give font, to the
<br />;Wa Identification Number and Certification I rosea.• no not
<br />p p..vrrra a trw Tracer, I Go to wwsvJmpov/Fwm%V for Irotrudlone and the Mil"I Information. - . send to the IRS.
<br />Satiate you begin, For DlndaftCe rtgA' d to the Ffwpose of From 1V•9, me P rpora 01 Fern, baby.
<br />I Nano Of e-otyrr'Q.tduat. An eNryls re4ura Iry a elite rxwwor or doloonadat:y ante• ilio ~iWs naro on. Yo I. and anter tM lkxf►xsJdan+gvded
<br />antt)'S nama cn Ino 2J
<br />Nunez Construction Inc.
<br />2 BuS7sn ramordhraaadM entYy none. M dlaererrt horn aflGrro.
<br />as Chf!Ck 1M eppreCr ars for fa frdwd Inx cwnaryt.x+ d Ifro rntay+SndN4,al wrcu nm h acerb] Ing t Cht d.
<br />4 Exenif"m loo4a APOE , o 4 1a
<br />Dolt ane of the Ml bump eery+ be
<br />cis!an erlhl +. r,A mdh**44%
<br />❑ Intl4ovat:ala pfCpfelaf ❑ C«rpatrnn ❑ $o7ppatCr. ❑ AnTfY Yvp ❑
<br />SGC rdeuRcnscnp.2631:
<br />❑ LLC 6vrp Va fax cUmflowket QC - C carpdratYrt S - S eoTeralAxt P - PTxKrshD?
<br />Euerya PYrr+r "de .p any •
<br />Note: Chock Iia -L-C- box abs n WA n tone errry Maoll errW In .psralrvre crap ;C S. Of PJ to turn tax
<br />daurflcetxn tut the U.C. t,nhsr a is a drrTnied anoly. AdwY?Wkd witly.r. ld instead check the appropnale
<br />ExxM Dikn fr, * Foreign AMoi. rM Tal
<br />Dox fa lig Ia. d"Air oten of 21 arrMr.
<br />Clerroisfx i Act (FATCA) rOW,,1ng
<br />❑ Odw Kaa;nvr Kc&ea)
<br />coda fr an le!
<br />3b 11 on too 3a)tm a eerad-FwWnr%4p' a'TruWestaM: of clwdpd -t;-C ra YrarSA-P' u+ totae clataAcaoil.
<br />woliaii to a[eou'r mo'n�hao
<br />and you are pro.:dry 94 fay 10 a Aartrrb�.r.p. 6M14t. 9f m9X4 n -rich )Wha.e X ow—h'r ;Merril, dwtla
<br />❑
<br />vils d# Yo Unlad Santa}
<br />gn Do1, ohtrry or banale.udm. Sea nstr ucnant . . . . . _ .
<br />the Mor d you ha.p"krii e
<br />6 Addra.s (nrnslcr, wept, and not or alio MI. Sov orwbuc MF
<br />6400 SW 62nd Avenue
<br />a car, atue. � zr Dai.
<br />South M(aml FL 33143
<br />.:.axount nrrtora: hue (opr/anrQ
<br />11.1—tar'S Atop WO addf m iWX.Ahel
<br />® 'taxpayer Identincallon NunRM R
<br />Emtat your TIN In the approprma box. rha TIM Lfo ided must match the name gteon on lire 1 to arOld socias sews ty rarrr0w
<br />backup wih►totdng_ For indviduali, the a generally your social se;Urefy number (SSM. Howoser, for a
<br />resldemt elan 9ck propnctor, or disregarded anfity, see the 6tstnacliere for Part I, later. For Donau _
<br />entl6 it I Id—filcafio nurnbor-F" N d^ not lime a ru.'Lm =c )low fo refer
<br />ea. 6 )OV employer n i - yon, .. p or
<br />TW. Lite.
<br />Ftnytoyr idensikacen 11115F14_
<br />Note: V the account is in more th n one narl9, SO& the irotn)Ctlons totIna 1, See atsc V~ Nam arxdNumber To Ghre the Reguesfo for guxfdf rays onwhoec rumber to enler. 6 5 - 0 42
<br />ffmcm
<br />ClRiijCBdOR _
<br />Under pensPliee of perjury. I cEftify "I;
<br />1. The number shorn on Silt form is ney corset tarpwyor ldard& abtn number (or 1 am wahine for a number to lye oaued to n*. and
<br />2. 1 am no. subject to backup wthhuldng because (a)1 am exc ttpl from backup wit"41ding, or (b) I leve not been notled by tha IMemal Rwervx
<br />Servke QRS) that I em rut toct to backup wnhht le" as a raft e2 a failure to report at Ir tomt or dwodeod% or (c) lite IF>,S hue tt� text MA that 1 am
<br />no Longer sib)od to backtp withhotdng: and
<br />3.1 am a U.S. cititon of oVier U.S. parson (duMYwd baAnwj; and
<br />4. The FATCA ii; a &more* on lMs !ono ie! anA wxHeaung that I am exempt Som FATCA reporting is corwi,
<br />Certllieatlon IrsinnVona. Ver ritual cr n o out Awn 2 abo'ee r you nave boar noted by the AS that you ore currently sbMv, to backup w=lhholc r�
<br />bocetrri you naw failed to report all rmerett and dh dwvds on. y -%e Ltot return, For reed estate trarASaciio b, item ?do" no pt'. For •-nr;sgc rrcrar. pad,
<br />usdQuisaion a ebantix+mertl 01 sa,^,ur2d t+(�'i^f. CaIIO¢tab of debt, oontrbuborts td an irdhidnaai re:;remert :: a: •� -r•r� :nAj. arA.17e+'9rdlly. payrrK�ta
<br />other than ntr:rest ord dvd ate rU. r •rc4 to o Cf-V-.Ca.a'+. t.x.YW ter,=1 mvdr) y.ur :.firr,r tIN :n Ts re~rx:tisns for Par: r [sin.
<br />Sign sivmu" of
<br />Kat g U.& pwwn I5r tate 3 Zai . zit Ze,
<br />General Instructions a
<br />Section Werario" are to mo entemwl Revenue Coude untew olherwer
<br />noted.
<br />Feature dem prttonts. For the L>teot infotmetion about developmertta
<br />relmed to Forum Vl-9 arxf ita 'r1Slnuclinrla, Such SS WOIAW iOn Anti. ed
<br />slier that' were publ*ned, go to w"w.,rs gorlFoemiV9,
<br />What's New
<br />Line 3a has been rnsdihed to dandy how a dlV"artvfd erkly completes
<br />this line. An LLC fha! is a disrogerded entry, should cWk the
<br />apprO"hii box For the tax doulticetion of is owner. Othorwe4. it
<br />EhauM cl,44k tha 9.1-C" box wic ollbar its appmpnato tax class5cabon.
<br />Cat No IM -31X
<br />Nunez Construction, Inc. I Bid No. ITB -24-04-01
<br />Now Imo 3b has born added to this le m. A Fra+r-through entlly fe
<br />required toewnpicle Ulies fine to Irdk:sW llkel it hoe di,( -Cl or inrir6Cf
<br />loreiyn Wneim owr+ers, of benef+8arsoa viNn it provkfm rho Form %V-9
<br />to another flow-through onthy In rtfyx:h R has an owrrarshp Intorost- Ths
<br />Change Is lrliend6d to prwds a ilow•t'rough ce-My with nfcrmatlon
<br />ragwdoV the status of its rrxkrect torcign partner, tyarners, or
<br />ber"clarios, so that t can safety any appkebte reporllrg
<br />requirements_ For example, a peortnerthip gut tris any inVect lordgn
<br />".nom ural)' he "k4 to atmpHtp Schodulas K-2 and K-3. Sea the
<br />Partnershp Irevun oro $Sr Srrvel dss K•9 and K -"s %Form 10851.
<br />Purpose of Form
<br />An irdividutd or emily Form VI -9 rest iesteri who Is requied to :lo an
<br />trorrtlstion return with the IRS is gNr'0 you this term beeaLse OW
<br />Fm* w-8 rRry 19&11;.
<br />pg. 4
<br />
|