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Part <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 />backup withholding. For individuals, this is your social security number (SSN). However, for a resident <br />alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is <br />your employer identification number (EIN). If you do not have a number, see How to get a 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 />Certification <br />Social security number <br />or <br />Employer identification number <br />36) ®4447688 <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 <br />Revenue 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 <br />notified me that I am 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 <br />withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. <br />For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement <br />arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must <br />provide your correct TIN. See the instructions on page 4 <br />Sign Signature of - --- <br />Here U.S. person Et - <br />General <br />General Instructions <br />Section references are to the Internal Revenue Code unless <br />otherwise noted. <br />Purpose of Form <br />A person who is required to file an information return with the <br />IRS must obtain your correct taxpayer identification number (TIN) <br />to report, for example, income paid to you, real estate <br />transactions, mortgage interest you paid, acquisition or <br />abandonment of secured property, cancellation of debt, or <br />contributions you made to an IRA. <br />Use Form W-9 only if you are a U.S. person (including a <br />resident alien), to provide your correct TIN to the person <br />requesting it (the requester) and, when applicable, to' <br />1 Certify that the TIN you are giving is correct (or you are <br />waiting for a 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. <br />exempt payee. If applicable, you are also certifying that as a <br />U.S. person, your allocable share of any partnership income from <br />a U S. trade or business is not subject to the withholding tax on <br />foreign partners' share of effectively connected income. <br />Note. If a requester gives you a form other than Form W-9 to <br />request your TIN, you must use the requester's form if it is <br />substantially similar to this Form W-9 <br />f <br />Date I> F ,( <br />Definition of a U.S. person. For federal tax purposes, you are <br />considered a U.S. person if you are: <br />e An individual who is a U.S. citizen or U.S. resident alien, <br />e A partnership, corporation, company, or association created or <br />organized in the United States or under the laws of the United <br />States, <br />e An estate (other than a foreign estate), or <br />• A domestic trust (as defined in Regulations section <br />301.7701-7). <br />Special rules for partnerships. Partnerships that conduct a <br />trade or business in the United States are generally required to <br />pay a withholding tax on any foreign partners' share of income <br />from such business. Further, in certain cases where a Form W-9 <br />has not been received, a partnership is required to presume that <br />a partner is a foreign person, and pay the withholding tax. <br />Therefore, if you are a U.S. person that is a partner in a <br />partnership conducting a trade or business in the United States, <br />provide Form W-9 to the partnership to establish your U.S. <br />status and avoid withholding on your share of partnership <br />income. <br />The person who gives Form W-9 to the partnership for <br />purposes of establishing its U.S. status and avoiding withholding <br />on its allocable share of net income from the partnership <br />conducting a trade or business in the United States is in the <br />following cases: <br />o The U.S. owner of a disregarded entity and not the entity, <br />Cat. No. 10231X Form W-9 (Rev 10-2007) <br />__ <br />COPY <br />Give form to the <br />requester. Do not <br />send to the IRS. <br />:orm <br />;Rev. October 2007) <br />Department of the Treasury, <br />ntemal Revenue Service <br />Request for Taxpayer <br />Identification Number and Certification <br />Print or type <br />See Specific Instructions on page 2. <br />Name (as wn on your inco tax retum)� y� --" <br />ei d` „,,,s e- e+ taa-^ r lig-06, ,0 it . F'i/FI(:9A Af ec,.. t; <br />e <br />Business name, if different from above <br />Check appropriate box: 10 Individual/Sole proprietor corporation U Partnership <br />al Limited liability company- Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) 10.payee <br />• Other (see instructions) I► <br />Exempt <br />Address (number, street,d apt or suite no.) <br />Requester's name and address (optional) <br />Cit state, and ZIP code <br />0/Oa Si' c-,Jc.i 0,-&.oc,3' Eb <br />List account number(s) here (optional) <br />Part <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 />backup withholding. For individuals, this is your social security number (SSN). However, for a resident <br />alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is <br />your employer identification number (EIN). If you do not have a number, see How to get a 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 />Certification <br />Social security number <br />or <br />Employer identification number <br />36) ®4447688 <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 <br />Revenue 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 <br />notified me that I am 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 <br />withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. <br />For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement <br />arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must <br />provide your correct TIN. See the instructions on page 4 <br />Sign Signature of - --- <br />Here U.S. person Et - <br />General <br />General Instructions <br />Section references are to the Internal Revenue Code unless <br />otherwise noted. <br />Purpose of Form <br />A person who is required to file an information return with the <br />IRS must obtain your correct taxpayer identification number (TIN) <br />to report, for example, income paid to you, real estate <br />transactions, mortgage interest you paid, acquisition or <br />abandonment of secured property, cancellation of debt, or <br />contributions you made to an IRA. <br />Use Form W-9 only if you are a U.S. person (including a <br />resident alien), to provide your correct TIN to the person <br />requesting it (the requester) and, when applicable, to' <br />1 Certify that the TIN you are giving is correct (or you are <br />waiting for a 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. <br />exempt payee. If applicable, you are also certifying that as a <br />U.S. person, your allocable share of any partnership income from <br />a U S. trade or business is not subject to the withholding tax on <br />foreign partners' share of effectively connected income. <br />Note. If a requester gives you a form other than Form W-9 to <br />request your TIN, you must use the requester's form if it is <br />substantially similar to this Form W-9 <br />f <br />Date I> F ,( <br />Definition of a U.S. person. For federal tax purposes, you are <br />considered a U.S. person if you are: <br />e An individual who is a U.S. citizen or U.S. resident alien, <br />e A partnership, corporation, company, or association created or <br />organized in the United States or under the laws of the United <br />States, <br />e An estate (other than a foreign estate), or <br />• A domestic trust (as defined in Regulations section <br />301.7701-7). <br />Special rules for partnerships. Partnerships that conduct a <br />trade or business in the United States are generally required to <br />pay a withholding tax on any foreign partners' share of income <br />from such business. Further, in certain cases where a Form W-9 <br />has not been received, a partnership is required to presume that <br />a partner is a foreign person, and pay the withholding tax. <br />Therefore, if you are a U.S. person that is a partner in a <br />partnership conducting a trade or business in the United States, <br />provide Form W-9 to the partnership to establish your U.S. <br />status and avoid withholding on your share of partnership <br />income. <br />The person who gives Form W-9 to the partnership for <br />purposes of establishing its U.S. status and avoiding withholding <br />on its allocable share of net income from the partnership <br />conducting a trade or business in the United States is in the <br />following cases: <br />o The U.S. owner of a disregarded entity and not the entity, <br />Cat. No. 10231X Form W-9 (Rev 10-2007) <br />