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,1
<br />,o,,' lllf-9
<br />(Rev. Decembor 2014)
<br />D6DErlment ol tho Troagury
<br />lntirnal Revenue Seruice
<br />Request for TaxPaYet
<br />ldentification Number and Gertification
<br />Give Form to the
<br />requester. Do not
<br />send to the lRS.
<br />(as on youl lax on
<br />New Suncadia LLC
<br />name, lt dlflaent
<br />General lnstructions
<br />Sectlon reterences ar€ to tho lntsrflal Flevonuo Code unless olherwlse noted'
<br />Future developmsnf6, Intormatlon about davslopments affeotlng Form W-0 (such
<br />aiieglslatlon o'nacted after we releass ll) ls alwww'irs'govlfw9'
<br />Purpose of Form
<br />An lndlvldual or ontity (Form W-9 requeste4 who is re-qulred.to fl.le an lnformallon
<br />iuii'r wrifr ir'te rns niui t obtaln your'ooneci laxpayer ldentltlcation number-filN)
<br />;h"hil ili il" vbu.. i*i"ii"*ri'tv number (ssNi, ihdlvldual.laxpayer identllioatlon
<br />"i,ititj"i ililrli'ra"ollon i"xpaveitoentillcation riumber (ATIN), or employer . . .
<br />il;tif-h;;ii"ti';;;-fttiedr], iJ'r"port on an lnfon'natlon return lhe.amount pald to
<br />oou.'or-ot,"r "*ount iepo'rtablebn an infotmatlon r6turn, Examples of lnformation
<br />letuins include, but are hot llmlted to' the following:
<br />. Form lo99-lNT (lnterest eamed or pald)
<br />. Form 1099-DM (dlvldends, lnoludlng those from stocks or nrutual funds)
<br />. Form 1ogs-Ml$C (various typss ol income, plizes, awards, or gross proceeds)
<br />. Form lo99-B (stock or mutual fund sales and certaln other transaotlons by
<br />brokers)
<br />. Fonn 1099-5 (proceeds from roal eslstg lransactlons)
<br />. Form 1099-K (merchant card and thlrd party network transactions)
<br />4 Exomptlons (codes aPPIY only to
<br />cer-taln tinlitios,'not lndividuals; see
<br />lnslruotlons on pagE 3);
<br />Exempl payae code (if anY)
<br />--Exemptlon from FATCA rePodlng
<br />does not apply, For mortgage
<br />rellrem€nt anangement (lBA), and
<br />provlde your correot TIN' See the
<br />not
<br />nii)o)
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<br />CLco
<br />oEclo>E
<br />--E
<br />&oE
<br />oo
<br />CI
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<br />ooa
<br />code (it any)
<br />{rppdos lo tccrrils dllf,lalnrd oul6ldo fte U.5.,
<br />name and addtess
<br />Llst account
<br />IIN on page 8.
<br />Nole. lf the acoount is ln more than one name, see the lnstructions lor lln€ 'l and the chad on page 4 for
<br />guldellnas on whose number to enter'
<br />Under penalties of perJury, I certify that:
<br />1 . The number shown on thts torm ls my correci taxpayer identlticatlon number (or t am waitlng for a number to be issued to mell and
<br />2. I am not subject to backup withholdlng booau€6: (a) I am oxompt trom backup withholdlng, or (b) I have not been notifled by tho lnternal Revenue
<br />sorvtco (lRS) .that I am subJect to backup withhotdrng u" a ie*uii ot a tailure td r€port all iniiresi irr aMdends, or (c) the tRS has noiitled me that I am
<br />no tonger stiblect to backup withholdlng; and
<br />3, lam a U.S. citizen or other U.S, person (defined below); and
<br />4. The FATGA oodo(s) ent€red on this form (if any) lndicating that I am exempt from FATCA reporting is correct'
<br />Certlficatlon instructions. You must ctoss oul item 2 above lf you have been notlfled by the IRS that you aro cunenlly sublect to backup withholdlng
<br />bocause you have failod to report all interest and dlvldends on Your tax return, For roal estate transactlons,item 2
<br />lnterBsi pald, acqulsltlon or abandonmsnt of secured proPertY'oancellatlon of debt, contribullons to an lndlvidual
<br />othet and dividends, You are not required to sign tho certlflcatlon, but you must
<br />3.
<br />Here
<br />(6tudant loan lnteresD, 10s8-T
<br />or
<br />. Form 1098 (home motlgage
<br />{tultlon)
<br />. Form 1099-C (canceled debt)
<br />. Form 1 09s-A (acqulsition or abandonrnent of socured property)
<br />Use Form W*9 only il you are a U.S, person (lncluding a resident allen)' to
<br />provldo your coroct TlN,
<br />tl vou do not telum Fotm W-g lo tha requestet with aTlN, you mlght be subiact
<br />b bAckup wllhholdlng. See Whatts bacfrdp wilhholding? onpage2'
<br />Ety slgnlng lhe llllEd-out torm' you:
<br />1. certily that the TIN you are glvlng is correol (or you are waltlng lor a number
<br />to be issued),
<br />2. Certlry that you ar€ not subJect lo baokup wilhholdlng, or
<br />3. Clalm exempll0n from backup wllhholdlng if you are a U'8' exemptpayee' lt
<br />"oilio"Oi" vou,its also cerlifying that as a U,S. person, your allocable share ol
<br />"[i i-artn"iittloincome lrom i tIs' trade or buslness la not sublect to the
<br />iiiihf,Jia-hq {"i o; forelgn parlners' shBr€ ol offectively conneoted lncome' and
<br />4. Certltu that FATCA code(s) entoted on lhiB form (f any) lndlcatlng that you ars
<br />"*"lnpt
<br />ti,jni ttt" fATCA reporting, ls oonect' S60 What is FAT}A repoilng? on
<br />page 2 for furlher lnformallon.
<br />other
<br />slngl6-member
<br />Limlted llabllity
<br />Note, For a slnsle-rnember
<br />th€ llx classiflo-atlon of the
<br />LLC ihat is disreg8rd€d
<br />slngle-member owner.
<br />box€B:6evenihoofcheokfollowlngon6lorboxtaxfederalclasslticatlonionlyChack3approprlate
<br />TrusvsslalesPartnershlptr0orporatlonColporationorlndlvldual/sole proprletor
<br />LLC PP=partnershlp)S=StaXtheclasslflcatlon corpotation,corporatlon,Entsr {o=ccompany.u {orabovelinelnlh6boxcheckthechecknotLLC;appropriatsdo
<br />apt, or sulie
<br />770 Suncadia Trail
<br />6 statg, and
<br />Cle Elum, WA 98922
<br />mberPad I
<br />3 1 1 6204I3
<br />Part ll
<br />Dalo >Slgnature of
<br />U,S, psrsoh
<br />cat. No. 1 0231X Form (Rev. l2-2014)
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