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Form YY'9 Request for Taxpayer Give Form to the
<br /> (Rev.December2014) 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 /> All Webbs Enterprises, Inc.
<br /> 2 Business name/disregarded entity name,if different from above
<br /> N
<br /> ro '
<br /> T
<br /> v
<br /> a 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to
<br /> 0 ❑❑Individual/sole proprietor or ❑ C Corporation ZS Corporation certain entities,not individuals:s
<br /> Partnership ❑ TrusVesfate instructions on page 3):
<br /> a single-member LLC �A
<br /> ❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)►
<br /> Exempt payee code(if any)
<br /> o` 2 Note.For a single-member LLC that is disregarded,do not check LLC;check the i Exemption from FATCA r orting
<br /> 9 9 appropriate box in the line above for
<br /> N the tax classification of the single-member owner. code(if any)
<br /> .E 17 ❑ lo.
<br /> (see instructions)
<br /> O. U rApmies:o 3ccounis maintained)ulsids rhe U.S.)
<br /> 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional)
<br /> 3
<br /> c 309 Commerce Way
<br /> En
<br /> 6 City,state,and ZIP code
<br /> U
<br /> 0 Jupiter, FL 33458
<br /> 17 List account number(s)here(optional)
<br /> rCra 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 I 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(EUI). 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.
<br /> 5 9 - 2 4 1 8 7 6 4
<br /> PM 11. 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 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 other U.S.person(defined below); and
<br /> 4.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 iters 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 /> Sign Signature of C1t .4 � Yo /
<br /> •
<br /> Here U.S.person> ?�'i // Date
<br /> or- -
<br /> General Instructions •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/Pw9.
<br /> Use Form tP/-9 only if you are a U.S.person(including a resident alien),to
<br /> Purpose of Form provide your correct TIN.
<br /> An individual or entity(Form tWl-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject
<br /> return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.Seek/hat is backup'withholding?on page 2.
<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
<br /> identification number(EIN), to report on an information return the amount paid to Certify that the TIN you are giving is correct(or you are waiting for a number
<br /> you,or other amount reportable on an information return.Examples of information to be issued),
<br /> returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or
<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(hose from stocks or mutual funds) applicable,you ars also certifying that as a U.S.person,your allocable share of
<br /> any partnership income from a U.S.trade or business is 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 1099-9(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are
<br /> brokers) exempt from the FATCA reporting,is correct.See 0/hat is FATCA reporting?on
<br /> •Form 1099-S(proceeds Irorn real estate transactions) page 2 for further information.
<br /> •Form 1099-K(merchant card and third party network transactions)
<br /> Cat.No. 10231K Form W-9(Rev. 12-2014)
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