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EpdvTjho!Fowfmpqf!JE;!2193E418.88DB.5943.:22G.914D7G:28845EpdvTjho!Fowfmpqf!JE;!ED64EEGG.2G1:.5:C6.C4CB.73549671:658 <br />Cspxbse!Tifsjgg(t!PggjdfCje!2:142NGX <br />Request for Taxpayer <br />Identification Number and Certification <br />Give Form to the <br />Gpsn!W-9 <br />requester. Do not <br />)Sfw/!Pdupcfs!3129*! <br />Go to www.irs.gov/FormW9 for instructions and the latest information. <br />EfqbsunfoupguifUsfbtvsz!send to the IRS. <br />JoufsobmSfwfovfTfswjdf <br />1 Obnf!)bt!tipxo!po!zpvs!jodpnf!uby!sfuvso*/!Obnf!jt!sfrvjsfe!po!uijt!mjof<!ep!opu!mfbwf!uijt!mjofcmbol/ <br />2 Cvtjoftt!obnf0ejtsfhbsefe!foujuz!obnf-!jg!ejggfsfou!gspnbcpwf <br />4 Fyfnqujpot!)dpeft!bqqmz!pomz!up! <br />3 Difdl!bqqspqsjbuf!cpy!gps!gfefsbm!uby!dmbttjgjdbujpo!pg!uif!qfstpo!xiptf!obnf!jt!foufsfe!po!mjof!2/!Difdl!pomz!one pg!uif! <br />dfsubjo!foujujft-!opu!joejwjevbmt<!tff! <br />gpmmpxjoh!tfwfo!cpyft/ <br />jotusvdujpot!po!qbhf4*; <br />DDpsqpsbujpoTDpsqpsbujpoQbsuofstijqUsvtu0ftubuf <br />Joejwjevbm0tpmf!qspqsjfups!ps! <br />tjohmf.nfncfs!MMD <br />Fyfnqu!qbzff!dpef!)jg!boz* <br />Mjnjufemjbcjmjuzdpnqboz/Foufsuifubydmbttjgjdbujpo)D>Ddpsqpsbujpo-T>Tdpsqpsbujpo-Q>Qbsuofstijq* <br />Note: Difdl!uif!bqqspqsjbuf!cpy!jo!uif!mjof!bcpwf!gps!uif!uby!dmbttjgjdbujpo!pg!uif!tjohmf.nfncfs!pxofs/!Ep!opu!difdl! <br />Fyfnqujpo!gspn!GBUDB!sfqpsujoh! <br />MMD!jg!uif!MMD!jt!dmbttjgjfe!bt!b!tjohmf.nfncfs!MMD!uibu!jt!ejtsfhbsefe!gspn!uif!pxofs!vomftt!uif!pxofs!pg!uif!MMD!jt! <br />dpef!)jg!boz* <br />bopuifs!MMD!uibu!jt!not ejtsfhbsefe!gspn!uif!pxofs!gps!V/T/!gfefsbm!uby!qvsqptft/!Puifsxjtf-!b!tjohmf.nfncfs!MMD!uibu! <br />jt!ejtsfhbsefe!gspn!uif!pxofs!tipvme!difdl!uif!bqqspqsjbuf!cpy!gps!uif!uby!dmbttjgjdbujpo!pg!jut!pxofs/ <br />(Applies to accounts maintained outside the U.S.) <br />Puifs!)tff!jotusvdujpot*! <br />5 Beesftt!)ovncfs-!tusffu-!boe!bqu/!ps!tvjuf!op/*Tffjotusvdujpot/ <br />6 Djuz-!tubuf-!boe!\[JQ!dpef <br />7 Mjtu!bddpvou!ovncfs)t*!ifsf)pqujpobm* <br />PartITaxpayer Identification Number (TIN) <br />Social security number <br />Foufs!zpvs!UJO!jo!uif!bqqspqsjbuf!cpy/!Uif!UJO!qspwjefe!nvtu!nbudi!uif!obnf!hjwfo!po!mjof!2!up!bwpje! <br />cbdlvq!xjuiipmejoh/!Gps!joejwjevbmt-!uijt!jt!hfofsbmmz!zpvs!tpdjbm!tfdvsjuz!ovncfs!)TTO*/!Ipxfwfs-!gps!b! <br />sftjefou!bmjfo-!tpmf!qspqsjfups-!ps!ejtsfhbsefe!foujuz-!tff!uif!jotusvdujpot!gps!Qbsu!J-!mbufs/!Gps!puifs! <br />foujujft-!ju!jt!zpvs!fnqmpzfs!jefoujgjdbujpo!ovncfs!)FJO*/!Jg!zpv!ep!opu!ibwf!b!ovncfs-!tff!How to get a <br />TIN, mbufs/ <br />or <br />Employer identification number <br />Note: Jg!uif!bddpvou!jt!jo!npsf!uibo!pof!obnf-!tff!uif!jotusvdujpot!gps!mjof!2/!Bmtp!tff!What Name and <br />Number To Give the Requester gps!hvjefmjoft!po!xiptf!ovncfs!up!foufs/ <br />PartIICertification <br />Voefs!qfobmujft!pg!qfskvsz-!J!dfsujgz!uibu; <br />2/Uif!ovncfs!tipxo!po!uijt!gpsn!jt!nz!dpssfdu!ubyqbzfs!jefoujgjdbujpo!ovncfs!)ps!J!bn!xbjujoh!gps!b!ovncfs!up!cf!jttvfe!up!nf*<boe <br />3/J!bn!opu!tvckfdu!up!cbdlvq!xjuiipmejoh!cfdbvtf;!)b*!J!bn!fyfnqu!gspn!cbdlvq!xjuiipmejoh-!ps!)c*!J!ibwf!opu!cffo!opujgjfe!cz!uif!Joufsobm!Sfwfovf! <br />Tfswjdf!)JST*!uibu!J!bn!tvckfdu!up!cbdlvq!xjuiipmejoh!bt!b!sftvmu!pg!b!gbjmvsf!up!sfqpsu!bmm!joufsftu!ps!ejwjefoet-!ps!)d*!uif!JST!ibt!opujgjfe!nf!uibu!J!bn! <br />op!mpohfs!tvckfdu!up!cbdlvq!xjuiipmejoh<boe <br />4/J!bn!b!V/T/!djuj{fo!ps!puifs!V/T/!qfstpo!)efgjofe!cfmpx*<!boe <br />5/Uif!GBUDB!dpef)t*!foufsfe!po!uijt!gpsn!)jg!boz*!joejdbujoh!uibu!J!bn!fyfnqu!gspn!GBUDB!sfqpsujoh!jtdpssfdu/ <br />Certificationinstructions.Zpvnvtudspttpvujufn3bcpwfjgzpvibwfcffoopujgjfeczuifJSTuibuzpvbsfdvssfoumztvckfduupcbdlvqxjuiipmejohcfdbvtf! <br />zpv!ibwf!gbjmfe!up!sfqpsu!bmm!joufsftu!boe!ejwjefoet!po!zpvs!uby!sfuvso/!Gps!sfbm!ftubuf!usbotbdujpot-!jufn!3!epft!opu!bqqmz/!Gps!npsuhbhf!joufsftu!qbje-! <br />bdrvjtjujpopsbcboeponfoupgtfdvsfeqspqfsuz-dbodfmmbujpopgefcu-dpousjcvujpotupbojoejwjevbmsfujsfnfoubssbohfnfou)JSB*-boehfofsbmmz-qbznfout! <br />puifsuibojoufsftuboeejwjefoet-zpvbsfopusfrvjsfeuptjhouifdfsujgjdbujpo-cvuzpvnvtuqspwjefzpvsdpssfduUJO/TffuifjotusvdujpotgpsQbsuJJ-mbufs/ <br />Sign <br />Signature of <br />Here <br />sfuvsot!jodmvef-!cvu!bsf!opu!mjnjufe!up-!uifgpmmpxjoh/ <br />General Instructions <br />Gpsn!21::.JOU!)joufsftu!fbsofe!psqbje* <br />Tfdujpo!sfgfsfodft!bsf!up!uif!Joufsobm!Sfwfovf!Dpef!vomftt!puifsxjtf! <br />opufe/ <br />Future developments/!Gps!uif!mbuftu!jogpsnbujpo!bcpvu!efwfmpqnfout! <br />sfmbufe!up!Gpsn!X.:!boe!jut!jotusvdujpot-!tvdi!bt!mfhjtmbujpo!fobdufe! <br />bgufs!uifz!xfsf!qvcmjtife-!hp!up!www.irs.gov/FormW9. <br />Purpose of Form <br />Bo!joejwjevbm!ps!foujuz!)Gpsn!X.:!sfrvftufs*!xip!jt!sfrvjsfe!up!gjmf!bo! <br />jogpsnbujpo!sfuvso!xjui!uif!JST!nvtu!pcubjo!zpvs!dpssfdu!ubyqbzfs! <br />jefoujgjdbujpo!ovncfs!)UJO*!xijdi!nbz!cf!zpvs!tpdjbm!tfdvsjuz!ovncfs! <br />)TTO*-!joejwjevbm!ubyqbzfs!jefoujgjdbujpo!ovncfs!)JUJO*-!bepqujpo! <br />ubyqbzfs!jefoujgjdbujpo!ovncfs!)BUJO*-!ps!fnqmpzfs!jefoujgjdbujpo!ovncfs! <br />)FJO*-!up!sfqpsu!po!bo!jogpsnbujpo!sfuvso!uif!bnpvou!qbje!up!zpv-!ps!puifs! <br />bnpvou!sfqpsubcmf!po!bo!jogpsnbujpo!sfuvso/!Fybnqmft!pgjogpsnbujpo! <br />80370312:!22;67!BNq/!73 <br /> <br />