ro„, W-9
Clerambra 2011)
Request for Taxpayer Give Form to the
requester. bo not
Derwara cl be Weary
Identification Number and Certification sond to the IRS.
Weed %wow SieW9
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Sethan Trust Company. he.
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Reourtana name sid address Nara
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Wad Taxpayer IddrdifitatIon Number (TIN)
amt. your Tiffin the geared:dad tor. The TIN provided must catch tha name Ovan on the Nine rte
toenail backup withholding. Fa Indhedurs, vie h your social security number graff). However, for e
resident are role proprietor, or daragarded entity. err the Pert I Instructions on page 3. Facts
rude, lbs year employer klentilkation number (EiN). II you do not have a number. see How to get
77N al page 3.
Note. II the account fa In more than one name see the than on page 4 for zit:wanes on notrea
rimers dower.
terall_lertHicallon
Under penalties of perjury, f catty that
t The number shown on this font Is my correct taxpayer Identification number (or I am wring fora number to be bowed to met and
2. lam not subject to backup WiteMidng because: (gram exempt from backup Ws/to/deg, or Osi I have not been notified by the Internal Revande
Seem:, ORS)
that I am PA:Oct to backup withholding asa result or • blunt to report a 'Moron or diviariC11/. Or (C) the IRS his ridged rro that I am
no longer tittled to hookup withholding. and
S. l am a US. saran a OrhOr U.S. person (defined belOW).
Certification InelorctIons. You must cross out Item 2 dbeve if you have barn willed by he IRS (POI you am Currently »Nyed to beckon withholding
because ydo have failed te report all Internet and dividends on your tax return. For mad estate Ormaaodons, gem 2 does not apply. For mortgage
warn( paid. ~goon or abandooripo sexved properly, cancoleSon of de*Loontsertione lo an Individual Minn metdamm ORA). alt
gormany. pants other then ittred and ividandt, you 149 not r no to gin eho erallhootiOn. but you must provide your cad TIN. Sep Ur
Insvuelorts en pogo 4.
Sign Orgnatta• Of
. /,
Here us, grim> d " -2-1.3
Mate. It a requester ghee you a lam otter than Form W4 to request
General instructions you 11N. you must up Ow/ nqudielell RM. t N Is subiterdelry Omer
Section Saunan as to ma Internal Revenue to tina Four W-9.
noted. brunren of a U.S. piton. Fr federal tax ~Oat you we
Purpose of Form considered a U.S. parson lt you are:
• An Individual who is a U.B. damn or U.S. retinae alm.
A person who h required to de an informagoo Morn with the IRS muse
obtain you arted taxpayer Identlficedon number (TIN) b wort, ter • A Cant~ire, CoT•Orati00, company. or asariatIon created or
example Income paus to you, ter tarn trans acres. mulgage linnet aganivid an the Urned Stair a under gm laws of the United Shim,
YOU 9104 acquisition or abandonment of Sato& paOfflY. fornoaral • M Wee (othe Nan a tartan aster* Of
of dat or contributions you moose to an IRA
• A domestic trust (es cleaned in Regulations axdon 301.7701-2).
bee Form WA only e Y00 we a U.S. person (inch:egg a remdent SPeolel rules for pertnerelshe Pertnershipe the conduct a trade or
alert to gyms rat anal TIN to Ma person requesting It Mit
hymns In the lb red States are generally ~bogy • wracking
retest/4 and. when *pacer*, to:
tax On sty foreign partners' share el income frdn such busbies.
t Certify that de TIN you we ghting in correct (or ya te waning kr a Further, In certain cases where a Form 144 has not been rearyed, a
number to be drawn, partnerahlp e riming to proemsMeta mrtne d a fert(on porton.
2. Gently olm you are not subScl to backup Wi9U101dw9. Or and poi inb wilhhoidinp In. Therefore, t you rea U.S. person that e a
• partner in a partnership COncliting a Uade a business In that undue
3. Claim exemption from backup withholding if you are a U.S. exempt
' Stain, provide Fem W4 to the partnership to estabish your U.S.
man appeceble. you ere Sao certifying that asa U.S. person yea
starve and wog withhold:1g on you ram« gartering Interne.
reaccoble altare Of tiny pannaraNp bOOTO from a U.S. trade or business
Is not sublet lofils Mthhoding tax on !WOO prat' &We or
SW/We)* coarestm Some.
Ca Ro. i023IX noon W-9 end.12-2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-OO94896
CONFIDENTIAL SDNY_GM_OO241O8O
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