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F.W-9 1►-9 Request for Taxpayer cWe FOM to <br /> (ftev_Dee-t-2M) Identification Number and Certification fication ` ° 001Ot <br /> Depbaed d 6k Tm m y send to the IRs. <br /> bdemel ReconsSenioe <br /> 7 tune(as m, on your Thome tax rebam).Name n wequbed an>fb kmg do not Mere tis fne blank. <br /> C4 2 Busbhessrumna eregendedeMynems,rdReerd(ram above <br /> 3 Check appropriate boot forfedaal fate dedioian;check only one arms fossa ft semen bases: 44F (� ody 1D <br /> eraffies,❑ ookbels;am <br /> or ❑ ccom—ion ❑s ❑ p ❑Thaveside undue rmcnpa9a3k <br /> ❑Lbdted lebEy aawtpar9r_6terme tax dosfenonf (C oapaa I S-S mrpondonl- <br /> , penheniip) Eau-pryer cafe Ct and <br /> nose FQ a ssgoaaeralsr LLC that la dirogaded,do not check LLC,shack the approprlale ban it the Brie d we for loam FATCA reporirg <br /> the�daasioaim arms art/e+umtber owner ecce ff any) <br /> ❑Olher(sariraYrrdions)• OWN- .m..s.rrr�w+re�easr <br /> 6 Ad*sms Ga *w.sbmK and apt a sut'M no-) Retarders meas Ord atldaaa(apfimel) <br /> v 6 City,aide,and 21P code <br /> 7 list account nun edA hem(opliiorrd) <br /> Taxpayer Identification Number N <br /> Enter your TIN in the appropriate boo.The TIN provided must match the name giaen an the 1 to avoid sold secu ft eerier <br /> badwp witrhd*q For i AvWuals,this is gene+aN your soca)severity chamber(SSN j However,fora <br /> resident alierd,sole proprietor,or disregarded entity.we the Part I ffwkudxm on page 3_For adder - - <br /> entities,it is ver enhokwer idenNication number fEN19 you do not have a sandier see Haw,to oat a <br /> Mon page 3. Or <br /> Note.If the account is i1 mole Um one name,see the ihsbuctions for fade 1 and the chart an page 4 far wmumber <br /> gunideirhes on whose number to enter. M -Ti � I I I I <br /> Certification <br /> Under pendfies of pe*xy,I cuatfy that <br /> 1_ The number shown an this form is my coned tater ideruftatlon number(or 1 am waiting for a number to be issued to me); and <br /> 2 lam not md*d to badwp wihholdng because:(2)l am exempt from badmip wilhhaldig.or(b)I have not betas notfied by the Internal Revenue <br /> Service(IR.S)that 1 am subject to bacahp wON haidig as a result of a faiue to report all interest or dividerds,or(c)the M Inas notified me that I am <br /> no Wnger subjed b badaup wihhoMm; and <br /> 3. 1 am a Ula_citizen or other U_S_person(defined below);and <br /> 4.The FATCA code(s)entered an tuts form(if any)indicating that 1 am exempt from FATCA reporting is correct. <br /> Certification mstnmctions.You must cross out item 2 above 9 you have been notfied by the IRS that you are currently muted to badW wlthhoikfng <br /> because you have faced to report alt interest and dividends an your tax reh m.For weal Mate transactions,Inn 2 does not apply.Far mortgage <br /> interest paid,acquisition or abandonment of secured property.cancellation of debt.conlribul ons b an iulvidaral mhfrement anangemernt(RA),and <br /> generraly,payments other than interest and dividends,you ane not mquied to sain the aecOcat on,but you must provide Yaw correct Til See the <br /> i od udicns on page 3. <br /> SignSigmah oof <br /> Hese U.S person. Deft. <br /> General Instructions •Farm 1098(hem mortgage bieres41099E(abadertkmn bdOMM),109&T <br /> ( ) <br /> Saran references ore btre k*mnd Reweare O1 utter olwwlae Am' -Form 10990(canceled ddO <br /> Future drwdopmenhL Iorehaion&bad devdwnetb a1Mc'ng Farm W 9(such -Farm U19WA(mo¢irim or abandonment of sea propedl) <br /> as legislafoonensched afar we relemme it)is at hwwiapomfW Use Farm vl/_9 any it you are a U.&person fffK hadng a readet mien),to <br /> Pwpose of FOrn1 pworideyourconect nN <br /> An kxh*rel or entity(Form w9 mquehier)who a regtired to Me mi gym do not retain W-9Fore s to to mquede►aib a nK is aWN be <br /> rebmire wis TLS mu et afiaih your oared tagwlefldednuim Oetbar(Toa) b burlapwIffay See Nfatt is barobup uurihhofdv�!an page 2 <br /> whichrm sybe_ycur&acdaeaftnar6O kh By Ow"to Medaktiam.yar: <br /> raarbv(R7FA.adopian f�ayu idatiinim seamier <br /> (ATM aramptoyer 1.Cw*mat me TW you oke gang's cared(w Vw are waist'farm amber <br /> idedsceim r *dW omk b report an an bwfommk n mum me arrant Paid b b be i mind). <br /> you,arolmanioutreporkMeanahirtama.. rdun Eoarplesofkdxwwfon <br /> h%tae fallowing iNy2 CatrtyauarerotsubjecifahadkPnrw a 9. <br /> careers beduda,but sea sot inhied <br /> -Fare 10994NT(inheesteamed orpeid) 3 Clam aseapim tom balsa udMK ift if you ae a U.S.enwr t payee.t <br /> Farm�9 Df\r(dridarhds.irdudih9 those nom docks ar mklual fishda) you Oe dso cerwom mat as a uS.paean yohratk�ca6le alkane d <br /> arty pabheship irmme loom a US_trade oabusiness is not aubled loft <br /> -Farm 109S4MC(vwkxW types d' - I Prue.awards,or gross prcoeeds) wafiwift fee an Taeign parbusW-ince d dkwW*cariec1md nc=w% and <br /> •Farm 10998(shock or narks)And asks and cetera odw barradors fay 4.Cmr W Vast FATCAoode(s)entered antis Tomb of awry)badiuPing Mut you we <br /> broken) eaemptban the FATCA repe inj isoared See VAwt&FATCA iep~on <br /> •Farm 11995(proceeds born red wide barsecdo s) page 2 forldh er i k msion. <br /> •Farm 1099-K(wwsrdsrt cad and thbd pasty network barsadtorn) <br /> Cat Mo.10231X Form W-O(Fbv.12 2014) <br />