EFTA Document EFTA01388034

Fenn W '''9 :Tr oca.warmida Onetere of the Peony nuns Rene Swan Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. • pa ; .1" ! t S K p a t am. * fe c , z E t te a I tram ICI awn on rut Interne lex worn} Name :4 toque", on This hornet00 noi Dave, Mt Ina blank Southern Trust Company, Inc. sum s ma namardentpanded enbly newt, ii Mows Item above Southern Financial, LLC 3 Cheek appwatale O MeM2Ualkeile snedmenter O Periled Celilrify For a ongto.mcriba the tax conlectnen box for Warn' Mx ctroailloatlan: 0W sly eve of the torteerg seven box= Mines or O CCureerellart 0 S Caporals O Partnership O Sne-Vestato LLC company. Filar the tax ciaefetattan (000 cceporMIco. SeS corporation. imparberstIP0R tiC Int 4 3.3:coatptcy do net &pep LLC; rhea to appropnale box D the rabant to of the omit momoot CFACIf. • 4 Eareptions tcnila an anttpaprEiterr" EA root payee EA8MOCI1 coda RIM Pans a muntrammearamo (codes appit Otte see oar tt ma keen FATCA M et" Ill other thee inzi.neetioro) roar 5 11/455/033 5/Uriter• orar. and tot treat red 6100 Red Hook Quarter, B3 RagletYla rums and addmse (optima/ e Cite. suet anclte? code St Thomas, USVI 00802 T Let sat unt nutter by. @pare .:pao c Taxpayer Identification Number (TIN) Enter your TN In the appropriate box. The fifiN provided must match the name elven on Ens 1 to mold backup wohholdIng. Foe Individuate. this Is goneralty your social security number (SSW HOwevot, for o resident alien. sole proprietor, ot disregarded entity, goo the Part I Instructions on paged FM other snide,. It Is your employer IdantlicaU00 nuenbor (FIN). It you do not have a number, sr How CO got e TN on page 3. Note. If the account Is N more than ono namo. see the Insuuctlons for linefeed the chart on page 4 lot guldernos on whose number to enter. nodal why numbs, or Reno/over IdentirmatTon number a s 0 7 7 9 711. Certification Undo/ smear of perjury. Icon& that 1, the number shown on this tom Is my correct taxpayer Wendt/Alton number forlorn waiting (outnumber to be issued to met and 2. I ant not suofect to backup withhoterng because, (a) I an exempt from woken withholding, of (o) I have not been noWied by the Internal Ravens* Service (IRS) that I ern subject to backup withholding as o mull of a failure to report all Interest or cihrktends. or the ins has notiRed no that I ern no longer subtract to tutomp wIlhbolit2n2; and 3. I em a U.S. citizen or other U.S. person (defined be4ow) end 4. The MICA code(a) entered on tNt form QI any) in/foaling Meilen exempt from FATCA reporting b erect. Cartgeattlen Instructions. You must cross out hem 2 above If you have been notified try the IRS that you ere currently subject to backup rerholdIng braise you have failed to roper enteral end Oh/Wends on your tax return. For real estate bansacaons, kern 2 door not apply. For Monne Interest paid. acquisition or abandonment ot secured property. caneandon or debt, COntributlen3 loan (noviduel retirement arrangernent (If%), end gooney. payments other than Internal end dividends, you are not required to elfin the cerliCootton, but you must provide your correct TN. Seethe instructions co pegs 3. Sign stiwn,,, Here U.S. p• General Instruc 26:1100100tOICIS 010 le the front Flamm. 0:00 Wane othrmitse noted. Future Oevaleprnentt. Intoner", abaa develooments I(ectee Form W.9 (such al esibtaibn enacted eller we release it) i ithenttuovInve Purpose of Form An lectMduiX Or way (Form W-9 i0nunIcc) etc Is icq•ecid to rota an rifler, rttsn with ale 145 Mat obtain your catreel taxpayer lomalleatun name (1514 *flith 515, be bus var-5,5 500-511/ number PSN). SW:kW taxpayer idenieitatfoe number ulna adorn tamer( lesmennilon number (ATM. or emokler klercilicron number (3714 to report on tm Itifiertudon rotten ireasioseU paid to you. or of meant reportable an on racenatIO3 return. EmarnIes of triernletkin Want irrintel but ire nos limited to, the leaarno: • Form 1099-IM (room* nn of midi • Fenn 1092•DM eRvisavri, ncludno those err soda a most hinchl • Fenn 1099AISC Milantypes of Income, prim armada. or onte3 preceeth) • For 1099-0 err or mutual laid sake ase amok other trarrederfa by broen) • Form 1099.5 poredi born red nun wreathe/at • Form 1092-K (nentenr cad and VOW patty netwark transactICO5) au> 1,6VAI* erPam UM Dane mortgage Nemo. 1098M onvolenl Man Infer,* 10914 OtAkin) • F can 1099.0 (cancetui (so • Form 10994 lerCulatimi fr ltbDrsiorment cf soared ProPorSt3 Use roan Mil only a you we a U.S. person (miludna a Kern 0 0 4 /0 firevIdeffer carod TIN. I/swotred mew/ Fenn 19-9 to me teettssiti wk., a MN, set net& be sopa body* onkrthordino See Molts Soap viMbakerm? on mope 2. By sQtq to lineenOut loan you; 1. Cite* OW the TN you ate phew Is cares ler you ere *WIn9 kr a umber lo be betted). S Cattily that you ara no "Meet to backup wishboklim 2. Wm ascreptto ham backup withheldieg you we a U.S. exempt payee If appecebie. you are 640 Catarbg the any& person year afar Mare of any porremnip Income Porn a U S. trestle or bus nen e not *dies le the wehhodirry tax on mien pains:' toe of elhotheD Contorted Moms. and 4. Gay that FAT CA coolatti entered on rob IOMI (i any) harry th you am °hernia; ant Ille FATCA relienhe. a creel Sc, Kew i MICA ntiethet?on POP 2 for erne hkernartse. Cat. Ms 10231% Form W-9 (Res 12-20lq CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0091358 SONY GM_00237542 EFTA01388034