Supporting Documentation · Dec 19, 2024
4867 7883 8253 1 WO ZBA 10 Ridge Friedman Application
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Show all pagesForm W-9 (Rev, December 2014) Ogpartrnant of the Troaatzy filemal Rovenuo Servica Request for Taxpayer Identification Number and Certification Give Form to the requester, Do not send to the IRS, 4 Name (as shown on your Income tax ratum)}. Name Is Tequired on this fine; do not leave this line blank, 2 Business name/cisregarded entity name, If diffarent fram above C1 inaividuai/sote proprtotor or singla-mamber LLC. the tax classification of the alagla-mamber owner, [J athar (see instructions) » 3 Check appropriate box for fedaral tax classilication; check only ono of tha follawing seven boxes: ie C Corporation £]s Corparatian Ol Partnership (-] Limited tabtity company. Entar the tax classification (G=C corporation, 8=8 corporation, P=partnership) > Nota, For a single-member LLG that fg disragarded, da not check LLG; chack the appropriate box fn the Ine above for 4 Exemptions (codes apply anly to certain entitles, not individuals: saa Instructions on page 3}: Exempt payne cada (if any} Examption fram FATCA coparting cade (if any) ' fAppses fo accomnts muintelnad outside the US} O Trust/estata 5 Addrass (number, street, and apt. or sulta no} Requester's name and addrass (optional) 4 Cily, stale, and ZIP cade Print or type See Specific Instructions on page 2. 7 List account number(s} here (aptlortal) 13 Pp {__ Taxpayer Identification Number (TIN) TIN on page 3. vat Note. if tha account Is in more than one name, see the instructions for tine 1 and tha chart on page 4 far guidelines on whose number to enter. Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 fo avold backup withholding, For individuals, this ts generally your social ‘security number (SSN), However, for a fasicent allen, sole proprietor, or disregarded entity, aee the Part | instructions ‘on page 3. For other ~ ~ entlttes, {tls your employer identification number (EIN}, [f you do not have a number, see How lo get a Soctal security number or Employer Identification number z t j1 EER “Certification Under penalties of perjury, | certify that: {. Tha number shown on thls form is my correct taxpayer Identification number (or | am waiting for a number to be Issued to me}; and 2, Lam not subject to backup withholding because: (a) | am exempt from backup withholcing, or (b) | have aot been notified by the Intemal Revenue Service
waiting for a number to be Issued to me}; and 2, Lam not subject to backup withholding because: (a) | am exempt from backup withholcing, or (b) | have aot been notified by the Intemal Revenue Service (AS) that | am subject to backup withholding-as a regutt of a fallura to report all interest or dividends, ar (¢} the IRS has notifled me that | amno longer subject to backup withhatding; and 3. tamaU.S. olfizen or ather U.S, parson (detinad below); and 4. The FATCA code(s) anterad on this form (f any) indicating that | am exempt from FATCA reparting Is correct. Certification instructiona. Yau must crass aut item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have falled to report all interest and dividends on your tax raturn, For teal estate transactions, item 2 dees not apply. For mortgage interest paid, acquisition or abandonment of securad proparty, cancellation of debt, contributfons te an individual retirement arrangement (IRA), and generally, paymants other than Interest and dividends, you ara not requirad to sign the certification, but you must pravide yaur correct TIN. See theInstructions on page 4, Sign Signatura of Here U.S. parson > Date » General Instructions Saation references are to the Internal Revenue Cada unless otherwise noted, Future develapmonts. information about developments afecting Form W-9 (such as legislation enacted after we release it} Is at www.lrs.gav/Avd, Purpose of Form An Individual of antity (Form W-9 requaster} who [a required to file an information telurn with the IRS must cbtain your correct taxpayer identification number {TiN} which may be your sasial security number (SSN), (individual taxpayer Identification number (TIN), adoption taxpayer identification number (ATIN), or employer Idantification number (EIN), to rapart on an Information teturn tha amount pald to you, or other amount raportable an an Information raturn. Examples of Information tatums includa, but ere not limitad ta, the following: » Farm 1099+INT (intarest eamad or paid} * Form 1099-DIV (dividanda, including those fram atocks of mutual funds} * Form 1099-MISC (various types of Income, prizes, awards, or grasa procaads) * Form 1099-8 (stock ar mutual fund sales and cartain other transactions oy brokers} + Farm {089-8 (procasds from real estate transactions} » Form 1099-K (merchant card and third
s, or grasa procaads) * Form 1099-8 (stock ar mutual fund sales and cartain other transactions oy brokers} + Farm {089-8 (procasds from real estate transactions} » Form 1099-K (merchant card and third party natvork transactions) * form 1098 (home mortgage Interest}, 1696-E (student loan lnterest), 1098-T (tultion} * Form 1099-0 (cancelad debt) * Form 1099-A (acquisition or abandonment of sacured praparty) Use Form W-8 only If you are @ U.S. parson (inciuding a resident alien), to provide your correct TIN, : if you do not ratum Form W-9 to the requester with 4 TIN, you might be subject fo backup withholding. Sae What !s backup withholding? on paga 2. By algning the filled-out form, you: 1. Cartily that the TIN you are giving fa correct (or you are waiting for a numbar10 ba Issued), 2. Carlify that you ara nat subject to backup withholding, or 3, Claim exemption from backup withholding if you are a U.S. axampt payas, If applicable, you ara also cartifying that as a U.S, person, your allocabla share of any partnarship income from a U.S. trada or business is nat subject to the vithholding tax on foralgn partnars' share of effectively connactad Income, and 4, Certify that FATCA code(g} entered on this form (f any) indicating that you are exempt from the FATGA rararting, fs carract. Saa What is FATCA faporting? on page 2 for Jurthar information, r Cat, No. 102a1X Form W-8 Fav. 12.2014}
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- Sep 29, 2026
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