Case File
efta-01368409DOJ Data Set 10OtherEFTA01368409
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Unknown
Source
DOJ Data Set 10
Reference
efta-01368409
Pages
1
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0
Integrity
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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
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a
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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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