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®9 Form
<br />(Rev. December2011)
<br />Department of the Treasury
<br />Internal Revenue Service
<br />Request for Taxpayer
<br />Identification Number and Certification
<br />Give Form to the
<br />requester. Do not
<br />send to the IRS.
<br />Print or type
<br />See Specific In tructions on Daae 2
<br />Name
<br />Ranger
<br />(as shown on your income tax return)
<br />Construction Industries, Inc.
<br />Business name/dis egarded entity name, if different from above
<br />Check appropriate box for federal tax
<br />❑ Individual/sole proprietor
<br />❑ Limited liability company. Enter
<br />classification:
<br />❑ S
<br />(C=C
<br />Trust/estate
<br />►
<br />❑Exempt payee
<br />✓
<br />C Corporation
<br />Corporation ❑ Partnership ❑
<br />corporation, S=S corporation, P=partnership)
<br />the tax classification
<br />(see instructions) PP
<br />❑ Other
<br />Address (number, street, and apt. or suite no.)
<br />1200 Elboc Way
<br />Requester's name and address (optional)
<br />City state, and ZIP code
<br />Winter Garden, FL 34787
<br />List account number(s) here (optional)
<br />MU
<br />Taxpayer
<br />Identification Number
<br />(TIN)
<br />Enter your TIN
<br />to avoid backup
<br />resident alien, sole
<br />entities, it is your
<br />in the appropriate box. The TIN provided must match the name given
<br />withholding. For individuals this is your social security number
<br />proprietor, or disregarded entity see the Part I instructions on
<br />employer identification number (EIN). If you do not have a number,
<br />on the "Name"
<br />(SSN). However, for
<br />page 3. For other
<br />see How to pet
<br />line
<br />a
<br />a
<br />Social security number
<br />-
<br />-
<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
<br />number to enter.
<br />Employer identification number
<br />5
<br />9
<br />2
<br />0
<br />9816
<br />6
<br />2
<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. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
<br />Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified 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 the
<br />instructions on page 4.
<br />Sign
<br />Here
<br />Signature of
<br />U.S. person ►
<br />Date December 18, 2013
<br />General Instructions —�
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Purpose of Form
<br />A person who is required to file an information retum with the IRS must
<br />obtain your correct taxpayer identification number (TIN) to report, for
<br />example, income paid to you, real estate transactions, mortgage interest
<br />you paid, acquisition or abandonment of secured property, cancellation
<br />of debt, or contributions you made to an IRA.
<br />Use Form W-9 only if you are a U.S. person (including a resident
<br />alien), to provide your correct TIN to the person requesting rt (the
<br />requester) and, when applicable, to:
<br />1. Certify that the TIN you are giving is correct (or you are waiting for a
<br />number_to be issued),
<br />2. Certify that you are not subject to backup withholding, or
<br />3. Claim exemption from backup withholding if you are a U.S. exempt
<br />payee If applicable, you are also certifying that as a U.S. person, your
<br />allocable share of any partnership income from a U.S. trade or business
<br />is not subject to the withholding tax on foreign partners' share of
<br />effectively connected income.
<br />Note. If a requester gives you a form other than Form W-9 to request
<br />your TIN, you must use the requester's form if it is substantially similar
<br />to this Form W-9.
<br />Definition of a U.S. person. For federal tax purposes, you are
<br />considered a U.S. person if you are:
<br />• An individual who is a U.S. citizen or U.S. resident alien,
<br />• A partnership, corporation, company, or association created or
<br />organized in the United States or under the laws of the United States,
<br />• An estate (other than a foreign estate), or
<br />• A domestic trust (as defined in Regulations section 301.7701-7).
<br />Special rules for partnerships. Partnerships that conduct a trade or
<br />business in the United States are generally required to pay a withholding
<br />tax on any foreign partners' share of income from such business.
<br />Further, in certain cases where a Form W-9 has not been received, a
<br />partnership is required to presume that a partner is a foreign person,
<br />and pay the withholding tax. Therefore, if you are a U.S. person that is a
<br />partner in a partnership conducting a trade or business in the United
<br />States, provide Form W-9 to the partnership to establish your U.S.
<br />status and avoid withholding on your share of partnership income.
<br />Cat No. 10231X
<br />Form W-9 (Rev. 12-2011)
<br />
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