Laserfiche WebLink
Form W'9 Request for Taxpayer Give Form to the <br /> (Rev.December 2014) Identification Number and Certification requester.Do not <br /> Department of the Treasury send to the IRS. <br /> Internal Revenue Service <br /> 1 Name(as shown on your income tax return).Name Is required on this line;do not leave this line blank. <br /> The Goodyear Tire&Rubber Company <br /> 2 Business name/disregarded entity name.if different from above <br /> m <br /> of <br /> m <br /> ' 3 Checkappropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes applyonlyto <br /> � certain entities,not individuals;see <br /> 0 IndMduaVsole proprietor or (] C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate <br /> instructions on page 3): <br /> a c single-member LLC Exempt payee code(if any) <br /> 0 United liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► <br /> p 2 Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting <br /> y the tax classification of the single-member owner. code(i1 any) D <br /> 0.'001 iv 11“2.73mirrtwed wfide S e V.S1 <br /> d Q ❑Ther(see instructions)► <br /> E 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional) <br /> V <br /> n 200 Innovation Way <br /> 6 City,state,and ZIP code <br /> in Akron OH 44316-0001 <br /> 7 List account numbers)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 line 1 to avoid (,Social security number <br /> backup withholding.For individuals,this is generally your social security number(SSN).However,for a <br /> resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other <br /> entities,it is your employer identification number(EIN).If you do not have a number,see How to get a <br /> TIN on page 3. or <br /> Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer Identification number <br /> guidelines on whose number to enter. 3 4 -1 0 2 5 31 2 4 10 <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 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 other U.S.person(defined below);and <br /> 4.The FATCA code(s)entered on this form Of 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 <br /> because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage <br /> interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and <br /> generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the <br /> instructions on page 3. <br /> 1 <br /> Sign Signature of j I ) P• � /i/Here u.s.person► l(� !� M� Date 1 <br /> General Instructions 1 •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T <br /> (tuition) <br /> Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) <br /> Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) <br /> as legislation enacted after we release it)is at www.irs.gov/tw9. Use Form W-9 only If you are a U.S.person(including a resident alien),to <br /> Purpose of Form provide your correct TIN. <br /> If you do not return Form W-9 to the requester with a TIN,you might be subject <br /> • <br /> An individual or entity(Form W-9 requester)who is required to file an Information to backup withholding.See What is backup withholding?on page 2. <br /> return with the IRS must obtain your correct taxpayer identification number(TIN) <br /> which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: <br /> number(iTIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number <br /> identification number("SIN).to report on an information return the amount paid to to be issued), <br /> you,or other amount reportable on an information return.Examples of information 2.Certify you are not subject to backup withholding,or <br /> returns include,but are not limited to.the following: <br /> •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If <br /> •form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of <br /> 9 any partnership income from.a U.S:trade or business's not subject to the <br /> •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and <br /> •Form 1099-8(stock or mutual fund sales and certain other transactions by exempt4. rhom tfy he FATCA FATCA reporting,sentereds con n this s tom(e (it ans FATCA indicating <br /> thatiyou <br /> on are <br /> brokers) <br /> •Form 1099-S(proceeds from real estate transactions) page 2 for further information. <br /> •Form 1099-K(merchant card and third party network transactions) <br /> Cat.No.10231X Form W-9(Rev.12-2014) <br />