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Exhibit B - Proctor W- 9
<br /> Form in M Request for Taxpayer Give Form to the
<br /> (Rev. Janua►y2011) IdentificationNumber and Certification requester, Do not
<br /> Department of the Treasury send to the IRS.
<br /> Intemal Revenue Service
<br /> Name (as shown on your Income tax return)
<br /> PROCTOR CONSTRUCTION COMPANY
<br /> Business nameldisregarded entity name, If different from above
<br /> d
<br /> a Check appropriate box for federal tax
<br /> 0
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<br /> classification (required): ❑ IndlviduaUsoie proprietor ❑ C Corporation d S Corporation ❑ Partnership ❑ Ti'ust/estaie
<br /> Le ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) low ❑ Exempt payee
<br /> o --------------------------------
<br /> p�, ❑ Other (see Instructions) �
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<br /> 1E Address (number, street, and apt. or suite no.) Requester's name and address (optional)
<br /> K 2050 US HIGHWAY 1r SUITE 200
<br /> City, state, and ZIP code
<br /> VERO BEACHr FL 312960
<br /> List account number(s) here (optional)
<br /> •
<br /> Taxpayer identification Number IN
<br /> Enter your TIN In the appropriate box. The TIN provided must match the name given on the "Name" line I Social security number
<br /> to avoid backup withholding. For Individuals, this Is your social security number However, fora ^ t I m( ^
<br /> resident alien, sole proprietor, or disregarded entity, see the part i Instructions onn page 3. For other
<br /> entitles, It is your employer Identification number (EIN) . If you do not have a number, see How to get a
<br /> I ]
<br /> TIN on page 3.
<br /> Note. If the account Is in more than one name, see the chart on page 4 for guidelines on whose Employer Identlfloatlon number
<br /> number to enter.
<br /> [ r)lfl
<br /> • Certification
<br /> Under penalties of perjury, I certify that:
<br /> 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), and
<br /> 2. 1 am not subject to backup withholding because, (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
<br /> Revenue
<br /> Service (IRS) that .l am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified
<br /> me that i am
<br /> no longer subject to backup withholding , and
<br /> 3. I am a U.S, citizen or other U.S , person (defined below) .
<br /> Certification instructions. You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding
<br /> because you have failed to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply, For mortgage
<br /> interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
<br /> generally, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN, See
<br />the
<br /> Instructions on page 4.
<br /> Sign Signature of / 1
<br /> Here U.S. person ` X - C��12 Date > 2A 2L�
<br /> .
<br /> General Instructions Note. If a requester'glves you a form other than Form W-9 to request
<br /> Section references are to the Internal Revenue Code unless otherwise Your TIN, you must use the requester's farm If it is substantially similar
<br /> to this Form W-9 .
<br /> noted, Definition of a U.S, person. For federal tax purposes, you are
<br /> Purpose of Form considered a U.S, person if you are,
<br /> A person who is required to file an information return with the IRS must o An Individual who Is a U.S, citizen or U.S. resident alien,
<br /> obtain your correct taxpayer Identification number (TIN) to report, for 6 A partnership, corporation, company, or association created or
<br /> example, Income paid to you, real estate transactions, mortgage Interest organized In the United States or under the laws of the United States,
<br /> you paid, acquisition or abandonment of secured property, cancellation a An estate (other than a foreign estate), or
<br /> of debt, or contributions you made to an IRA. o A domestic trust (as defined In Regulations section 301 .7701 -7).
<br /> Use Form W-9 only If you are a U.S. person (Including a resident Special rules for partnerships. Partnerships that conduct a trade or
<br /> alien), to provide your correct TIN to the person requesting it (the business In the United States are generally required to pay a withholding
<br /> requester) and , when applicable, to, tax on any foreign partners' share of Income from such business.
<br /> 1 . Certify that the TIN you are giving Is correct (or you are waiting for a Further, In certain oases where a Form W-9 has not been received,
<br /> a
<br /> number to be Issued), partnership is required to presume that a partner Is a foreign person,
<br /> 2. Certify that you are not subject to backup withholding, or and pay the withholding tax. Therefore, If you are a U.S. person that
<br /> Is a
<br /> 3. Claim exemption from backup withholding If you are a U.S, exempt partner In a partnership conducting a trade or business In the United
<br /> payee. If applicable, you are also certifying that as a U,S. person, your States, provide Form W-9 to the partnership to establish your U.S.
<br /> allocable share of any partnership Income from a U .S. trade or business status and avoid withholding on your share of partnership Income.
<br /> Is not subject to the withholding tax on foreign partners' share of
<br /> effectively connected Income.
<br /> Oat. No. 10281X Form W-9 (Rev, 1 "2011)
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