You are on page 1of 6
Request for Taxpayer Identification Number and Certification > Go to wwwirs.gov/FormW9 for instructions and the latest information. om W-9 {Re, Cetober 2018) Give Form to the requester. Do not ‘send to the IRS. Nae fs shawn on our coe fx eu, Name fs requred on a ne do net Teave Wis te BI. Lumanex LLC. FBSA ae EGRET ay ae WTI OT RESTS 3 Check appropriate bor or odera tax lsscaion of he parson whose nas entered on ine 1. Chack only ane a te Ci trsvetate Lite abity company Enter the tax clasicaton (C=C corporation, SS corporation, PaParmershipjh> © Note: Check he aperoprat bx nthe Ine above fr te tax lassfeaton ofthe single-member owner. Donat Shack LICii the Lic i etenied asa single member LC tat sloped from he owner oes te omnes Of the LLC Brother LLO that snot csrogarced fm the oner for US. fedora tax purposes. Orso, 2 snglommombar LLC tal 'Sclrepardea rom te omar should check the appropto box forth ax cassia fs cue 1 oer toe instructions)» Acres umber, set, and apt or suite io) See srs 1452 Hughes Rd suite #200 © on sate-and2P EFapevine, TX 76051 i tnaveduaveol propietorar [1 cCerperatin Cl scorporaton C1 Parmerstip stngle-menber LLC Instructions on page 3 Print or type. * Besrplons oss sp ono itoctons on rooe SF Exempt pave coe tay, xerten tom FATCA reporting code ay) arene pons FL account nama are ena ‘Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given online 7a avoid [Socal sear name backup withholding, For incviduas, this is generally your socal security number (SSN). However, fr @ residen: alien, sole proprietr, or disregarded entity, see the instructions fr Pat later. For ther ents, tis your employer dentition number (EIN). you do not have a number, see How to gota TIN, later. Note: Ifthe accounts in more than one name, see the instructions fr line 1. Also see What Name and ‘Number To Give the Requester for guidelines on whose number to enter. Cenification Under penalies of perry, | cee that ‘Employer ntiieavon number 92 (0362739 1. The rumber shown on this form is my correc taxpayer identification number (or | am waiting fora number tobe issued to me: and 2. Lam not subject to backup withholding because: (| am exempt from backup withholding Service (IRS) that] am subject to backup withholding as @resuR a a falure to report all iferest or visends, of (0) no longer subject to backup withholding; and 3. 1am aUS. clizen or other US. person (defined below); and 4. The FATCA code(s) entered on this form (ary) indicating that | am exempt from FATCA reporting ie corect. Jb) Ihave not been nated by the Internal Revenue ‘he RS has notified me that | a Certifetion instructions. You must cass out item 2 above if you have been notfied by the IRS that you are curently subject te backup withholcing because You have fled to repor al ntrest and duidends on your tax return, For realestate transactions, tem? does not apply, For morigage interest paid, {equstion of abandonment of secured property, cancelation of Seb, contribution to an individual etrement arrangement (RA), and general, payments ‘ther than interest and dvidends, you 36 not requred to sign the cerfeation, but you must provde your caret TIN, See tne stuctons for Pat I late. VL KS Sign Here General Instructions {Fase 1009 avant, eng Section references are tothe Internal Revenue Code uns otherwise noted, Future developments, For the [atest information about developments related to Ferm W-9 and ts nstuctions, such as legislation enacted ater they were published, Jo to winn.s.gov!FormiV proceeds) ‘ransactons by brokers) 01/23/23 these from stocks or mutual + Form 1088-MISC (various types of income, prizes, awards, oF rss + Form 1089-8 {stock or mutual fund sales and certain other + Form 1099-5 (preceeds from real estate vansactons) Purpose of Form ‘An Individual or entty (Form W-8 requester) who is required to fle an information return with the RS must obtan your corect taxpayer idertrication number (TIN which may be your seclal security number (SSN), individual taxpayer dentition number (TIN), adoption taxpayer Kentfcation rumber (ATIN), of employer entiation number {EIN), to report on an information return the amour paid to you, or other amount reportable on an information return. Examples of information Fetus Include, bu ae no linited to, the follwing + Form 1088-INT (intorest eaed or pald) + Form 1099-K {merchant card and third party network transactions) + Form 1088 (home mortgage interest), 1098-F (student loan intrest, 1088-1 tution) + Form 1099-C (canceled debi) + Form 1099-A facausiton or abandonment of secured property) Use Form W-9 only you area U.S. person (including a resident ‘ale), to prove your correct TIN. Ifyou de net return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, tater. (oa Na 023%, Form WD fev, 107018) Form ¥9 Rev 10-2018) Page 2 By signing the led-out form, you: 1 Cerity thatthe TIN you are giving is come number to be issued) 2. Coty that you are net subject to backup withholcing, or 3. Claim exemption from backup withholding ifyou are a U.S. exernpt payee. I applicable, you are also certifying that a8 8 U.S. person, your ‘locable share of any partnership income from a US. trade or business is not subject to the wthnolaing tax on foreign partners share of ‘otfectvely connected income, and 4. Contity that FATCA code(s) entered on this form ji ary indicating that you ae exempt rom the FATCA reporting, is corec. See What FATCA reporting, ater, for futher information Note: Ifyou ate a U.S. person and a requester gives you a fim other than Forts W-8 to request your TIN, you must use the requester’ frm if itis substantial simfar to this Form W-8, Definition of a U.S. person. For federal tax purposes, you are ‘considered a US. person f you ae: + An individual who is aS, chizen or US. resident alien + Aparnership, corporation, company, r association created or ‘organized inthe United States or under the laws ofthe United States + An estate (other than a foreign estate; oF + Addomestic trust (as detined in Regulations section 301.7701-7) ‘Special rules for partnerships. Partnerships that conduct atrage or business in the Unted States are generaly required to pay a withholding tax under section 1446 on any foreign partners’ snare of effectively ‘connected taxable ncame fram such business, Further, in certain cases ‘where a Form We has not been received, the rules under section 1486 require 8 partnership to presume that a partners foreign person, and pay the section 1446 withnolaing tax. Therefore, you are aU.S. person {hats partner in a partnership conducting a trade or business inthe United States, provide Form W-8 to the partnership to establish your UIS. status and avoid section 1846 withholding on your share of, partnership income, Inthe cases below, the folowing person must give Form W-8 to the partnership fr purposes of establshing ts US, status and avoiding, {wihhelging on its alocable share of net income rom the partnership ‘Conducting a trade or business in the United States In the case of a cisregarded entty with a U.S. owner, the US. owner ‘of the dlsregarded entity ana net the ety: + inthe case of a grantor trust witha U.S. grantor or other U.S. owner, ‘general, the US. grantor or other U.S. owner of the grantor ust and fot the trust: and In the case of a U.S. trust (other than a grantor trust), the U.S. trust {ether than a grant rust) and net the beneficiaries ofthe tus Foreign person. Ifyou area oreign person or the U.S. branch of a Toreign bank tai has eloctod to be treated a8 4 US, person, do not use Form W9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Taxon Nonresident Alans and Foreign nities Nonresident alien who becomes a resident alien, General, only a nonresident ain incivdual may use the terms ofa tax treaty to reduce for eliminate U.S. tax on certain types of income. However most tax ttesties contain a provision known as a saving clause.” Exceptions _spectied in the saving clause may permit an exemption from tax to Continue fo certain pes of income aven ater the payee has otherwise Become a US. resident ale for ax purposes, IF you area US. resident alien who is relying on an exception contained in the saving clause of a tax treaty fo claim an exertion {fom US. tax on certan types of income, you must atach a statement ta Form W3 that specties he folowing fe tems. 1. The treaty county. Generally this must be the same treaty under which you claimed exemption trom tax as a ronvesidert allen 2. The treaty atte addressing the income. 5, The article number or lecation) inthe tax Woaty that contains the saving clause and ts exceptions. ech 8e ard amount af ircome ha qualifies forthe exertion 5. Sufficient facts to just the exemption from tax under the terms of the‘veaty arcte. * (or you are wating fora ‘Example, Avcle 20 of the U.S.-China income tax treaty allows an ‘exemplion from tax for scholarship income received by a Chinese ‘student temporary present inthe United States. Under U.S. la. this, ‘student wil Become a resident alien for tax purposes If is or her stay in ‘he United States exceods 5 calendar yours, However, paragraph 2 of the fret Protocal te the U.S.-China treaty (dated April 3, 1864) allows the provisions of Article 20 ‘0 continue to apply even ater the Chinese student becomes a resident alien ofthe Unitad States. A Chinese ‘student who qualifies for his exception uncer paragraph 2 of the frst protocol andi reiing on this exception to clam an exemption from tax ‘on his orher scholarship or felowehip income would attach to Form W- a statement that includes the information described above 0 ‘supper that exemption Ifyou are a nonresident alien oF a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding ‘What is backup withholding? Persons making certain payments to you must under certain conditone withhold and ay tothe IRS 24% of such Baymerts. This ‘scaled “backup witnhaling.” Payments that may be ‘subject to backup withholcing inchide interest, tax-exempt interest, dividenes, broker and barter exchange transactions, rents, royals, nonemployee pay. payments mad in setlement of payment card and ‘hire party network transactions, ad certain payments fram fishing boat ‘operators, Realestate transactions are net subject To backup ‘withhoteng. ‘You wil not be subject to backup withholding on payments you receive you give the requester your correct TIN, make the proper Cerifiestons, and repat all your taxable intrest and dhdends on your tax return Payments you receive willbe subject to backup withholding it: 1. You do not fumnish your TIN tothe requester, 2. You do not cetiy your TIN when required (508 the instructions for Parl for deta) ‘3. The IRS tos the requester that you furished an incorrect TIN, 4 The RS tes you that you are subject to backup withholding because you di not report all your interest and dividends on your tax retur (or reportable Interest ana dividends only, of '5, You do not cetty tothe requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend ceounts opened after 1989 anh CCertin payees and payments are exempt from backup withholding, ‘See Exemot payee code, later andthe separate Instuctons forthe Requester of Form W.2 for more information. ‘Also see Speci rules for partneshins, ear. What is FATCA Reporting? ‘The Foreign Account Tax Compliance Act (FATCA) requires 2 paricipating foreign financial nsttution to repert al United Statos [Sccount holders that are speciied United States persons. Certain payees are exempt rom FATCA reparting, See Exemption from FATCA ‘eperting code, later. and the Instructions ior the Requester of Form 128 for more infarmation. Updating Your Information ‘You must provide updated information to any pereon to whom you claimed to be an exemot payee if you are no longer an exempt payee ‘and anticipate receiving reportable payments nthe future fram ths Berson. For example, you may need to provide updated information if {you are a C corporation that elects to be an corporation, orf you no longer are tax exempt. In addition, you must furnish a new Form W-9 if ‘the name or TIN changes forthe account or example, ithe grantor of grantor trust cies Penalties Failure to furnish TIN I you fale unish your conect TIN to 8 requester. you ae subject to penalty of $50 foreach such fale Unless your flue is due to reasonable cause and not to wif neglect. Civil penalty for false information with respect to withholding. Ifyou make a alge statement with no reasonable bass that results inno Backup withnoling, you are subject to a $500 penalty Form ¥89 Rev 10-2018) Criminal penalty for falsifying information. Willy falsifying Ccertlications or atirmatons may subject you te crminal penalties including fines andor imprisonment Misuse of TINs. If the roquosterciscloses or uses TINS in volation of {federal law, the requester may be subject to cv and criminal pena. Specific Instructions ine 1 ‘You must enter one ofthe following on this line: do net leave this line blank. The name should match the name on your tax return, IF this Form W-9 efor a joint account other than an account maintained by a foreign financial institusion (FF), st frst, and then Cele, the name ofthe person or eniy whose number you entered in Part | f Form W-9, you are providing Form W- to an FFI to document A joint account, each holder of the account thats aU.S, person must Provide a Form Ws, 2. Individual. Generally, enter the name shown on your tax return. you have changed your last name without informing the Social Securty ‘Administration (SSA) of the name change, enter your frst name, te ast name a8 shown on your social security eard, and your new lastname, Note: ITIN applicant: Enter you individual name as it was entered on your Form W-7 apalcaton, Ire Ta. This should also be the sare as the name you entered on the Form 1040/0408/"040E2 you fled with your pplication, », Sole proprietor or singlesmember LLC, Enter your indvidual name a8 shown on your 1O40/1040/TO40EZ online 1. You may enter ‘your business, rade, of “doing business as” (DBA) name on Ine 2 ©. Partnership, LLC thats not a single-member LLC, C ‘corporation, or S corporation. Ente the entity's name as shown on the ‘onty's tax retum online and any business, trade, or DBA name on Tine 2 4. Other entities. Entor your name as shown on required U.S. federal tax documents on ine‘. Ths name should match the name shown onthe ‘charter or ether aga! dacumert crating the entty, You may enter any business, trade, or DBA name online 2. °. Disregarded entity, For U.S. federal tax purposes, an entity that is Trusvestate Trustiosta Line 4, Exemptions Ityou ar exempt trom backup withholding and/or FATCA reporting, centerin the appropriate space on ine 4 ary code(s) that may apply you Exempt payee code. + Generally, incivcuals (including sole proprietors) are net exempt rom backup withneiding, + Except as provided below, corporations are exempt fom backup \witrelaing for certan payments, including interest and dividends. + Corporations are not exempt om backup withholding fr payments made in settlement of payment card or third party network transactions + Corporations are net exempt om backup wthhalsing with respect to attomeys ees or gross proceeds paid to attomeys, and corparaions {hat provide mecieal or healthcare sorvices are not exempt sith respect te payments reportable on Farm 1088-MISC. ‘The folowing codes idently payees that are exemot from backup withholding. Enter the appropriate code Inthe space in Ine 4 11—An organization exert from tax under section $03), any IRA, or ‘a custodial account under section 40390)(7) the aecount stistes the requirements of section 401192) 2—Tho United States or any of its agone9s or instumentaltios 3A slate, the District of Columbia, a U.S. commonwealth oF possession. or any af ther politcal subdivsions or nstrumentaiies 4—A foreign government or any of ts polteal subdivisions, agencies, cor instrumentalties 5~A corporation 5—A dealer n secures of commodites requted to register Inthe United States, the Distt of Columba, or aU.S. commonwealth oF 7—A futures commission merchant registered withthe Commackty Futures Traging Commission 8—A realestate investment trust 9—An entty registered at all times during the tax year under the Investment Company Act of 1940 10-Acommen trust fund operated by a bank under section 584(a) 131A financial institution 132A miagleman known in the investment community as a nominee or custodian 1A trust exempt from tax under section 684 or described in section 4907 FomW-8 ev, 10.2018) ‘The following chart shows types of payments that may be exemat ‘rom backup withholding, The chart applies tothe exempt payees ised above, 1 through 13 iF the payment is tor TTHEN the paymentis exempt tor ‘eres and dividend payments | Alexempl payees excep tor? Exempt payees 1 fyough 4 and 6 {through 11 and aC corporations, S corporations must not enter an exempt payee code because ey are exer onl or sales of eneovered secures acquired porto 2012. Exempt payees 1 rough @ Broker ansactons ‘Barter exchange Wansactons and patronage dividends Payments over $600 reauived to be | Generaly, exempt payees reported and direct sales over | 4 snrough 5° $5,000" Payments made i setloment of payment card or thid party network ‘raneactions Exempt payeos 1 tough @ ‘See Form 1089-MISC, Miscellaneous Inceme, and its nstuctions, * However, the folowing payments made to a corporation and reportable on Form 8E-MiSC are not exempt rom Dackus withholeing: mecical and healthcare payments, atlomeys' fees, gross proceeds pal to an attomey reportable under section 6045(), and payments for services pald by a federal executive agency. Exemption from FATCA reporting code. The folowing codes identity payees that are exempt from reparting under FATCA, These codes. apply to persons submiting tis form for accounts maintained outside ‘ofthe United States by certain foreign fnancial instfutions. Therefor, i {ou are only suomiting ths form for an account you hols in the Unites States, you may leave ths fel blank, Consult with the person requesting this form if you are uncertain I the financial institution is ‘Subject to these requirements, A requester may indicate that a code Is rot required by providing you with a Form W-8 with “Not Applicable” (or ‘any similar inctcation) wrtton or printed on the ne fora FATCA ‘exemption code. 'A~An organization exempt ftom tax under section 501(a) or any Inalviual vetrement plan as dined In section 7701(3/(37) B—The United States or any a its agencies or instrumentals C~A state, the District of Columbia, a U.S, commonwealth or possession, or any oftheir politeal sublvisions or instumentalties (A corporation the stock of whichis regularly traded on one ot more establisned securties markets, as described in Regulations Section 11472-1161), E—A corporation that is a member of the same expanded affliated ‘group a8 corporation described in Regulations section 1.1472-1e}0) FA dealer in secures, commodties, or derivative financial instrumerts fneluding notional principal contracts, futures, torwarcs, land options) thats registered te such under the las ofthe United States or ary state GA realestate investment trust H—A regulated investment company as defined in section 851 or an entity registered at al imes during the tax year under the Investment Company Act af 1840, IA.common trust fund as defined in section S84(a) JA bank as defined in section 581 K-Abroker L—A wust exempt from tax under section 664 or described in section saree) MA tax exempt tust under a section 403(0) plan or section 45719) plan Note: You may wish to consult with the financial institution requesting thie form te determine whether the FATCA code and/or exempt paves ‘code should be completed. Line 5 inter your address (number, street, and apartment or suite numba. ‘This is where the requester ofthis Form 3 wll mall your information returns. this address difers trom the one the requester already has on fe, write NEW atthe top. it new address i proved, tere ie stil a chance the old address will be used untl the payor changes your ‘dress in ther records, Line 6 Enter your city, state, and ZIP code. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. Ifyou are a resident alen and you'do not have and are not elgble to get an SSN, your TIN is your IRS ‘ncvidval taxpayer idertifeation number (IN) Enter it inthe social security number box. I you do not have an ITIN, see How to get a TIN below. It you ave a sole propretor and you have an EIN, you may enter either your SSN or EIN, you are a single-momver LLC that is disregarded as an entity separate from ts owner, enter the oviner’s SSN (or EIN the owner has (one), Do not enter the disregarded entity's EIN the LLG is classified as ‘8 corporation or partership, enter the entity’ EIN, Note: See Vat Name and Number To Give the Requester, ater or further clarification of name and TIN combinations. How to get TIN. f you do not have a TIN, apply for one immediately. To apply for an SSN, get Form 5-5, Applicaton for a Social Security Card, rom your local SSA offic or ge this orm online at yw. SSA.gov. You may also go this form by caling 1-800-772-1218. Use Form W-7, Application for RS Individual Taxpayer Identification Number to apply for an ITIN, or Frm SS-4, Applicaton for Employer Iontiteation Number, to apply for an EIN. You ean apoly for an EIN online by accessing the IRS website at wars gov/usinasses and ‘oxing on Employer Iaentifeaion Number IN) under Staring @ Business. Go to mww.its.gov!Forms to view, download, or print Form Wc7 andor Form SS-4. Or, you can go to worwirs goviOrderForms to place an order ang have Foimn W-7 and/or SS-4 mailed o you within 10 Business days Ityou are asked to complete Form W-8 but donot have a TIN, apply {fora TIN and wnite “Applied Fer" nthe space forthe TIN, sign and date the form, and give It to the requester. For interest and dvicena payments, ang certain payments made with respect fo really tradable Instruments, generally you will have 60 days to get TIN and glve it to the requester before you ae subject to backup withholding on payments. The 60-day rule doss not analy to other types of payments "You willbe subject to backup withholding on all such payments ntl YoU provide your TIN tothe requester. Note: Entering “Applied For” means that you have already applied fora TIN or that you intend to apply for one soon, Gaution: A disregarded U.S. entity that has a freign owner must use the appropriate Form We8, Part Il. Certification To establish othe withholding agent that you are a U.S. person, of resident alien, sign Form W-9. You may be requested to sign by the \ithhelaing agent even fem 1.4 or 5 below indicates otherwise. For ajoint account, only the person whose TIN Is shown in Part | should sign hen required), In the eaze ofa cisregarded entity, tne Derson dentfied online 1 must sign. Exempt payees, see Exempt payee ode, carter. Signature requirements. Compete the cetication as indeated in Items 1 through § below. Form ¥89 ev 10-2018) 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983, ‘You must give your correct TIN, but you do nat have fo sign the certeaton 2. Interest, dividend, broker, and barter exchange accounts ‘opened after 1983 and broker accounts considered inactive during 4985, You must sign the ceriiation or Backup withholding wil apply It {you tre subject to backup withnolding and you are merely providing {Yur correct TIN tothe requester, you must crass out tem 2 Inthe erttieation betore signing the form, 3. Real estate transactions. You must sign the certlieaton, You may cross out item 2 of the ceriiestion. 4. Other payments. You must gve your correct TIN, but you do rot have to sign the cetifcaion unless you nave been notified that you have previously given an ineertet TIN, “Other payments” include payments made n the course ofthe requestor’ trade of business for rents, royalties, goods (other tan bils for merchandiee), medical and healthcare services (including payments to corporations) payments to & noremployee for sevices, payments made in settlement of payment Card and third party network transactions, payments to certain fishing boat erew mernbers and fishermen, and gross proceeds paid to sttoreys (helucing payments to corporations) ‘5, Mortgage interest paid by you, secured property, cancellation of debt, qualified tution, payments (under section 529), ABLE accounts (under section 523A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions, You must give your correct TIN, but you da nat have to sign the cerification What Name and Number To Give the Requester For this type ‘account 2.799 or mare individual ont sceount) oer than an account Trantained by a9 FF combined nds, be fst vial on 13. Two or more US. person (Goint account mantaned by an FFD 4, Custodial account ota minor The min? [Unior Git to Mnors Re 5.4 The unvalevorabe savings ust fcrartris also taste} br So-eated rut account thats nat] The acts owner™ ‘leg orale st urder ste law The gantorsnuste! ty owned by an nvidia 7. Grantor rst log under Optional | The grantor? Form 1089 Fling Moth 1 see Regulations secton 1 571-4 ow For this ype of account o ‘Give name and EIN, inawgual Avald us, estat, or pension vst | Legal nt 10. Corpraton o LLC leting ‘Toe comertion corporate status on Farm 8832 or Cartble,edueatons, or erat exempt onarzation 12, Partnership ormut-member LC SALA boxer or rogatredrominee “Te Recount win ne Deparment of —] Fegulziorssecton 1871-46013) this Ype of account ‘Give name and EIN of The public erty Sarcuhure nthe name of puble cently ue a a state or eat (goverment school dite of Deson) at receives greta Program payments 15, Grantor tus flog uderhe Ferm {ot Pilg Metnd rhe Otol Form 1089 Fing Whoa? fee The wt List frst and circle the name of the person whose rumber you furnish, ifonly one person en’ jomt account as an SSN. that person's number must be fumisned. * Cirle the miner's name and furish the minor's SSN, ° You must show your Individual name and you may also enter your business or DBA name on the “Business name/aisregarded ent(y name line. You may use ether your SSN or EIN (f you have one), but the TRS encourages you to use your SSN. “Uist fest and cle the name ofthe vust, estate, or pension trust (D0 not furnish the TIN of the personal epresortative or rustow unless the Togal enity tsot is not designated in the accourt tile} Also see Special ‘ules for partnerships, eater ‘Note: The grater also must provide a Form W-8 to trustee of trust Note; Ine name is ecled when more than one name sisted, the number wil be considered tobe tat ofthe first name Ise, Secure Your Tax Records From Identity Theft Identity theft accurs when someone uses your personal information ‘such as your name, SSN, oF other ideniying information, without your Dermistion, o commit raud or other crimes. An dentiy thet may Use {Your SSN to get job oF may fle a tax etum using yout SSN to rece've refund, To reduce your tsk + Protect your SSN, + Ensure your emolayer fs protecting your SSN, ant + Bo careful when choosing a tax preparer. Ityour tax records ar affected by identity theft and you receive a notice from the IRS, respond right away tothe name and phone number Drinted on the IRS notice oleter. it your tax records are not curently atfected by identity thet but you think you are at risk due toa lost or stolen purse of wale, questionable Credit card actviy or creat repor, contac! the IRS Identity Theft Hotine {3 7-800-808-4490 or submit Form 14038, For more information, see Pub. 5027, entity Theft Information for Taxpayers Vetims of identity thett who are experiencing economic harm or systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be elgile for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by caling the TAS to-iree case intake line at 1-877-777-4778 or TTY/TDD "200-028-4080. Protect yourself from suspicious emails or phishing schemes. Phishing i the cteston and use of email and webstes designed to mimic legitimate business emails and websites, The most common act 'S sending an emall to a user falsely claiming tobe an established legitimate enterprise in an attempt to scam the use into surenceting private information that will be used for identity thet Form We Row 10-2018) ‘The IRS does nat inate contacts with taxpayers via emails, Als, the IRS does not request personal detaled information through eral or as taxpayers for the PIN numbers, passwords, or smlar secret access information fr ther creditcard, bank, or other financial accounts, If you receve an unsolleted ema claiming tobe from the IRS, forward this message to phishingBirs gov. You may aso report misuse ‘ofthe IRS name, logo, or other IRS property to the Treasury Inspector ‘General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails tothe Federal Trade Commission at {spam@uce.gov or report them at ww. fc.gov/complaint. You can ‘contact the FTC at win fe.govldthef or 877-IDTHEFT (877-498-4338), Ifyou have beon the victim of identity theft, see www ldentiyTheft cov and Pub, 5027. Visit wwe govidentiyThet to leam more about identity theft and how ta reduce your risk 8 Privacy Act Notice ‘Section 6109 af the Internal Revenue Code requires you to provide your Correet TIN to persons (ncluding federal agencies) whe are requred to ‘le information returns with he IRS to reper interest, cividends, Certain other Income paid te you: mortgage interest you paid; the acquisiton or abandonment of secured property: the cancellation of {debt or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the Information on the form to fle information returns vith the IRS, reporting the above information Routine uses ofthis information include giving tothe Department of Justice fr civil and criminal tigation ana to ties, states, the DIsct of ‘Columbia. and U.S. commonweatth and possessions for use ‘administering theiriaws. The information alsa may be caclozed to other Countries under a treaty, to ‘ederal and state agencies to enforce cil nd erminal laws, oF to federal aw enforcement and ineligence ‘agencies fo combat teroriem. You must provide your TIN whether or not you are required to fle a tax return. Under section $408, payers ‘ust generally withhold a percentage of taxable interest, cvidend. and Certain other payments to a payee who doos not give a TIN to the payer. Certain penaties may also apply fr providing false or fraudulent information,

You might also like