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efta-01368302DOJ Data Set 10OtherEFTA01368302
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DOJ Data Set 10
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efta-01368302
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Form W-9
(Rev. December 2019
Dwane' of the Treasury
keener Finns Soya
Request for Taxpayer
identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
,.,j
i
Southern
u
t
1;
I•
f .
J5
Name (as shown on ycur roan, fit return:
Trust Company, Inc.
_Southern
Business namoidiveaarded entity name. if anew from above
Financial LLC
Chloe appropriate as for federal tax clattifiCatkm
O Inonriclualtscee proprietor
O C Corporation
0 $ Corporation
O
Fannon:hip O Test/geese
O Limos eatery company. Enter the tar cianatecon rcec corpornien. SScorporation. Papylnorahlp) I. .........._............_.
_
O ciber(see i„s,„,,,,..).
C a."
"Yee
Address (number. cwt. and apt
-
t
--
sae ne)
0100 Red Hook Quarter B3
Requesters name and adcress want
citt, snit IMO 21. code
St Thomas, USVI 00802
Usl account nunitefIghle0 footai;
wag
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The 11N provided must match the name given on the -Name' line
to avoid backup withholding. For inderlduals, this is your social security number (SSSO. However, for a
resident al en, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other
entities. It Is your employer identification number (EIN). If you do not have a number. see How to get
TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Part
Certification
Sods security number
lernalloaeon
1
Under penalties of perjury. I certify that:
1. The number shown on this form is my correct taxpayer ideneacetion ntariber for I am waiting for a number to be Issued to me), end
2. lam not subject to backup withholdng because: (a) I am exempt front backup withholding, or (b) I haws not been notified by the Inwnal Revenue
Seneca (RS) that I em subject to backup withholding as a result of a failure to report ail Interest or dividends, Or (C) the IRS has notified me that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certificadon Instructions. You must cross out hem 2 above a you have been notified by the IRS that you we currently subject to backup withhold-no
because you have failed to report ax Interest and dividends on your tax return. For reel estate transactions, Item 2 does not apply. For mortgage
Interest paid. acquisition or ObandOnfAiNtt I secured property, cancellation of debt, contributions to an indivIckral retirement arrangement gRA), and
generally, payments other than rarest and 2vidends, you are not r
to Sign the certification, but you must provide your correct TIN. See the
instrucilans on page 4.
/
Sign
sensture of
Here
1 us. persons.
General Instructions
Section references are to the Internal Revenue
noted
Purpose of Form
A person who Is required to
an information return with the IRS must
obtain your cared taxpayer icientificatton number (TIN) to report, for
example, income paid to you, real estate transactions, mortgage interest
you paid, scritisitien or abandonment of secured property. canceation
of debt, or contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your Caret 11N to the person requesting It (the
requester) and, when applicable, to:
tr. Certify that the TIN you are giving is correct (or you are walling for a
number to be Issued).
2. Certify that you ere not subject to backup withhOidelg. Of
3. Claim exemption from backup withholding if you we 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. trace or business
Is not subject to the withholding tax on (Otter OartriOrs' Share of
effectively connected income.
Dail' 7_x_13
Note. Ifs requester gives you a form other then Form W-9 to request
your TIN, you must use tne requester's form tf It Is sLbstantlany similar
to this Form W-9.
Definition of a US. person. For federal tax purposes, you are
considered a U.S. person if you are:
• An ind.vidual who is a U.S. citizen or U.S. resident alter,
• A Pannerahlia, corporation, company, or association created a
organized In the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules to partnerships. Partnerships that conduct a trade or
business In the United States ere generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further, In certain cases where a Form W-9 has not been received. a
partnership is tethered to presume that a partner is a foreign person,
end pay the withholding tax. Therefore, If you are a U.S. person that is a
Partner1n a partnership oonductirg e trade or business in the United
States. provide Form W-9 to the partnership to establish your U.S.
status end avoid v(thholding on your share of partnership Income.
Cat. No. IfO3IX
Fenn W-9 (Rev. 12.2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0060000
CONFIDENTIAL
SDNY GM_00206184
EFTA01368302
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