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efta-01368406DOJ Data Set 10Other

EFTA01368406

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DOJ Data Set 10
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efta-01368406
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EFTA Disclosure
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Form We ft, Decenter 2014 Docrinent ol Finere Oie twiny imams feSenke Request for Taxpayer Identification Number and Certification Give Form to the reqUester. Oo not send to the IRS. . CNI 2,0 a ° 0 g 6 t el :c . E i to a Fr= 7 Nome Its Shot on WU Income lex retort. Hann 4 rewind On it do not ovo aro blank Southern Trust Company, Inc. 2 Wen narnaktisnoardoe entry men. a cancan from above Southern Financial, LLC a 0110 approortals bat for federal Lot clateScatbn: check ON/ one of ien Nearing seven Week O IndlyhdualloCda propentoe ot O C Corpoei Ogee:wa n O paArnthip O unwed Z' 'Nycarn aCpatry. Enter the fax clasaffidafkal PC oldenneadol'e 5.5 corPolaaom. P•Pannsr*OPIP Now Fora s.nolo.•nerann LLC WS to d.srogarded. do not cheek LLC; chock me appropriate box In cox the clastrnottor of the tote member crimer. i. ooze Ono Irotructkond la n r L_i Sialiathd. 4 Exemptions Certain mules. SIblelicitOr" Exempt pane bampdcn 0:04 (4 ant) Mole. asemsynend (codas so* orh to not ncta too on px:64 cods (4 ay) kern MICA Townes; 0,3 CM above fa a* •••031 5 Mary (sextet. *wt. and apt oral la) 6100 Red Hook Quarter, 63 Rocentlef a turn hod eddies Copt* I City. sole, arc) ZIP coos St. Thomas, USVI 00802 7 List account restibeteThers Options° Taxpayer Identification Number(T'IN) Enter your TIN In the appropriate box. The TIN provided must match the name given on Snell° avoid I Padre 5000 backup withholding. For indMcluals. hits Is generally your social security number (3S14). However, for resident alien. sole proprietor, or disregarded ondly, See the Part I Instructions on page 3. For other entities, It Is your employer Identiricatran number (EIN). If you do not ban e number, see Now fe gate TIN on page 3. Or Note. If the account Is In more than ono memo. sop the instructions for (Inc 1 cad the than on page 410r [F" 'w 41°1°60813P' numb*/ guidelines on whose number to enter. Pattie Certification 'flynumber -1 Undor penalties of perjury. I certify that 1. The number shown on this form is my correct taxpayer identiliCatIon number forlorn walling for a number to be issued to me) and 2. I am not suoiect to backup withhotang because: (a) I om exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a mutt of e failure to repel ell interest or dividends, or (c) the IRS hes notified me that I am no longer subject to backup withholding and 3. I am a U.S. citizen or cow US. person (defined be)awk and 4, The FATCA code(s) entered on tNs form W any) indicating that I MI exempt from FATCA reporting Is correct. rarefication instructions. You must cross out Item 2 above If you have been notified by the IRS that you No currently abject to backup withhosstng because you have felled to report all Interest and dividends on your tax return. For real estate hanaactior.s, Item 2 does nd apply. Fer m0119•9* Interact paid, acquisition Or abanoonmont at secured progeny. cancelelion of debt, contributions loan indviduat regions:int arrangement gsx), inn roars:fr. payments other than kilerost Ord dividends, you ore not required to sign the certification, but you must provide your sorest TIN. Ste the instructions on page 3. Sign Hero as. Slartireas pormont erTh .: General Instructions Section rum ice em to We Inwood Roots Oxle unit Othorwbe noted. Future devolepent•nte. Infer neekr about developments toning Form W-9 (such a3 kobtation enacted tuts we release igloo yowelr9009/99°- Purpose of Form Ni heivieual Cr entry (Poem W-9 soorientr) mbo b'1mA-de to No an IntenWeica Maim wt h W IRS mat ant ycen wit tomayer loaitiflatuen lumber (nN) with may to your =led Stnasny want. WI. In looms kTenIneadfon mender prim, adoption lawn tosnriecollon amber (Milt or employer derelicaeon nenbcs (lll1). n report on en kelonytaSso sett the amount lull to You. or other awn: niportable en Si WoomatWe Man Exampars of trionnalko enters inatee. but to not lonitel 99 the follow* • Form t079-NT fraerest earners or odd) • Form 1099.0W (dNirtends. Inanity those Ilan maks or (teal WOW • Fenn 11939-MISC fverlan types or income. Otos, pewee. oc cross proceeds) • form 10994 (stock or endhea fund sake end crest oimr trarrectirne by broen) • Fpm 1079.9 fp:ova* Own real tale trantectIone) • Form 1099.K Snerthars card one tiled party network wansankcel) one P • Rana 1008 Om, mortgageNOMA 1090-9 Lannon loan Merest) 1991-T Ovkion) • Poem 1099-C Kenceloa duel) • Form 1099--A (anwietiron or obanckennot of wound property) Use roan W41 Pelf if you are a U.S. Moen (000Sati a losklat. odef) le ortroldeyotv comxit N. I jou do nor ANT TOM) W-9 tO 9le roWantrwit19 TAN, you nylon/ Oa netdocf pa avow aitaboldirao Sestets:is Orion nithoWw? on pine 2. By spring ale lilled-oul locrit You: I. Ce'?y Ont their& you all gnaw Is cowed for you wo wahine bans-ate to be Sued), 2. CaUly eel you ma not *tem to Wasp wampum or 2. Claim thamption trom back. p wahholdeta xyou be a US. trumps payee. d appects, ywwabo stran.) Ina os a U.K. portnn. yew Seeable Owe of any oaraut4 Means from a US. Vado or Ws YAM b not SUCOCt to the whhhotlireg lax on Cordaro partway Owe of effeetheft corneae:I Irma NC 4. Cerny that PAl CA coatis) entered on Mb IOCT of any) MICRO% VW you we exempt Mora the FATCA ositect. See What a FA TC4 monk& an Wes 2 for hens: Incematlrit Cat. Ne. 1023IX toms W-9 flev.12-20i4) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0060134 SDNY GM_00206318 EFTA01368406

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