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‘S00 Specific Instructions on page 2.
FRO TEST TE HTS
[EE Taxpayer Identification Number (iN)
EnteryouTHVin the approvals Box. The TN prove rus maich eras guen svn Wo aad [Seal coy anor
Backup wielding, Forncvkias, to generady your cosa sorry nin (SSN), owever -
rt han slsropretr of agers ey 20 te Parl aniclons on page 3 For ober ty]
trues, ts your eroyer art icason roms IN). ¥ You Senet Have ante see How fo get @
von page
Note fhe accounts inmore than ane nan, se the instuctonsforlne 1 and ne carton page for
Stns on whome turbo ii
Ceriification
Under penatos of perjury, Teer that
1. The number shown on this form i my correct taxpayer ifenttcaion number (or lam waking for @ number to be issved 0 me): and
2. Lam not aupject to backup withholding bacsuse (a) am exomet fom Backup withholding, or (2) have nctaean noted bythe Internal Revenue
Service (RS) that | am subject backup withhelding as result ofa Yalu to epon all irterast or duidends, orc) mo IRS has note me that | am
longer subject to backup withhokling, ane
3. 1am 8 U.S. ete or ether US. person (defined belowl: and
4. The FATCA codes) entered on this for (¥ any indleatng that | am exempt rom FATCA reporting Is comac
Certification instructions. You must cross out itm 2 above if you have heen notified by tho IS thal you ae cure subject to backup withrolding
DDecause you have fale to report al iteest and dividends on your tax return. Fo eal estate trasactons, item 2 doesnot apply. For mortgage
interest paid, aequsitan or abandonment of secured property, cancellation af debt, contibutions to an indivual etvemert rrangemwct (FA), and
‘general, payments other than inerast and aivande, you a6 nat required to sign the cetifteaton, but you must provide your comect TIN. S68 the
inaction on page 3."
Sign | signature ot
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Fem 1988 ome megage|
an
{For 1090.0 (canceled bt
* Fm 1998 feos o abandonment of sci ope)
General Instructions ee) GB det a itt 1000-7
‘Section rfeances rt the intra Revere Cade unas otherwise nati
ur developments orate ao derlpmers fcr Fam Wh
Purpose of Form
‘india oat Fm W-9 request) wo ret th inormaion
na RG mur abla your corset taxpayer aercascn rumor TN)
Use Form Wis ont you ar U.S ron fungi al to
prove you cont YN
Ree i rm rue et
ba Your osc sozuty rarer SSN, iv tapayercercaon
amor), Soan taxpayer enemon ramoar AN employe
‘Gimomn manor hfe rapot onan oar fern he sh ato
‘For 10994NT rtarst sane path
“Farm 1099-01 (vend, ud toes Wom tacks or atl Aes)
‘For 1089-986 varios ype of ome, tn, dor rote eoceade)
+ For 1089-8 stock oF mt ind les ond oat tar araaetons by
ote
+ Foe 089-5 prac trom el atte varsacons
+ Fem $069. drach ard adhd pay ator nsec
By ng the tlad- form, you
1. at Tyo 9 hen caret a8 wag ora mbor
2 Carty at you ar not subject to backup wang, oF
3.claimexorpton trom bac witha you we aS. exempt pay.
spplcabia you we aloe copa hat ose US, pron. yur aeatin sttoo
‘rypmrnershp moore tom & US. race of Susnce nt st ne
\rthfoang akon fron pane! shore States) connecaa cam and
4. Cony that FATCA coda enerad on hs form (resting hl you ae
ssanptromtns fa1CA apart. wonrct Son nas PATCA oper 28
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