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The instructions accompanying this Letter of Transmittal should be read carefully before completing this Letter of

Transmittal. Computershare Investor Services Inc. (see below for address and telephone number) or your broker or
other financial adviser may assist you in completing this Letter of Transmittal

LETTER OF TRANSMITTAL

To accompany certificates for common shares of

EXMIN RESOURCES INC.

This Letter of Transmittal, properly completed and signed in accordance with the instructions and rules set out
below, together with certificates representing common shares of EXMIN Resources Inc. (“EXMIN Shares”) to be
exchanged for common shares of Dia Bras Exploration Inc. (“Dia Bras Shares”), and all other required documents
must be delivered in person or by courier or sent by mail to Computershare Investor Services Inc. at the address set
forth on the last page of this Letter of Transmittal.

This Letter of Transmittal is for use by registered holders (‘‘EXMIN Shareholders’’) of EXMIN Shares in
connection with the proposed transaction (the ‘‘Transaction’’) involving Dia Bras Exploration Inc. (‘‘Dia Bras”)
that is being submitted for approval at the annual and special meeting of EXMIN Shareholders to be held on
September 24, 2009 (the ‘‘Meeting’’) at 10:00 a.m. (Vancouver time). EXMIN Shareholders are referred to the
accompanying notice of annual and special meeting and management information circular dated August 28, 2009
(the ‘‘Circular’’) prepared in connection with the Meeting that accompanies this Letter of Transmittal. Capitalized
terms used but not defined in this Letter of Transmittal have the meanings set out in the Circular.

The Transaction is anticipated to close in early October, 2009. At the Effective Time, EXMIN Shareholders
(other than Dissenting Shareholders) will be entitled to receive in exchange for each EXMIN Share, 0.2040
(subject to the adjustments described below) of a common share of Dia Bras (a ‘‘Dia Bras Share’’).

No fractional Dia Bras Shares will be issued to EXMIN Shareholders. If an EXMIN Shareholder is entitled to a
fractional share of an Dia Bras Share, the number of Dia Bras Shares to be issued to that EXMIN Shareholder will
be rounded down to the nearest whole Dia Bras Share and no compensation will be paid to the EXMIN Shareholder
in respect of such fractional Dia Bras Share.

EXMIN Shareholders who do not deliver their EXMIN Share certificates and all other required documents
to the Depositary on or before the date which is six years after the Effective Date shall lose their right to
receive Dia Bras Shares in exchange for their EXMIN Shares.

U.S. Shareholders (as defined below) are required to provide their taxpayer identification number and to
complete and provide a Substitute Form W-9. See the instructions herein.

TO: COMPUTERSHARE INVESTOR SERVICES INC. (the “Depositary”)

AND TO: DIA BRAS EXPLORATION INC.

AND TO: EXMIN RESOURCES INC.


(“EXMIN”)

The undersigned hereby represents and warrants that the undersigned is the owner of the number of EXMIN
Shares, which shares are represented by the share certificate(s) described below and delivered herewith and the
undersigned has good title to the shares represented by the said certificate(s), free and clear of all liens, charges
and encumbrances, and has full power and authority to herewith deposit such shares.
2

Certificate Number Number of Shares Registered in the Name of

The above-listed share certificates are hereby surrendered in exchange for certificates representing common shares
of Dia Bras on the basis of 0.2040 of a share (the “Exchange Ratio”) of Dia Bras for one (1) share of EXMIN,
subject to the following adjustments (rounded to four decimal places), which are described in greater detail in the
Circular:

1. The Exchange Ratio will be reduced on the Effective Date to reflect any current liabilities of EXMIN,
immediately prior to the Effective Time in excess of the threshold amount of U.S. $600,000 (the “Excess
Liabilities”). The Exchange Ratio will be reduced by 0.01 for each U.S. $91,200 in Excess Liabilities;
provided that the Exchange Ratio shall not be less than 0.1544.

2. In the event of a reclassification, split, dividend, distribution, recapitalization, merger, subdivision, combination,
tender or exchange offer or similar transaction, the Exchange Ratio will be adjusted appropriately to provide the
holders of EXMIN Shares the same economic effect as contemplated by the Circular.

The undersigned authorizes and directs Computershare Investor Services Inc. to issue a certificate for Dia Bras
which the undersigned is entitled as indicated below. Subject to the foregoing and unless otherwise directed in this
Letter of Transmittal, the certificates will be issued in the name of the EXMIN Shareholder. Unless the EXMIN
Shareholder depositing the EXMIN Shares instructs Computershare Investor Services Inc. to hold the certificate
representing the Dia Bras Shares for pick-up by checking the appropriate box in this Letter of Transmittal, the
certificate will be forwarded by first class insured mail to such person at the address specified in this Letter of
Transmittal. If no such address is specified, the certificate will be sent to the address of the EXMIN Shareholder as
shown on the central securities register maintained by or on behalf of EXMIN. Certificates mailed in accordance
with this paragraph will be deemed to be delivered at the time of mailing.

The undersigned agrees to execute, upon request, any additional documents, transfers and other assurances as may
be necessary or desirable to complete the exchange of the EXMIN Shares, and acknowledges that each authority
conferred or agreed to be conferred by the undersigned in this Letter of Transmittal shall survive the death or
incapacity, bankruptcy or insolvency of the undersigned and all obligations of the undersigned in this Letter of
Transmittal shall be binding upon the heirs, personal representatives, successors and assigns of the undersigned.

If the Transaction is not completed or proceeded with, the enclosed certificate(s) and all other ancillary documents
will be returned forthwith to the undersigned at the address set out below in Box A or, failing such address being
specified, to the undersigned at the last address of the undersigned as it appears on the securities register of EXMIN.

By reason of the use by the undersigned of an English language Letter of Transmittal, the undersigned and each of
you shall be deemed to have required that any contract in connection with the delivery of the EXMIN Shares
pursuant to the Transaction through this Letter of Transmittal, as well as all documents related thereto, be drawn
exclusively in the English language. En raison de l’utilisation d’une lettre d’envoi en langue anglaise par le
soussigné, le soussigné et les destinataires sont présumés avoir requis que tout contrat attesté par ceci et son
acceptation au moyen de la présente lettre d’envoi, de même que tous les documents qui s’y rapportent, soient
rédigés exclusivement en langue anglaise.

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PLEASE COMPLETE BLOCK A, BLOCK B AND BLOCK C, AS APPLICABLE.

BLOCK A BLOCK B
(see Instructions 4 & (see Instructions 4 & 5)
5)

ISSUE DIA BRAS SHARE UNLESS BLOCK C IS CHECKED, MAIL THE DIA
CERTIFICATE(S) IN THE NAME OF: BRAS SHARE CERTIFICATE(S) TO:
(please print or type): (please print or type):

(Name) (Name)

(Street Address and Number) (Street Address and Number)

(City and Province or State) (City and Province or State)

(Country and Postal (Zip) Code) (Country and Postal (Zip) Code)

(Telephone – Business)

BLOCK C

(Canadian Social Insurance Number)


(U.S. Resident/Citizen must provide their Taxpayer
Identification Number)
D HOLD THE DIA BRAS SHARE
CERTIFICATE(S) FOR PICKUP

THE UNDERSIGNED ACKNOWLEDGES HAVING READ THE TERMS SET OUT ABOVE AND THE
INSTRUCTIONS BELOW.

Signature guaranteed by Dated: , 200 _.


(if required under Instruction 4):

Authorized Signatory Signature of Shareholder or Authorized Representative


(See Instruction 3 and 5)

Name of Guarantor (please print or type) Name of Shareholder (please print or type)

Address (please print or type) Name of Authorized Representative, if


applicable (please print or type)

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INSTRUCTIONS

1. Use of Letter of Transmittal

A manually signed copy of this Letter of Transmittal, properly completed and duly executed as required by the
instructions set forth below, together with certificate(s) representing the EXMIN Shares and other documents
required by this Letter of Transmittal, must be received by Computershare Investor Services Inc. at the address
specified below. The method of delivery of this Letter of Transmittal, certificates representing the EXMIN Shares
and all other required documents is at the option and risk of the person depositing the same, and delivery will be
deemed effective only when such documents are actually received by Computershare Investor Services Inc. Dia
Bras recommends that such documents be delivered by hand to Computershare Investor Services Inc. and a receipt
obtained. However, if such documents are mailed, Dia Bras recommends that registered mail with return receipt be
used and that proper insurance be obtained. Holders of EXMIN Shares which are registered in the name of a
nominee should contact their stockbroker, investment dealer, bank, trust company or other nominee for assistance
in delivering such shares to Computershare Investor Services Inc.

2. Requirements for Completion of Letter of Transmittal

To complete this Letter of Transmittal, it is mandatory to:

(a) list the number(s) of the certificate(s) representing the EXMIN Shares delivered with this Letter of
Transmittal and the number of shares represented by each certificate by completing the panel
provided on the first page of this Letter of Transmittal;

(b) complete Block A, Block B and Block C (as applicable); and

(c) sign this Letter of Transmittal and return it with the certificate(s) representing the EXMIN Shares
to Computershare Investor Services Inc. at the address specified on the last page of this Letter of
Transmittal.

3. Signatures

(a) This Letter of Transmittal must be duly completed as specified in Instruction 1 and signed by the
registered holder of the EXMIN Shares or by such registered holder’s duly authorized
representative (in accordance with Instruction 7);

(b) If this Letter of Transmittal is signed by the registered holder(s) of the accompanying
certificate(s), such signature(s) on this Letter of Transmittal must correspond with the name(s) as
registered or as written on the face of such certificate(s) without any change whatsoever, and the
certificate(s) need not be endorsed. If such transmitted certificate(s) is/are held of record by two or
more joint holders, all such holders must sign this Letter of Transmittal; and

(c) If this Letter of Transmittal is signed by a person other than the registered holder(s) of the EXMIN
Shares:

(i) such deposited certificate(s) must be endorsed, or be accompanied by an appropriate


share transfer power of attorney duly and properly completed by the registered holder(s);
and

(ii) the signature(s) on such endorsement or power of attorney must correspond exactly to the
name(s) of the registered holder(s) or as appearing on the certificate(s) and must be
guaranteed as noted in Instruction 4 below.

4. Guarantee of Signatures

If this Letter of Transmittal is signed by a person other than the registered holder of the EXMIN Shares or if the Dia
Bras Shares are to be issued to a person other than such registered holder(s) or sent to an address other than the
address of the registered holders maintained by or on behalf of EXMIN, such signature must be guaranteed by an

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Eligible Institution, or in some other manner satisfactory to Computershare Investor Services Inc. (except that no
guarantee is required if the signature is that of an Eligible Institution).

An "Eligible Institution" means a Canadian schedule 1 chartered bank, a major trust company in Canada, a member
of the Securities Transfer Agent Medallion Program (STAMP), a member of the Stock Exchanges Medallion
Program (SEMP) or a member of the New York Stock Exchange Inc Medallion Signature Program (MSP).
Members of these programs are usually members of a recognized stock exchange in Canada or the United States,
members of the Investment Industry Regulatory Organization of Canada, members of the Financial Industry
Regulatory Authority or banks and trust companies in the United States.

5. Delivery Instructions

All certificate(s) to be issued in exchange for the Deposited Shares will be issued in the name of the person indicated
in Box ‘‘A’’ and delivered to the address indicated in Box ‘‘A’’ (unless another address has been provided in Box
‘‘B’’). If any certificate(s) are to be held for pick-up at the offices of the Depositary, tick Box ‘‘C’’. If neither Box
‘‘A’’ nor Box ‘‘B’’ is completed, any new certificate(s) issued in exchange for the Deposited Shares will be issued
in the name of the registered holder of the Deposited Shares and will be mailed to the address of the registered
holder of the Deposited Shares as it appears on the securities register of EXMIN. Any certificate(s) mailed in
accordance with this Letter of Transmittal will be deemed to be delivered at the time of mailing.

6. Return of Certificates

If the Transaction does not proceed for any reason, any certificate(s) for EXMIN Shares received by the Depositary
will be returned to you forthwith in accordance with your delivery instructions in Box ‘‘A’’, or failing such address
being specified, to the undersigned at the last address of the undersigned as it appears on the securities register of
EXMIN.

7. Fiduciaries, Representatives and Corporations

Where this Letter of Transmittal or any certificate, share transfer or power of attorney is executed on behalf of a
corporation, partnership or association or by an agent, executor, administrator, trustee, guardian, attorney-in-fact or
any other person acting in a fiduciary or representative capacity, this Letter of Transmittal must be accompanied by
satisfactory evidence of the authority to act. Dia Bras or the Depositary may require additional evidence of authority
or additional documentation.

8. Lost Certificates

If a certificate representing EXMIN Shares has been lost or destroyed, this Letter of Transmittal should be
completed as fully as possible, and forwarded, together with a letter describing the loss or destruction to
Computershare Investor Services Inc. Computershare Investor Services Inc. will forward such letter to the transfer
agent for the EXMIN Shares so that the transfer agent may provide replacement instructions. Arrangements can be
made to issue a replacement certificate upon the holder satisfying the requirements of the Company relating to the
replacement certificates. Computershare Investor Services Inc. will require written notice of the lost certificate.
Please ensure that you provide your telephone number so that Computershare Investor Services Inc. or the transfer
agent for the EXMIN Shares may contact you.

9. U.S. Shareholders and Form W-9

United States federal income tax law generally requires that a EXMIN Shareholder (other than a corporation) that is
a United States person for U.S. federal income tax purposes (a “U.S. Shareholder”) who receives Dia Bras Shares
in exchange for EXMIN Shares must provide the Depositary with his correct Taxpayer Identification Number
(“TIN”), which, in the case of a U.S. Shareholder who is an individual, is generally the individual’s social security
number. If the Depositary is not provided with the correct TIN or an adequate basis for an exemption, such holder
may be subject to penalties imposed by the Internal Revenue Service and backup withholding in an amount equal to
28% of the gross proceeds of any payment received hereunder.

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Backup withholding is not an additional United States income tax. Rather, the United States federal income tax
liability of persons subject to backup withholding will be reduced by the amount of backup withholding tax
withheld. In the event there is a backup withholding tax liability with respect to any U.S. Shareholder, Dia Bras,
EXMIN and the Depositary are hereby authorized to arrange for the sale of a sufficient number of Dia Bras Shares
from the total number of Dia Bras Shares otherwise deliverable to such U.S. Shareholder, to cover the backup
withholding tax obligation and thereby facilitate payment and remittance of the applicable backup withholding tax
payable to the Internal Revenue Service. If such withholding results in an overpayment of taxes, a refund may be
obtained by the U.S. Shareholder provided that the required information is timely furnished directly to the Internal
Revenue Service.

To prevent backup withholding, each U.S. Shareholder must provide his correct TIN by completing the IRS Form
W-9 attached to this document, which requires such holder to certify under penalties of perjury, (i) that the TIN
provided is correct (or that such holder is awaiting a TIN), (ii) that the holder is not subject to backup holding
because (a) the holder is exempt from backup withholding, (b) the holder has not been notified by the Internal
Revenue Service that he is subject to backup withholding as a result of a failure to report all interest or dividends or
(c) the Internal Revenue Service has notified the holder that he is no longer subject to backup withholding, and (iii)
that the holder is a U.S. person for United States federal income tax purposes. For information about what number to
provide the Depositary, see the instructions to the enclosed IRS Form W-9.

A U.S. SHAREHOLDER WHO FAILS TO PROPERLY COMPLETE THE IRS FORM W-9 SET FORTH IN
THIS LETTER OF TRANSMITTAL OR, IF APPLICABLE, OTHER APPROPRIATE IRS FORM(S) MAY BE
SUBJECT TO BACKUP WITHHOLDING OF 28% OF THE GROSS PROCEEDS OF ANY PAYMENTS MADE
TO SUCH HOLDER PURSUANT TO THE ARRANGEMENT.

TO ENSURE COMPLIANCE WITH TREASURY DEPARTMENT CIRCULAR 230, YOU ARE HEREBY
NOTIFIED THAT: (A) ANY UNITED STATES FEDERAL TAX ADVICE CONTAINED HEREIN IS NOT
INTENDED OR WRITTEN TO BE USED, AND CANNOT BE USED, BY ANY TAXPAYER FOR THE
PURPOSE OF AVOIDING PENALTIES THAT MAY BE IMPOSED UNDER THE INTERNAL REVENUE
CODE; (B) THE ADVICE IS WRITTEN IN CONNECTION WITH THE PROMOTION OR MARKETING OF
THE TRANSACTION OR THE MATTERS ADDRESSED HEREIN; AND (C) HOLDERS SHOULD SEEK
ADVICE BASED ON THEIR PARTICULAR CIRCUMSTANCES FROM AN INDEPENDENT TAX ADVISOR.

Failure to furnish TIN – If a U.S. Shareholder fails to furnish the correct TIN, such person could be subject to a
penalty of US$50 for each such failure unless the failure is due to reasonable cause and not to willful neglect.

10. Miscellaneous

Additional copies of the Letter of Transmittal may be obtained from Computershare at the office listed below. Any
questions should be directed to Computershare Investor Services Inc. at 1-800-564-6253 or by e-mail to
corporateactions@computershare.com.

By Mail : P.O. Box 7021 By Registered Mail, 100 University Avenue


th
31 Adelaide St E Toronto, Hand or Courier 9 Floor
ON M5C 3H2 Attn: Toronto, ON M5J 2Y1
Corporate Actions Attn: Corporate Actions

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SUBSTITUTE IRS Part 1-PLEASE PROVIDE YOUR TIN IN THE BOX AT Social Security Number OR
Form W-9 THE RIGHT AND CERTIFY BY SIGNING AND DATING
BELOW.
Employer Identification
Number
Department of the Treasury

Internal Revenue Service


If awaiting TIN, write "Applied
For."

Payer's Request for Part 2–For payees exempt from backup withholding, please write "Exempt" here.
Taxpayer Identification
Number (TIN)

CERTIFICATION — UNDER THE PENALTIES OF PERJURY, I CERTIFY THAT:

(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

(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 Service (the "IRS") that I am subject to backup withholding as a result of a failure to
report all interests or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

(3) I am a U.S. person (including a U.S. resident alien).

CERTIFICATION INSTRUCTIONS —You must cross out item (2) above if you have been notified by the IRS that you are
subject to backup withholding because of underreporting of interest or dividends on your tax return. However, if after being
notified by the IRS that you were subject to backup withholding you received another notification from the IRS that you are no
longer subject to backup withholding, do not cross out item (2).

SIGNATURE: DATE:

IF YOU INDICATED ON THE SUBSTITUTE IRS FORM W-9 THAT YOU APPLIED FOR A TAXPAYER
IDENTIFICATION NUMBER, YOU MUST SIGN AND DATE THE FOLLOWING CERTIFICATION:

CERTIFICATION OF PAYEE AWAITING TAXPAYER IDENTIFICATION NUMBER

I certify, under penalties of perjury, that a Taxpayer Identification Number has not been issued to me, and that I mailed or
delivered an application to receive a Taxpayer Identification Number to the appropriate IRS Center or Social Security
Administration Office (or I intend to mail or deliver an application in the near future). I understand that notwithstanding that I
have written "Applied For" in Part I and have completed the Certification of Payee Awaiting Taxpayer Identification Number,
the applicable percentage of all payments made to me pursuant to this Offer shall be withheld until I provide a Taxpayer
Identification Number to the Depositary.

SIGNATURE: DATE:

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FOR U.S. SHAREHOLDERS ONLY


GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE FORM W-9

Guidelines for Determining the Proper Identification Number for the Payee (You)

To Give the Payer — Social security numbers have nine digits separated by two hyphens: i.e., 000-00-0000. Employee identification numbers
have nine digits separated by only one hyphen: i.e., 00-0000000. The table below will help determine the number to give the payer. All
“Section” references are to the Internal Revenue Code of 1986, as amended. “IRS” is the Internal Revenue Service.
Give The Taxpayer Give The Taxpayer
For This Type of Account: Identification For This Type of Account: Identification
1. Individual The individual 6. A valid trust, estate or The legal entity(4)
pension trust

2. Two or more individuals The actual owner of the 7. Corporate The corporation
(joint account) account, if combined fund,
the first individual on the
account(1)

3. Custodian account of a The minor(2) 8. Association, club, The organization


minor (Uniform Gift to religious, charitable,
Minors Act) educational, or other tax-
exempt organization
account

4. a. The usual revocable The grantor-trustee(1) 9. Partnership The partnership


savings trust account
(grantor is also trustee)

b. So-called trust that is The actual owner(1) 10. A broker or registered The broker or nominee
not a legal or valid trust nominee
under state law

5. Sole proprietorship The owner(3) 11. Account with the Department The public entity
of Agriculture in the name of
a public entity (such as a state
or local government, school
district, or prison) that receives
agricultural program payments

(1) List first and circle the name of the person whose number you furnish. If only one person on a joint account has a social security
number, that person’s number must be furnished.
(2) Circle the minor’s name and furnish the minor’s social security number.
(3) You must show your individual name, but you may also enter your business or “doing business as” name. You may use either your
social security number or your employer identification number (if you have one).
(4) List first and circle the name of the legal trust, estate or pension trust. (Do not furnish the taxpayer identification number of the
personal representative or trustee unless the legal entity itself is not designated in the account title.

NOTE: If no name is circled when there is more than one name, the number will be considered to be that of the first name listed.

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OBTAINING A NUMBER Payments of interest generally exempt from backup withholding


If you don’t have a taxpayer identification number or you don’t
include:
know your number, obtain Form SS-5, Application for a Social (i) Payments of interest on obligations issued by individuals.
Security Card, at the local Social Administration office, or
Note: You may be subject to backup withholding if this
Form
interest is $600 or more and you have not provided your
SS-4, Application for Employer Identification Number, by calling correct taxpayer identification number to the payer.
1 (800) TAX-FORM, and apply for a number. (ii) Payments of tax-exempt interest (including exempt-interest
dividends under Section 852).
PAYEES EXEMPT FROM BACKUP WITHHOLDING (iii) Payments described in Section 6049(b)(5) to non-resident
Payees specifically exempted from withholding include: aliens.
(i) An organization exempt from tax under Section 501(a), an (iv) Payments on tax-free covenant bonds under Section 1451.
individual retirement account (IRA), or a custodial account (v) Payments made by certain foreign organizations.
under Section 403(b)(7), if the account satisfied the (vi) Mortgage interest paid to you.
requirements of Section 401(f)(2).
(ii) The United States or a state thereof, the District of Columbia, Certain payments, other than payments of interest, dividends, and
a possession of the United States, or a political subdivision patronage dividends, that are exempt from information reporting are
or wholly-owned agency or instrumentality of any one or also exempt from backup withholding. For details, see the
more of the foregoing. regulations under section 6041, 6041A, 6042, 6044, 6045, 6049,
(iii) An international organization or any agency or 6050A and 6050N.
instrumentality thereof. Exempt payees described above must file a Substitute Form W-9
(iv) A foreign government and any political subdivision, agency
included in this Letter of Transmittal to avoid possible erroneous
or instrumentality backup withholding. FILE THIS FORM WITH THE PAYER,
thereof. FURNISH YOUR TAXPAYER IDENTIFICATION
NUMBER, WRITE “EXEMPT” IN PART 2 OF THE FORM,
Payees that may be exempt from backup withholding include: SIGN AND DATE THE FORM AND RETURN IT TO THE
(i) A corporation. PAYER..
(ii) A financial institution. PRIVACY ACT NOTICE — Section 6109 requires you to
(iii) A dealer in securities or commodities required to register in provide your correct taxpayer identification number to payers,
the United States, the District of Columbia, or a possession who must report the payments to the IRS. The IRS uses the
of the number for identification purposes and may also provide this
Untied information to various government agencies for tax enforcement
States. or litigation purposes. Payers must be given the numbers whether
(iv) A real estate investment trust. or not recipients are required to file tax returns. Payers must
(v) A common trust fund operated by a bank under Section generally withhold 28% of taxable interest, dividend, and certain
584(a). other payments to a payee who does not furnish a taxpayer
(vi) An entity registered at all times during the tax year under identification number to payer. Certain penalties may also apply.
the Investment Company Act of 1940. PENALTIES
(vii) A middleman known in the investment community as 1) Failure to Furnish Taxpayer Identification Number – If you
a nominee or custodian. fail to furnish your taxpayer identification number to a payer,
(viii) A futures commission merchant registered with you are subject to a penalty of $50 for each such failure unless
the your failure is due to reasonable cause and not to wilful neglect.
Commodity Futures Trading 2) Civil Penalty for False Information With Respect to
Commission. Withholding – If you make a false statement with no
(ix) A foreign central bank of issue. reasonable basis that results in no backup withholding, you are
(x) A trust exempt from tax under Section 664 or described subject to a
in Section 4947. $500 penalty.
3) Criminal Penalty for Falsifying Information –
Payments of dividends and patronage dividends generally Wilfully falsifying certificates or affirmations may subject
exempt from backup withholding include: you to
(i) Payments to non-resident aliens subject to criminal penalties including fines and/or imprisonment.
withholding under Section 1441.
(ii) Payments to partnerships not engaged in a trade or For additional information, consult your tax consultant or the
business IRS.
in the United States and that have at least one non-
resident alien partner.
(iii) Payments of patronage dividends not paid in money.
(iv) Payments made by certain foreign organizations.
(v) Section 404(k) payments made by an ESOP.

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