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    Ve'H (O5.U H + Q ": Frlitf (TFF Califi ,,'R? Q L (O?O

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    Matthew Robert Quinn
    This document is an IRS Form W-9 titled "Request for Taxpayer Identification Number and Certification". It requests the taxpayer's name, address, and Taxpayer Identification Number to be provided. By signing the form, the taxpayer certifies that the information provided is correct and that they are not subject to backup withholding. The form provides instructions on who needs to file it, the purpose of the form, and special rules for partnerships.

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    Attribution Non-Commercial (BY-NC)
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    Ve'H (O5.U H + Q ": Frlitf (TFF Califi ,,'R? Q L (O?O

    Uploaded by

    Matthew Robert Quinn
    128 views1 page
    This document is an IRS Form W-9 titled "Request for Taxpayer Identification Number and Certification". It requests the taxpayer's name, address, and Taxpayer Identification Number to be provided. By signing the form, the taxpayer certifies that the information provided is correct and that they are not subject to backup withholding. The form provides instructions on who needs to file it, the purpose of the form, and special rules for partnerships.

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    w9

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    This document is an IRS Form W-9 titled "Request for Taxpayer Identification Number and Certification". It requests the taxpayer's name, address, and Taxpayer Identification Number to be provided. By signing the form, the taxpayer certifies that the information provided is correct and that they are not subject to backup withholding. The form provides instructions on who needs to file it, the purpose of the form, and special rules for partnerships.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    128 views1 page

    Ve'H (O5.U H + Q ": Frlitf (TFF Califi ,,'R? Q L (O?O

    Uploaded by

    Matthew Robert Quinn
    This document is an IRS Form W-9 titled "Request for Taxpayer Identification Number and Certification". It requests the taxpayer's name, address, and Taxpayer Identification Number to be provided. By signing the form, the taxpayer certifies that the information provided is correct and that they are not subject to backup withholding. The form provides instructions on who needs to file it, the purpose of the form, and special rules for partnerships.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Fofin {8at l',lorembr 20051 Doril en{o{theTrerry HE nd

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    Rdquestfor Taxpayer ldentificationNumberand Certification


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    Give form to the requester. Do not send to the lR$.

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    Name {as shown on yor ingrne i?x retrn) Budness narne, lf differgntfrorn abow P en\n.s h lA porkl-f,f .. .

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    I u Exempt frorn backup willrtrolding
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    ldentification Humber
    Enter your TIN in tha appropriate bon The TIN provided must matclr the name glven on Une 1 to avoid backup withholding. For individuals, this is your social sacurity number (SSN). Howenrer,for a residei'rt allen, sole proprietor, or disregarded entity. see the Part I lmtsuctiorrs on page 3- For cffrer entiHes, it is your employer identification number (EN). lf you do not ha're a number, see fforr b gof a 'l.lAl on page 3. llote- lf the accoont is in more than one na$n. see the cJrart on pag 4 for guidelirns on lvhose numbs to s$er$ocial sgcuribt nwnber

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    Gertification
    Undorp'enafties pe{ury, I ertiff ihat: of l. The number shownon this form is my correct taxpayer identificaUon number(or I am waitingfor a numbarto be iszuedto me),and (a) 2, l am not subiect to backupwithholdingbecause: | am aeemptfiom backupwithholding, (b) I have not beennotifiedby the lnternal or RevenueSsvtce fiRS)tha'tI am sublectio backupwtttrhddingas a resultof a failureto reportall interestor dividends,or (ci the tBS has notified rne lJ:d I am no longersubfeclto backupwithholdrng, and 3. I am a U.S. pereon$ndudirg a U.S.resldentden]. Grtificslion insilructions.Ysu must cro6sout itsrn 2 aboveif lotr hale beennotifiedby the lR$ that you are a.rrrenEy srblect to backup utilhholdingbecarse you havefaled to report allintsrd and divklendson yourtax returrr. real estatetmsactkxa, ibrn 2 doesnot apply. For ForrnortgagBht93st paftl, acquidtim or abandonment securedproperty,cancellalimof de$, conhilwtions to m individlralretirement of (lRA},and gqlleral|y,paymentsdrer than Interqst anangernewt you and dhddends. ara not rqultedto slgn the Gedification, you rnust but provlde your conectTIN. {$eeT1ifr,"lon5,rp naOel} \ \

    Sign Here

    rchos
    II
    r An lndividual who ls a cftizen or resident of the United

    Purpose ol Form

    A personwho b requiredto file an infornation retumwith the lFlS,mus'tobtain your conect taxpayeridentilicatiofl number [fiN] to rcport, ior example,incomepaid to yor, realestata you transactions, interest paid, acqulsltlon mortgage or of abandonment securedproperty,cancellation debt, or of you contributions madeto an lFlA person Use Form W-9 only ff you area U.S.person U.S. fincludinga resldentafien),to provideyour conectTlN to the porsonrcquestingit {the reqmste{ and, whenapplhable,to: 1, Certify that the TIN yar are giving is conect {oryou are waitingfor a numberto be issue{, 2. Certifythd you are not subjectto backup wlthholding, or 3, Claim exemption frombackupwllhholding you are a if U.S.exempt payee. ln 3 above, if applicabla,)ou are also certifying that as a U.S.person, your allocabbshareaf any partnership income frorna U.S. trade or businessfs not subfectto the wifrholding tax on foreign partners'share of effectively connected income. givesyou a form otherthanFormW-9 to Note. lf a reque5ter your TlN,you mustuse the requester's request formif it is substantially similarto this FormW'9. you Forfederal ta( purposes. are considered per$on you a if
    ate;

    StAtes,
    r A partnerthip, corporatbn, company, or association created or organlzed in the United States or under the laws of the United $tates, or . Any estiat(other than a foreign estate) or trust Se Regulationssections 301.77fi-6{a} and 7{4 for additionat information. Special nrles for partnerships, Parherships that conduct a trade or business in the United States are generally required to pay a wihholdlng tax on any foreign parbrers' share of income from sucfr business. Further, [n certain cases where a Form W-9 has not been received, a partnership is requird to presumethat a parher ls a foreign psson, and pay the withholding tax Therefore, if yor.rare a U.S. person that is a parher in a parhership conduc-ting a fade or business in the United States, provide Form W-9 to the parhership to esbblish your U.S. stafus and airoid withholding on your share of parhershlp incorneThe person who gives Form W to the partnershlp for purpo$s of establishing its U.S. status and avoiding withholding on its allocable share of nat incoma from the parhership conducting a tade or buslnss in the United $tates is in the following cases: r The U.S. owner of a disregarded entity and not the entity,
    form W-9 (Rsir.11-2m51

    Cat No. lt]z.3lx

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