TFE 81 Northfield Interpretation Request Application Digital Copy 1142416095411

t to backup withholding because: (a) | am exempt from backup withholding, or (b) | have not been notified by the Intemal Revenue Service (IRS) that | am subject to backup withholding as a result of a failure to report all interest or dividends, or (¢) the IRS has notified me that | am no longer subject to backup withholding; and 3. 1am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that | am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all intarest and dividends on your tax retum. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition ar abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. ee ee nar LZ 16 Sign Signature of Here U.S. person > 5 a General Instructions Section references are to the Internal Revenue Code unless athenise noted. Future developments. Information about developments affecting Form W-9 {such as legislation enacted after we release It) is at www.irs.gov/fw9, Purpose of Form ‘An individual or entity (Form W-9 requester) who is requlred to fle an information ‘retum with the IRS must obtain your correct taxpayer identification number {TIN} ‘which may bs your social security number (SSN), individual taxpayer identification number ((TIN), adoption taxpayer identification number (ATIN}, or employer identification number (EIN), to report on an information retum the amount paid to you, of other amiount reportable on an information retum. Examples of information retums include, but are not fimited to, the following: © Form 1099-INT (interest eamed ot paid) + Form 1099-D1V (dividends, including those from stocks or mutual tunds} * Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) * Form 1089-8 (stock or mutual fund sales and certain other transactions by brokers) + Form 1089-8 (proceeds from real estate transactions) * Form 1099-K (merchant card and third party network

eds) * Form 1089-8 (stock or mutual fund sales and certain other transactions by brokers) + Form 1089-8 (proceeds from real estate transactions) * Form 1099-K (merchant card and third party network transactions) Ae 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T ition} * Form 1099-C (canceled debt) ‘* Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person finchuding a resident alien), to provide your correct TIN. Ifyou do not return Form W-3 to the requester with @ TIN, you might be subject to backup withholding. See What is backup withholding? on page 2. By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S, exempt payee, if applicable, you are also certifying that as a U.S. person, your allocable share of ‘any partnership income from a U.S. trade or business is not subject to the ‘withholding tax on foreign partners’ share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (i any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on age 2 for further information, Cat. No. 10231X Farm W-9 (Rev, 12-2014)