Crestmont Application Package modular home 5124

ron Wi-9 (Rev. October 2018) Department of the Treasury Jafemnal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormWS for instructions and the latest information. Give Form to the requester. Do not send to the IRS. Crestmont Country Club, Inc. 1 Nama fas shown on your tncome fax ratum), Name ts required on this fine; do not feave this line blank 2 Business name/disregarded entity name, i diferont from above Crestmont Country Club following seven boxes. 7) incivicuat/sote proprietor or Corporation [1] s corporation single-member LLC Print or type. (2) Other isee instructions) > 7 timited tabilty company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) > Note: Check the appropriate box in the line above for the tax classification of the single-member owner, Do not check | txemption from FATCA reporting LLC i the LLG is classitie as a single-member LLC thats dlsregarded from the ewer unless the owner ofthe LLCS. | og any) another LLC that is not disregarded from the owner for U.S, federal tax purposes. Otherwise, a single-member LLC thal vl is disregarded from the owner should check the anpropriate box for the tax classification of ils owner. ‘9 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only ane of the | 4 Exemptions (codes apply orily to certain entities, not individuals; see Instructions an page 3): Cl Partnership «1 Trusvestate Exempt payee code (# any} ‘Apptes 1a accounts mtintelnest oot! the U.S} 5 Address (number, sireet, and apt. or suite 10 Soe instructions. P.O. Box 358 / 750 Eagle Rock Avenue~ See Specific instructions on page 3. Requester’s name and address (optional) & City, state, and ZiP code West Orange, NJ. 07052 7 List account aumberts} here (oplonaly Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box, The TIN provided must match the name given on line t to avoid _| Soclal security number ] backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, See the instruotions for Part |, later. For other - - entities, il is your employer identification number (EIN). if you do not have a number, see How to get a or TIN, later. Note: If the account is in more

instruotions for Part |, later. For other - - entities, il is your employer identification number (EIN). if you do not have a number, see How to get a or TIN, later. Note: If the account is in more than ane name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Employer ident 2/2) -) 1/5/41 5/0;2)0 Certification Undier penalties of perjury, | cerlily that: 4. The number shown on this form is my correot taxpayer identification number (or | am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because: (a) | am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service ((RS) that | am sublect to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS hes notified me that | am no longer subject to backup withholding; and 3.1. ama U.S, citizen or other U.S. pers fine 4. The FATCA code(s) entered on this form (if any) indicating that [ am exempt from FATGA reporting Is correct. Certification instructions. You must cross out item 2 above it you have been notified by the IRS that you ere currently subject to backup withholding because you have failed to report all interest and dividends on your tax relurn. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancel debi, contributions to an individual retirement arrangement (IRA), and generally, payments n other than interest and Bividenda, you are nat requires 0° 8 epsiication, but you must provide your correct TIN. See the instructions for Part ll, later. Sign | signature ot Here | us. person Mead CEE * Date SVE Zo2e General Instr étio n Ss Section references are te the Jnternal Revenue Code unless otherwise noted. Son Future developments, For the latest information about developments related to Form W-9 and its instructions, such as legistation enacted after they were published, go to wiww.irs.gov/FarmlW9. Purpose of Form ‘An individual or entity (Form W-9 requester) who is raquired to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number

must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN}, or employer identification number (EIN), to report on an information return the amount paid to you, cr other amount reportable on an information return. Examples of information returns include, but are not limited to, the foliawing. ‘+ Form 1089-INT (interest earned or paid) » Form 1099-DIV (dividends, including those from stocks or mutual funds) * Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) * Form 1099-8 (stock or mutual fund sales and cortain other transactions by brokers) * Form 1099-8 (praceeds from real estate transactions) * Form 1099-K (merchant card and third party network transactions) * Form 1098 chome mortgage interest), 1098-E (student foan interest), 1098-T (tuition) * Form 1099-C (canceled debt) * Form 1089-A (acquisition or abandonment of secured property) Use Form W-8 only if you are a U.S. person (including a rasident alien), to provide your correct TIN, If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, tater. Cat, No. 10231X Form W--9 (Rev. 10-2018)