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Request for Taxpayer Giva Form to tho Identification Number and Certification Tei 4 Nama (as shown cn heoma (oltan}. Nara is cequirad en thia tre; d3 net leave tris [ne Dank. Joun Puccman 2 Business ramerdiaregarced ently namo, If citferent tram above 3 Upproprista bax for faderc! tax class Zeaton; check oriy ora of ths iclowing savan tones: 4 Exemptions (codes apaly ently to ia aea ‘tncivicuascls propetatsrer =] CCerperntion C] SCaperaton [] Pasteershi Trastiestata sglomamber LLC > Om : Geructonsen page se (Clunted iabtty company. Entar tne tax cfassittesiion (0-C carpastir, $=3 corpereton, Pepscrership) > Exornyt peyee coc i ery) Noto. Foca ainclemember ULO that's eragardect do pat check LLG; chick the aperear’ve box hf Ter | Examtoa trom FAICA eoponieg Satin cesstcation of ho sligionemter camer, ale ies emilee iain Sv Corner feno structions > egies be acon his ade ha BB) 3 ey OL LU O 0 D DA Wwe Pasquostere nome and addres (eaters) and 2 cxdo “West ORAUGE , NT 07092 Print or type See Specific Instructions on page 2. 7 Us account numbers) Fera (opuona) backvp withholding. Fer indivicuals, this [s Generally your sosial security number (SSN). Howaver, fora OG] 1) -14) 4] [1] lole TN on page 3. ° 1 or Taxpayer Identification Number (TIN) Enter your TIN Ia the apprepriata box. Tho TIN pravided must match the rame'given online ttoavo'd | Sacial securttyaumBer taaldant allen, so'o eroprietor, or disregarded ontity, s¢e the Part! instructions'on paga 3. For other entities, It Is your employar Identiteation aumbar (Eitl). If you do not hava & number, seo How to get a Note. itt account Is In moro then ona nama, saa tha Insieuctions for na 1 and tha chart en page 4 for [Embleveriantieation ramber guidelines on whose rumber to Certification ‘Under penalties of perjury, | certify that: 4. The summer shown on this form ia my eartect taxpayer ideatcation aumbe (| emt walling for s number to be Issued ta mat and 2, Lam not subject to bacup withholding because: (a) 1 am examgt from basin withhelding, cr (b) | have not been neifled by tha Intemat Aayenue Sevice (RS) that | em subject to backup vithholding’ss ¢ rasu't ofa fathra to renert ail interest cr dividends, er fe} tha IRS has notifed me Lnat 1am no longer subject to backyp withholding; and 3. lana U.S. cldzen or cther U.S. person (definad balov.): end 4. Tha FATA coda(s) entered an this form fit

dends, er fe} tha IRS has notifed me Lnat 1am no longer subject to backyp withholding; and 3. lana U.S. cldzen or cther U.S. person (definad balov.): end 4. Tha FATA coda(s) entered an this form fit any) Inctcating nat | zm exempt from FATCA raparting cocteat. Cartificaticn Instructions. You must cross cutitem 2 shoved ycu have beer notifed by the IAS that you ere curently subject ta backup withho'ding bacauss you have failed to report a2 Interest and clvidesda on your tax retum. For real estate transactions, hem 2 dees not apply. For mortgage Intarest paid, acquisition or ed FO} rcellaticn of debt, contributions to an indivicuat retrement arrangement (RA), and generety, payments cinar then InteresYage dhldaneg, yor a°3 no: required ta sign tho certification, but you rust provida ycur camsct TIN. Soa tho Rstuctlsns on pago 3. n figs | sgees, She ————_> salalaors General Instruction>> iia 1692 (rome mortgage interest) 1048:€ [ahudant ‘oan inlernag, 1698-7 a Henhtkeed ee ee biguihamletry od eee Sone + £omm 10330 (es aby ‘utuce developments, infermation about davéloprrants atecting Form We si . a faglailen enacted after we retaaze It) is at wwe corltwS.. Ferm 1099-A (acqpZaison or abancorancat of sacurad property) Usa Farm W-6 eny Ifyou soa US, petsan fichudg a esicent eter} lo Purpose of Form pravide your correst Tt, 7 ‘a toast oF getty Form W-9 requester) at Is resulted to flo an tnforration (Uf you de nat ratum Ferm W-9 to tno raqivester wih a TIN, you micht be sutict eaturn with the IRS | ky cbtsin your somrect taxpayer enticaion nutber (78) 13 bitiua withnolsing. S3a What's bactep aithnoicing? cn pasa 2 ‘whtgh may ba your sccial tscuxtty number (SSN, incivigual taxpayer igentiieacen By edgning tha flacient dorm, your umtee (TIN), a#aption taxpayer tentficatton rumba: (ATS), cf emp'syer ‘an¥icatian nusrber (ENY], to report on an information return the amount cad to {0u, ov olher amount fenatab'e on aninfeerration retan. Exeraies of hlarmaton fetus inctada, but are nce Ibnltad to, ha falawing: + Fotm 103440 ftareat exmag or pekt: 1GR2-DIV (cluidands, ratusding tosa Yom atc oF mutual furs} + Fem 1043-NISC Ivariaus typas ef Roome, prizes, ewards, ar ersaa presaods} + Form 199568 (atoc’s c= mutusl fund sales are cartzhn ether transazticas by srpikers) » Form $69.8 (erezaace from rea! estate tranasationg) . + Form IC22+K (merchant card ard shed

ersaa presaods} + Form 199568 (atoc’s c= mutusl fund sales are cartzhn ether transazticas by srpikers) » Form $69.8 (erezaace from rea! estate tranasationg) . + Form IC22+K (merchant card ard shed party netwere tranaset 4, Carty thst the TIM you ars giving fs earract for you Ae waltrg for @ number (abe Gsued), 2. Cartty that you era nct stéfact 1o back vicectclng, or 9. Clam exerrption trom backup witnhoicing if you are a US, axamp: " esptzabla, you ar azo eartiyng tat aa AUS, peewon. your ocab') ofa et Shy padtnarshie Income trem 8 U.S, wade or business is not abject to the: switnhelcing lec.en fersign pertnars’ shure of sfectively connacted tieome, ang 4. Centity thet FATCA code(s) entored on ths form ¢t any} Incieating that you es asaivat from tha FATCA rapecing, 2c corect. Sta Whats FATCA reperiagt en page? fer hatnar infarmalon. ° aL Ne, 19201X Foon WS fav, 1214)