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,""" lllf-9 <br />(Rev. October 2018) <br />Donnrtmont ol lhs TreasJry <br />lnlctnfi I Flovcnuo Sedie. <br />Request for Taxpayer <br />ldentification Number and Certification <br />> Go io www.r'rs,govlFomwgfat insttuctions and the latest intormation. <br />is rcquho{, on not lhls <br />nEme, rl (tilfcr.lnt <br />U\? <br />Give Form to the <br />requester, Do not <br />send to the lRS. <br />4 Fxenrpllons icodes aprly oDly io <br />csrlain 6nlllles, not htdividuals: see <br />instruclio.s on page 3): <br />fxernpt payee code if any) 3 <br />Exemplion trom FATCA rcportirg <br />corie {if nny) C <br />2 <br />(as on yQur tlcontc lax <br />t ac0ottrrt nurh{lr{$! horo <br />ons <br />las <br />0,o6a <br />co <br />o <br />,9 <br />E <br />g <br />o <br />ataat <br />ooa <br />0,(l <br />o <br />E <br />(L <br />il$t)j.n\ 1.\..:..,v?ls rtxittr.t.r\: n1^.it t.tt it s j <br />Urder penalties ol perjury, I certify rhat: <br />Here <br />General <br />name itrtl <br />1099-DtV (dividends, including those from stocks or nluiual <br />1' The number shown on this form is my correct laxpayer icientification number (or I am wailing for a number to be issuod to me); and2' l.a$.not.sut{ect to backup r,vrthholding bi}c.au.sej (a) I am exempt from backup iliihholding, or (b} I have not been notified by the lnrernal ll€vanueservice (lllli) that I anr surtjoct to.backl'p wilhhotiir;g as a resuit of a failure to report all inierest or divrdends, or ic) the IFS has notified nle that I amno krnger subiect to backt,p withhol.Jin0; anat <br />3, I ar'r s U.S. citizen or other U,S. person (defined below): and <br />Section refsrences are to the lnternal Revenue Code unless otherwise <br />noted- <br />Futuro developnrsnts. for tha latesl intorilation <br />'}t,out <br />doveloilmonts <br />.elsted lo t-orrn W-9 and its inetructiofis, such as legiBlalion enficted <br />aftor th€y wo/e putllishsd, g$ le w\vtv.ils.(jovlFomsilg. <br />Purpose of Form <br />An jrrejividual or antity {tjcrrrn W-S requ6st€.} $/ho rs r8quired to tile aninrormation roturn rrrlth lhe IRS rnust obtaioyouf eorfe;t lilxpay€r <br />r{tontiticetion numlror 1TlN] which fiay be your social securilv number <br />{SSN}, individual taxpayor idsnttricarion nJmber (lt tN). adopijon <br />t&xpxyor idontiticatlon qutnbor (AIIN], or ernploydr ld6ntiicarion nufiljcr(EiN), lo rsport on an irriormation rolurn the arnount pard lD you, or oiherfirnount roporlable on an information return. Exarnplbs of infbrmaticn <br />returns incltrdei. but are not lknited to, the following. <br />' Form 1099-lNl"(interest earned or paid) <br />. iiorm 1099-MISC (varioLls types of income, prizes, awards, or gross <br />proc*eds) <br />. Form 1099-8 {stock or nrutual fund sales and certain other <br />transactions by brokers) <br />. Form 1099-5 (proceeds from real estate t.ansactions) <br />. Form 1099-K {merchant card and third party natwork transaclions) <br />:l-ojt 109$ {horne rnortglage interest), 1 088-E (student lcao inrerest},'1098-"r {tuition} <br />. Fcrrn 1 099-C (cancoled debt) <br />r Form 1099-4 (acquisition or abandonment of secured property) <br />Use Form W-O oniy if you are a U.S. porson (including a resident <br />alien), to provide your eorr€cl TiN. <br />tf yau da not return Form W"9 to lne reguester with a f N, yau might <br />lte *bjact to baekup withhelding. $ce What is backup withl,olding," <br />later. <br />leoeral tlx ciassilicatiorl of rhe person whcsc ,rsms is enl€red on line i , check oilv or€ ol rl.:B <br />il kr<riviriurtArt* prcprieto. cr n c corporation fl S Corporation fl partnersnip I rrusr/esrateerlqlo-rnentbar LLC <br />n Littrit€d liEbility comtlany i:1ter tho tax classilication (C=e cp;pqration, S=S corporalioQ, p.-psrtnsrshia) > <br />Other {trd <br />3 Check lppropriate box ior <br />lollow;ng seveo box6s. <br />5 nddless , slreet,3nd aol. or ftfr.l <br />Ave <br />state, {n(, <br />Signatur6 ot <br />U.S. pereon )Dale > <br />Cat. Nu.10231X Forn l/lf-9 {Bev. 1 0-201s}