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,o,". lllf-g (Rev. October 201 8) Department of the Treasury lnternal Revenue Seruice Request for Taxpayer ldentification Number and Certification Give Form to the requester. Do not send to the lRS.)Goto for instructions and the latest information, ci oo)oo- co.oqrcoo>E+i) oi fiD O.o '6 oeo o 4) U) shovrn on your fncome Name is on do noi leave lhis of 2 Business €ntity name,above Cou 4 Exempiions (codes apply only to certain entilles, not individuals: see instructlons on page 3): Exernpt payee code (if any) 3 Exemption from FATCA reporting code{ifany) C (App'es to accfums meintained outstde ths U.S-) name and address {optiona} 7 account number(s) here Number line I to avoid However, for a For other How to get a or Note: lf the account is in more than one name, see the instructions for line 1. Also see What Name andNumber To Give the Requester for guidelines on whose number to enter. c Under 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); and2. I am.not-s_ubject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the lnternal RevenueService (lRS) that I am subjectto.backup withholding as a resuit of a failure to report all inieresi or dividends, oi q"y in" IRS has notified me that I amno longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (i{ any) indicating that I am exempt from FATCA reporiing is correct. Sign Here General ln ns 1099-DlV (dividends, including those from stocks or mutual Section references are to the lnternal Revenue Code unless otherwise noted- Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go Io www.irs.govlFormWg. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your corect taxpayer identification number [iN) which may be your social security number (SSN), individual taxpayer id€ntification number (lTlN), adopiion taxpayer identification number (ATIN), or employer identjfication number (ElN), to report on an information return the amount paid to you, or other amount teportable on an inforrnation return. Examples of information returns include, but are not limited to, the following. . Form 1099-lNT (interest earned or paid) . Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) . Form 1099-8 (stock or mutual fund sales and cerlain other transactions by brokers) . Form 1099-S (proceeds from real estate iransactions) . Form 1099-K (merchant card and third party network transactions) : l_oJt 1099 (home mortgage interesi), '1 098-E (student loan interest), 1098-T (tuition) r Form 1 099-C (canceled debt) . Form 1 099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TlN. lf you do no,t retutn Form W-9 to the requester with a TtN, you might be subject to backup withholding. See What is backup withholding, lateL 3 check appropriate box for federal tax classification of the person whose name is entered on line L check only one of thefollowing seven boxes. n lndividual/soleproprietoror n CCorporation n SCorporation n Partnersnip I Trust/esrate single-member LLC Olher tr slreet, and apt. or $itlts no.l See loslruclions.5 6 City, state,ZIP code Social Part I number I 1 6 0 0 1 3 4 I Part ll Signature of U.S, percon ) Cat. No. 10231X Form W-9 (Rev. 10-201s)