Township Council Meeting — Packet

FORM W-9 Request for Taxpayer am W-9 es teas Give Form to the ipiev, Ockcber nN Identification Number and Certification requester. Do not Departmen otha Trosu send to the IRS. internal Revenue Sari” > Go to www.irs.gov/FormW9 for instructions and the latest information, ame fas srown on your Teams tax tur, Name ls required on this fe donot leave tis ne Ulan 2 Business named aqardes eny nave, W arent on above | 3 Check appropriate a0x for federa tax ciassitcation of the person whose nae is eniered on ine 1 Check only one of the | 4 Exemotions (codes apply only to folowing soven boxes corn ets, rot individual; 968 instructions on page 3} O inenicuaeoe rosotoro OD ccorportion CO scopoaon O) Parversno C1) trsvestate ‘Single-membar' 171 Lmited ability company. Enter the tax classification (C=C corporation, $= corporation, P=Partnership) > Note: Check the appropriate box in tre line above for 278 tax c.assiicat 0 of the 1g @-member owner. DO not check LUG if the LLG is clasied as a singlo-nerber LLG thal is disragardad frorn the owrior urloss tha owner of the LLC Exempt payee code ff any) Exemplion rom FATCA reporting ‘nother LLC that Is nat disrogarcoed from na owner for U.S. federal tax; {s alsreqarcec from the owner snouid check the acpropriate box ter tne tax: 1 orter (soe inatructions) > Print or type. Otherwise, a single: member L1C that) 9 ary) classiication ot Its owner. ete acct mentee fh 8) %6 Address (number, street, and apt or sue no.) Seo instructions Rlequester’s neme and adress (optional) ‘See Specific Instructions on se © Gy, sata, and ZIP cod 7 List account nomborta here (optional) ixpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid ‘social security number (SSN). (+ disregarded enity, $e the instructions for Part I later. For eniiias, itis your employer identification number (EIN). If you do no: have a number, see How fo got a backup withholding, For individuals, this is generally your resident alien, sole TIN, later. Note: if the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. However, for a ‘other Certification Under penalties of perjury, | cerilfy that: 1. The number shown on this form is my correct taxpayer

Give the Requester for guidelines on whose number to enter. However, for a ‘other Certification Under penalties of perjury, | cerilfy that: 1. The number shown on this form is my correct taxpayer identification number (or | am waiting for a number to ba issued to me); and 2..1.am not subject to backup withholding because: (a) | am exempt from backup withholding, or (o) | have not been notified by the Internal Revenue Service (IRS) that | am suibject to no longer subject to backup withnokding; and 3. 1am a U.S. citizen or other U.S. person (detined below); and 4. The FATCA code(s) entored on this form (i any) indicating that | am exemat ‘backup withholding as a result of a falure to report all interast or dividends, or (c} the IRS has notified me that | am from FATCA reporting is correct. Certification instructions. You must cross out ite 2 above If you have been notified by the IRS that you are currently subject to sackup withholding because: ‘YoU have filec to report all interest and cividends on your tax return. For real estate transactions, iter 2 does not appy. For morgage interest paid, acquisition or abandonment of secured . cancellation of debt, contrioutions to an inivicual retirement arrar ingement (IRA), and generally, payments, property, other than interest and dividends, you are not required to sign the ceriication, bu: you must provide your correct TIN. See the instructions for Par: Il ller. Signature of Here US. person Date > General Instructions Section references are to the Internal Revenue Code unless otherwise noted, Future developments. For the latest information about developments ‘elated to Form W-9 and its instructions, such as legislation enacted after they were published, go to werw irs. gov/FormW9. Purpose of Form ‘An individual or entity (Form W-9 requesier) who is required to file an Information return with the IRS must obtain your correct taxpayer dentlfication number (TIN) which may be your soolal security number (SSN), individual taxpayer dentification number (TIN), adoption taxpayer identification number (ATIN}, or employer identification number (EIN), to report on an information return the amaunt paid to you, or other amount reportable on an information retum. Examples of information returns Include, but are not limited to, the following. ** Form 1099-INT (interest eamed or paid) * Form 1099-DIV

to you, or other amount reportable on an information retum. Examples of information returns Include, but are not limited to, the following. ** Form 1099-INT (interest eamed 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 1089-6 stock or mutual fund sales and certain other transactions by brokers) * Form 1099-S (proceeds from real estate transactions) * Form 1099-K (merchant card and third party network transactions) * Form 1098 (home mortgage interest), 1098-E (student loan interest), 1088-T (tuition) * Form 1099-C (canceled debt) * Form 1099-A (acquisition or abandonment of secured property) Use Form W-8 only if you are @ U.S. person (Inciuding a resident alien), to provide your correct TIN. it you do nat retum Form W-9 to the requester with a TIN, you might ‘be subject to backup withholding. See Wnat is backup withholding, later. ‘Cat. No, 10231 P-56 Fo W-9 (Rev. 10-2018)