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Forln rAr9 iFlev 3-2024)PageS <br />Part lL Certification <br />To establish to the withholding agenl that you are a U.S. person. or <br />resident alien. sign Form W-9 You rnay be requesied lo sign by the <br />withholding agent even if iiem I l. or5 below indicates otherwise. <br />For a joint account. only the person whose TIN is shown in Part I <br />should sign (when required) ln lhe case 0 1 a disregarded entjty, lhe <br />person identified on iine I must sign Exempt payees see Exempt payee <br />code. earlier. <br />Signature requirements Complete !he certification as indicated in <br />itemslthrough5below. <br />1 . lnterest, dividend, and barter exchange accounts opened <br />before 1 984 and broker accounts considered active during 1 983. <br />You must give your correct TlN, but you do not have lo sign the <br />cerlifiication. <br />2 . lnterest, dividend, broker, and barter exchange accounts <br />openedlafter 1983 and broker accounts considered inactrive during <br />1983. '/ou must sign the certification or backup vvithholding will apply. lf <br />you are sullject to backup withholding and you are merely providiilg <br />your correct TIN to the requestet, you must cross out item 2 tn the <br />cerlifiioation before signing the lorm. <br />3 . Real estate transactions. Ycu must sign lhe ceftification. You may <br />cross oul item 2 of the certification. <br />4 . -Other payments. You musl give your correct TlN, but you do not <br />hav e to sign the cerlilacalion unless you have been notified ihal you <br />have previously given an incorrect TlN. "Other payments" include <br />payrnents made in lhe course o:f the requester's trade or business for <br />rents, royalties. goods (other than brlls for flerchandise). medical and <br />health care services ncludrng payments to corporations). payrnents to <br />a norremployee for services, payments made in settlement of payment <br />card and thrrd-party network transactions, payments lo certain fishing <br />boat crew rnembers and fishermen and gross prooeeds paid to <br />attorneys {includrng payments to corporations) <br />5 . Mortgage interest paid by you, acquisition or abandonment of <br />secured property, cancellation of debt, qualified tuition program <br />payments (under sectlion 529), ABLEaccounts (under section529A), <br />lRA. Coverdell ESA, Archer MSA or HS.A contributions or <br />distributions, and pension distributions. You must give your correct <br />TIN but you dc not have to sign the cedtfication. <br />What Name and Number To Give the Requester <br />For this of account:Give name and SSN of: <br />'1. !ndvidual <br />2. Two or more ind.',iduals ij cim accou.t) <br />olirer lh3n an account maintained b,y <br />an FR <br />3 T'i,,0 or nlore U S persons <br />iornl acco!nt naintained by an RR) <br />4. C,rsiodial accoLrnt of arinor <br />(U iorm Grft 0 lvlinors Actl <br />5 a, The usual revocabi e savinqs trusl <br />i,lrantor is aiso trusteel <br />b So-called r.,st acccunt :rat is not <br />I legai or '1al .J trrst ]nder slate law <br />5 So e prooflelorshipor disregarded <br />entity ,},ned by an r,di'/ du:: <br />7 Granlor trust l,::ng .nder Optrfal <br />Filing lvlethod 1 lsee Flegulations <br />seci o. 671-4ib)t2li i)[A))- <br />B. Disregarded entity not olvned by an <br />individual <br />I A valid trust estale or pens,on trust <br />10 CDrporation Dr LLC eleciing corporale <br />itatus on For.1 BB32 or Form 2553 <br />1 I Associ otion, ilub, religious charfable <br />educatiooal o'o'he ta(-e.,en pt <br />Drganrzalion <br />1 2 Partoe.srip or fi]u t -fletrttle.rlc <br />1 3 A brokef orregistered nom;nee <br />14. Acoount lvith the Oeparlfi en of <br />Agricuituae i the nane of a public <br />entity (sLrch as a slate or ocal <br />governmenl school d!str ci or pnsonl <br />that receives agriculltu ral grogram <br />payments <br />'15. Granlodrusllii ng form 1041 or <br />unde. the Optional Filinq Method 2 <br />requif,ng Form 1 099 {see Regulations <br />secllon'1 67,4'llbX2XiXB))' <br />For this of account:Give name ancl FIN of: <br />The olvner <br />Legal entiiy. <br />'fhe corporation <br />The crganizmion <br />fhe partnerslrip <br />The broi<{)r or nominee <br />lhe puol ic entity <br />fhe indi'/idLal <br />The actual cwner of thg account or <br />i.onbi.ei iLnds the :asa inJivid',al <br />on ine accounl l <br />E.. dt.:rD Cer ol the eccount <br />The lrusl <br />List first and circle lhe name of the person whose number you rumish. <br />lf only one person on a joint aocount has an SSNI, that person's number <br />nrust be furnished. <br />'Crrcle lhe minor"s name and furnrsh the rlinor's SSNI. <br />rYou must show your individual name on line 1 . and enter your business <br />orOBAname, if any. online 2. YoumayuseeitheryourSSiJ or EIN f <br />you have one). but the IRS encourages you to use your SSN <br />. List first and circl-- !he name of lhe trust estate or pension tlust. JDo <br />nol furnish the TIN of the personal representative or ll'ustee unless the <br />legal entity itself is not designated in the account title.) <br />. Note: The gran tor must also provide a Form W-9 to the trustee of the <br />t.ust. <br />Foi more infofmation on cptional iiiltng methods for grantor trusts, see <br />tfle lnsiructions for Form I 041. <br />Note: lf no name is circled when rnore than one name js listed. the <br />number will be considered to be that of the first name listed. <br />Secure Your Tax Records From ldentity lheft <br />ldentitv !heft occurs when someone uses your personal lnfornration <br />such as ).our name, SSN or other identifying information. s/ithout your <br />permission to comrnit fraud oroth ercrimes. An identity thief may use <br />vour SSN to get a lob or may file a tax retum using youi SSN lo recetve <br />a refund. <br />To reduce your risk: <br />. ProtectyourSSN. <br />. Ensureyouremployerrs protecting you.SSN and <br />. Be careful when choosing a tax teturn prepafer. <br />lf your tax records are affected by iclentity theft and you receive a <br />notice from the iRS, respond flght. away to the name and phone number <br />pflnted on ihe IRS nolice or letler.. <br />lf your tax {ecords are not currently affected by identity thefi but you <br />think you are at risk due to a osi or stolen purse or wallet questionable <br />credit card activity or a questionable credit report contact the IRS <br />lcientity Theft Hotline at 800-908-1490 or submit form l-10i9 <br />Formore information. see Pub. 5027 ldentity Theft lnformation for <br />Taxpayers. <br />The minoT2 <br />fhe grantor-truslee <br />_t <br />I he rctuarl o$,fer <br />The o$nel' <br />lhe granior.