You are on page 1of 1
Give Form to the requester. Do not send to the IRS. (Ro, Aut 2015) Request for Taxpayer Sonnet, Identification Number and Certification Tarn x SOW oh YOU HERE RTT [The College of New Jersey Foundation, Inc. Basins nen eoS aad Ly tara, Taare fon aoe [Chock appropriate box Tor tedoral ax casscator ‘arpions fe nabs Cinditinvsle proctor] CComerston ] Scorpion] Pane C] tusvestte Exempt ayes cod tan. CC Lied abit company. Enter ne tax cassteaton (°C corporation SS corpraton, Poparnersie)> xompton tom FATCA reson code an) 2] otter ee atts 501 (03 ess (UE, Sos, ah aL oF TETST 'P.0. Box 7718 Ewing, NJ 09628-0718 Tat acd HER Po (Oa [GEGM__Taxpayer identification Number (TIN) Entry TH te apploprate box. "Fa TN proved must malch De nave Guanon he Name Tne | Sedans ane } {olnvod bacnus withakiog For nahidun, tas you socal sesiry number SN, Honover for 7 TS aa RIT OTTO Print or type ‘See Specific instructions on page 2. resident avon, sole proprietor, o° csragarded oy, soe te Part Instructions on page S. For other | + “entities, itis your employer identification number (EIN). If you do not have a number, see How to get a L Tvon page Note. I the account i in more than one name, umber to ents. Cerification Under penalties of peur, | certify that +. The number shown on this form is my corract taxpayer identiflation number or | ar waiting fora number tobe issued to me, and 12 chart on page 4 for guidelines on whose 2. Lam not subject to backup withholding because: (a)! am exemat fom backup withholding, or) [have not beon noted by the intemal Revenue Servic (RS that am subject to backup witiolding asa resut of fale te report all ntorest cr vend, o (the IRS has noted me that | am no longe subject to backup wihhalaing, and 3. Lama US. eizon or other US. person (detined below), and 4. The FATCA codes) entered on tis form any) indicating that | am exempt rom FATCA reporting s correct. Certification instructions. You must crass out item 2 above if you have been noted by the IS that you are curently subjec to backup withholding Because you have ‘aed to report al interest and dividends on You tax rtum. For realestate transactions, tem 2 does nat apply. For mortgage Interest paid, aequistion ar abandonment of seoured propery, cancelation of dabt,cortrbution to an indwvdual retirement arrangement (RA), and overly, payments oo’ than rerest and diidendsq you are not ened fo ign th cretion, But You MUS provide your oract TIN, See the IRettons an page 8 = Sign ‘Signature of Here | US'pemone ow F J23/ 2 General Instructions ot tces/ conned come, ot \wtnolang axon erin paren “Carly hat FATCA cot) ater Sovtonrterence arto th nea Revert Cod uns ceri tad fe fo ar net tet you Future developments, Tho IS ha reste a page en. go for nforaton beut Form Wa sw re pou, Iomatin about ay tie developments ‘cig Form Wi (uch a5 Sion acts ar we aoase i wi be posted Purpose of Form ‘parson who rau fa an tomato ret wah he RS mst tala your ‘ctrectaxpayrsentseaton number TN) repo fer axarpe, income pat ous paras rato your oat a pyran card ara tard ary network erctune rena ansoctons, morgage mre you pa scqution or Sandormet of secures propery, concelation of dt, or cornbutons Yu ade nike Use For W.9 ony ou ar U.S. parson fntuing a reir alto pro val vot pooner en 1. Cory that he TN you ars ging i coact you ae wating fe arabe vobelsued, 2: Ceiy tat you ar not eb fe tackupwihhldeg oF 2. Char exemption ram bacun wahhatsng you are 8 U.S. exane pay, sop, you ese outing ae a US, pean, yor aioeae she o, Sir parnertip some rom aU5, ace of bushes sha subject toe xsl rte PACA ene cores Note. iu ste US. ptson and a equeter sve you frm ther han Form Wat equect your TA you must une ie roxunsar sf # sbsarohy har oe Fam 9 Definition o U.S person. For eer ox purposes, you ae corded a US. own you ae {Anni nto is aU, cz US, eit alo “A panvarein, corporation compar, asset crested or cganld nthe ‘ned Stats or underneath Unees Stes, ‘foe tera a orn stato or * Adanaatic tt as tind egos seson 301.7017). ‘Speci res for partnerships Parnrsi that conduct rac of uses n ‘felunted Stator are gonetyraquredio pay a ihioting ta urd secon Tas on any frig pers sare of elec connected eb ncore ro ‘the ule undo’ section 1446 requre a partnership to presume that x partner 3 {Srelgn paren, ana pay ha socton se winking tax Tater, You ar 8 US futon at aa pannern agarmorsupconaustng a race tustess ne ‘Untew Staton. rou Form W-O tothe paorano fo eteiet your U.S. ate nd voi seton 1448 wileng on you shar of parienp nea Fam W-B Fev, 82018

You might also like