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efta-01368409DOJ Data Set 10Other

EFTA01368409

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DOJ Data Set 10
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efta-01368409
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EFTA Disclosure
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Form We gam Deastatatt2e14 imams Remus be Many Senks Request for Taxpayer Identification Number and Certification Give Form to the reqUester. 0o not send to the IRS, . co 2,0 a ° 0 g 6 t to 'C E • 0 E i to a Fr= 7 Name Vs Shown on IOW Imam lea rettoll. Name 4 ropulte0 O nvn ant Oo not Ieeve ate Wok Southern Trust Company, Inc. 2 Webs narnaktlayardod entay men. a dflotonl from above Southern Financial, LLC 2 Calidt apprcortale bat for feder ni elmaticatbn: chock or,' on0 el inte following Ewan Oyez O InclivtatleV0010 prOplifttet Ot O C Corpevetoen Ogee:wa n O emrsthip WgbmsmOriW O Untied sitotllrycornpan. Enter the tee classairtatbn re•C coMarstton. 5.5 corPotalkw. P•Pamora(44.• Now Fora angto.metnhet LLC ;Falb c.sropordcd. do not cheek LLC; chock eye appropriate box LI Me tax etarcohon of me shot: member rmetw. ro dew doe Irotructkorte la n r c_i Ilan) fd. 4 Exempticou eeitain mutes. InelnicUorns Exempt arse tbampacn Code fa are) Vadesseetwensvindaseta (coclas so* orh to not Inthettata see on pz•sok code (4 ay) kern FATCAntecetb; the ay above for 3 1 5 Addetre Przebv. *eel, and tot oral rtal 6100 Red Hook Quarter, B3 Recamtkee fume and Sams Cooke* I City. sole, and EP coos St. Thomas, USVI 00802 7 the account nwitheb)hers Optional) Taxpayer Identification Number(TIN) Enter your TIN In the appropriate box. The 11N provided must match the name given on Emilio avoid backup winhaidlng. For Individuals. this Is generally your sacral security number g3SN). However, hat a resident alien. sole proprietor, or dlwegardsd ondly, SOO the Part I Instructions on page 1 For other entities, It Is your employst Identlficaton number (EIN). If you do not have a number, see Now to dote TIN on bagel. Nola. IF the account Is In more than ono nano. sea the Instructions for lino I and the chart on page 4 for guidelines on whose number to enter. Sodel number -1 or I EMI woe !decilitre/aeon numbs' Certification Undo, penalties al perjury. I certify that 1. The number shown on this form Is my correct taxpayer identilitation number (ottani Walling (outnumber to be Issued to met and 2. I om not suoiect to backup withhoicieng because: (a) I am exempt from backup withholding, cr (b) I have not been notified by the Internal Revenue Service (IRS) that I sm subject to backup withhokang as 0 insult al 0 failure to rent all Interest or dividends, or (c) the IRS hes notified me that I am no longer Subbael to backup withholding and 3. I am a U.S. citizen or other US. person (defined Oslo...it and 4, no FATCA MOS) entered on Ws form W any) indicating that I am exempt from FATCA reporting b correct. Certification Instructions. You must cross out Item 2 above If you have been notified by the IRS that you No eurroney sublect to backup Minhottng becauso you have failed to report all Interest and dividends on your tax return. For real °stele hanuacifor.s, Item 2 does not apply. For m$9* Interact paid, acquisitken Or abanoonmonl of secured property. cancelellon of debt, contributions loan Intakvidoal regions:Int arrangement gm, and genarater. payments other than Interest and dividends, you are not required to sign the cerliacallon, tax you must provide your correct TIN. See the instructions do page 3. Sign Hero u.s. Sieriebrre pormont o General Instructions Section relortnce em to the lownal RovenusOxle tint= Othenvbe noted. Fteute develcormtnta. Information about developments Meeting Form W-9 taxa as urebtaten enacted arts we release h) iola www./ratoWfw5. Purpose of Form Ni hoe/kiwi or entry (Foern W-9 sumo:to) woo breqatd to No en intenhatica Mom WM Us MS mat obtain yore caloct to Ihent05“tten mambo( (IN) whet may be your pacied soolty mate ESN). incatcluid taxpayer tdentOcatton number pm, adoption taxpayer toonsteceitn amber fAllft or employer centtacteon nteetce EMI. to mead on en Informeaan Hewn theamount pakt you. or omit awn: nmortable on on igoanation robin Examples of trionnalkn natant inel•do Out to not Mohr to, the follow* • Form 1099-INF Orono erect or pedd) • Form 109941V Ximeends. Marring those tram attzta or mutual Wool • Form 10MMISC (various type of income. pram ant. et prose procoecla) • Form 10994 (stoat or m'A land sake. end eclat *taw trameeticos by broken) • Form 1099.3 (proceed, horn reel estate trantactIonta • Form 1099.K Outten card end rid party network transaction) one P ahitilzii0 • Pam 1008 (acme mortgage florist 1090-k tancteni loan Interestf. f091.7 0tAion) • Fans 1099-C Vancetal dote • Form 109enk(acqubaron or shanrkentent or emoted property) Use roan W4I ONE if you am a U.S. pennon &Wedge' a toaklet° Oat 10 Petroldeyow coned TIN. 1/ nu do nor rarum ram Wide Ole rcquesterwit1 • TIN. you nylon/ be &bloc mbrlop aithrooldirad. See Mere brow oithoWto? on page 2. By sprang ale liffeboul loan. vox: I. Catty Owl the Ni you are ening h camel par you wo wahine ke a mitts to be betted). 2. CaOly that you pre not outattet to backup winthotiing, 3. Claim themption from Nein p wahholdlna a you be a US, exempt payee. If appithatpe, yin are aim certierite awl Cet a US. year Seeable time of any wonted* Income from a US. wad. or bus roil le not sub;ect to the want./Aim tax on bison partnevf Ogre of elteethett comecreci from and 4. Corny Nat MICA cooetal angered on Mb WTI (each) Metre IOW you aro exempt kern IMFATCA leeway, b oseredt. See What is Mien merle& an Mao 2 for Whet Inteemattot Cat. S. 1022112 Men W-9 fllev.12-2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0060142 SDNY GM_00206326 EFTA01368409

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