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TIN, later. or
<br />Note: It the account is in more than one name, see the instructions for line 1. Also see What Name and Employer
<br />Numtrer To Give the Requester for guidelines on whose number to enter. F_T__1
<br />S 19 l 13 16 19 is 12 !9 19
<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 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. 1 am a U.S. citizen or other U.S. person (defined below): and
<br />a. The FATCA code(s) entered on form (if any) indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructio ou must cross of tem 2 above if you have bean notified by the IRS that you are currently subject to backup withholding because
<br />you have failed to repo all interest and dividen on your tax return. For real estate transactions, item 2 does not apply, For mortgage interest paid.
<br />acquisition or aband9nment of secured property, ncellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
<br />other than rnierest aid dividend�t`requ ed to sign thgfertrfication, but you must provide your correct TEN. Sep the instructions for Part If. later.
<br />Sign I signature J �' -Z j Re 0 —
<br />Here I U. S.oe on► 1 Date- 1
<br />General Instructions
<br />Section referent s are to the I ertiaf Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest Information about developments
<br />related to Form VV -9 and its instructions. such as legislation enacted
<br />after they Were published, go to www,irs.gov/FormW9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />information return with the IRS must obtain your correct taxpayer
<br />identification number (TIN) which may be your social security number
<br />(SSN). individual taxpayer identification number (ITIN), adoption
<br />taxpayer identification number (ATIN), or employer identification number
<br />(EIN), to report on an information return the amount pard to you, or other
<br />amount reportable on an information return. Examples of information
<br />returns include. but are not limited to. the following.
<br />- Form 1099 -INT (interest earned or paid)
<br />- Form 1099-OIV (dividends, inclGding those�rom stocks or ntutial
<br />funds)
<br />- Form 1099-MISC (various types of income, prizes, awards. or gross
<br />proceeds)
<br />- Form 1099-B (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />► Form 1099-S (proceeds from real estate transactiuns)
<br />- Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage interest). 1098-E (student loan interest),
<br />1098-T (tuition)
<br />• Form 1099-C (canceled debt)
<br />• Form 1099-A (acquisition or abandonment of secured properly)
<br />Use Form W-9 only if you ate a U.S. person (including a resident
<br />alien), to provide your correct TIN.
<br />if you do not return Form W-9 to the requester with a TIN. you might
<br />be subject to backup withholding. See What is backup withholding.
<br />tater.
<br />Cat. No. 10231X Fi,•111 W-9 1,Rev 10-2018.
<br />-24-
<br />Request for Taxpayer
<br />Give Form to the
<br />farm
<br />tRev. octobet 20181
<br />Identification Number and Certification
<br />requester, Do not
<br />Oeplrtment of the Treasury
<br />send to the IRS,
<br />Interna' Revenue Service
<br />► Go to www.irs.gov/FormM for instructions and the latest information.
<br />I Name las shown an your income lax return), Name is required on this line: do not leave this line blank
<br />LAW OFFICES OF JOSEPH HAYNES DAVIS, PA
<br />2 Business name/disregarded entity name, if dilferent from above
<br />ro
<br />m
<br />3 Check appropriate box for federal tax classification of the person whose name s entered on line 1 Check only one Of the
<br />4 Exemptions {codes apply only t0
<br />0)
<br />following seven boxes.
<br />Ireflam enWles. not indnviduals: svv
<br />a
<br />is
<br />❑ Ind vtduaLrsole proprietor or ❑ C Corporation ❑ S Corporation ❑ Parinprshtp ❑ T(ustreswte
<br />msir.tcbors on page 3)
<br />m
<br />t
<br />single -member LLC
<br />Exempt payee code it any} ,.
<br />'�
<br />❑ Limited liability company Enter the tax classilicalion (C,. C corporation, S-6 corporation, P -Partnership) ►
<br />'Q 2
<br />Note: Chock the appropriate box,n the line above for the rax classification of the single•membar oHr.er. Do not cturck
<br />Exemption hqm FATCA reporting
<br />cc
<br />.1 E
<br />LLC if the LLC is classified as a single -member L LC that is disregarded from the owner unless the owner of the I I.0 .s
<br />rude pf anyt
<br />0. `
<br />another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise. a single -member LLC that
<br />is disregarded from the owner should check the appropriate box for the tax classification at its owner.
<br />--- _-
<br />y❑
<br />Other (see instructions) ►
<br />rico o,:< r c.., r. an•r,.,. r n .,.,. ao P, v s,
<br />y
<br />5 Address (number. street, and apt. or suite no.) See instructions.
<br />Requester's name and address lopt+onatl
<br />a
<br />2750 TAYLOR AVE, #6207
<br />0
<br />6 City, state, and ZIP code
<br />ORLANDO, FLORIDA 32806
<br />7 List account number(s) here (optional)
<br />Taxpayer Identification Number (TIN)
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
<br />s�eccuu(iti, number
<br />��s-ofciaal
<br />backup withholding. For individuals, this is generally your social security number (SSNHowever. fora
<br />resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
<br />-
<br />entities, it is Your emolover identification number (EIN). If you do not have a number, see Now to .get a
<br />TIN, later. or
<br />Note: It the account is in more than one name, see the instructions for line 1. Also see What Name and Employer
<br />Numtrer To Give the Requester for guidelines on whose number to enter. F_T__1
<br />S 19 l 13 16 19 is 12 !9 19
<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 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. 1 am a U.S. citizen or other U.S. person (defined below): and
<br />a. The FATCA code(s) entered on form (if any) indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructio ou must cross of tem 2 above if you have bean notified by the IRS that you are currently subject to backup withholding because
<br />you have failed to repo all interest and dividen on your tax return. For real estate transactions, item 2 does not apply, For mortgage interest paid.
<br />acquisition or aband9nment of secured property, ncellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
<br />other than rnierest aid dividend�t`requ ed to sign thgfertrfication, but you must provide your correct TEN. Sep the instructions for Part If. later.
<br />Sign I signature J �' -Z j Re 0 —
<br />Here I U. S.oe on► 1 Date- 1
<br />General Instructions
<br />Section referent s are to the I ertiaf Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest Information about developments
<br />related to Form VV -9 and its instructions. such as legislation enacted
<br />after they Were published, go to www,irs.gov/FormW9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />information return with the IRS must obtain your correct taxpayer
<br />identification number (TIN) which may be your social security number
<br />(SSN). individual taxpayer identification number (ITIN), adoption
<br />taxpayer identification number (ATIN), or employer identification number
<br />(EIN), to report on an information return the amount pard to you, or other
<br />amount reportable on an information return. Examples of information
<br />returns include. but are not limited to. the following.
<br />- Form 1099 -INT (interest earned or paid)
<br />- Form 1099-OIV (dividends, inclGding those�rom stocks or ntutial
<br />funds)
<br />- Form 1099-MISC (various types of income, prizes, awards. or gross
<br />proceeds)
<br />- Form 1099-B (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />► Form 1099-S (proceeds from real estate transactiuns)
<br />- Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage interest). 1098-E (student loan interest),
<br />1098-T (tuition)
<br />• Form 1099-C (canceled debt)
<br />• Form 1099-A (acquisition or abandonment of secured properly)
<br />Use Form W-9 only if you ate a U.S. person (including a resident
<br />alien), to provide your correct TIN.
<br />if you do not return Form W-9 to the requester with a TIN. you might
<br />be subject to backup withholding. See What is backup withholding.
<br />tater.
<br />Cat. No. 10231X Fi,•111 W-9 1,Rev 10-2018.
<br />-24-
<br />
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