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W-9 <br />Request for Taxpayer <br />Give Form to the <br />Form <br />Identification Number and Certification <br />requester. Do not <br />0:7W!olaer2otal <br />ml neDWa,mlse 1 Surerent <br />I- Go to www.Asgav1F'ormN9 for Instructbm and the latest information. <br />send to the IRS. <br />I Name Ias woman of your Monro 1. reMm flame's ragared on lids erne. do M1 have It fella oan: <br />Pacific Coast Elevator Corporation <br />2 atitti a nama/darepaded omty names If d-I'l from alaor! <br />Amtech Elevator Services <br />3 Cn apProdrate eon for Iede a'tau Of IM person wM6e awI is entered on rme t chick wtv orw of the <br />0 ElemgMs (Codes apYy only to <br />g <br />fo1w. g seven plants <br />cadent mutes, not �With, site <br />3 <br />r Ineravausoee woorwor a 2) C Corporal— ❑ 5 Como'. ❑ Pstmrsrop ❑ Trusyasale <br />�nostwns on peas 3l: <br />tax WmemI LLC <br />Exempl payee code 11 a"to $ <br />e <br />EJ P.Parlrw•ano i" <br />Q <br />NTt IM •ppp}ala pore rn IM line appva Id fan l of ter sn9bargmbar olMb Op morn CC" <br />E.pnpt. Norm FATCA remt.h, <br />ec <br />the L et we,ia v, Im <br />LLC the tLC a clasvlra as a Pnpro-mernper LLC Mel a oaregardM Iepr.1M tamer unlm IM Droner o Ina LLC o <br />cods Ofamyl N/A <br />L� <br />anomer, ed LLC mat a hipt dmegardfrom therodem Pver fur US fetax Pumoes OlneialO. as�npbnMmber LLC mat <br />4 ¢ <br />5 ovegWRIJ from the owner should cMiF In8 appppNte pox la Vie tan clasvfiWpn d ft owrlr <br />Otrw.lsae rnsMclarnlro <br />w...�.; R•.v.,r.•...e.m.. use <br />t5C <br />5 Addross (number, nrtm. end mL pr W.I. he I See rMMKIMs Anuerzer's name and apneas 10(Nena' <br />w <br />12921 166th Street <br />6 Gty. slate. No ZIP code <br />Cerritos. CA 90703 <br />7 LW account mhmper(51 here(oplona0 <br />Em <br />Taxpayer Identification Number (71N) <br />Enter your TIN in the appropiate box The TIN provided must match the darn* given On line I to avoid <br />. socal samey number <br />backup wlthhOIding. For indiaiduals. INs is generally your Social Security number (SSN). However, for a <br />resident aim. sole pmpriet r. or disregarded entity. see the instructions for Pan I. later. For Other <br />IITI ^,I <br />-C - <br />ve <br />entities. it is your employer identification number (EIN). If you do not haa number, see How to get a <br />TIN. later. <br />Or <br />Note: II the account IS In more than one name. see the Instruttlm5 for kre 1. Also sea Whet Name and <br />I EnpbW WwMWeHon number <br />Number To Give the Regfyesrvr for guidelines on whose number to enter. <br />F-T7 <br />FFT-T-777-1 <br />Under penalties of perjury. I cenily, that: <br />I The number shown on this form is my correct taxpayer identification number for I am waiting for a number to be Issued to me). and <br />2. 1 am not subject to backup wbhhokling because: (a)1 am exempt from backup.11th0ldirg, or (b) I have not been notified by the Internal Re name <br />Service (IRS) that I am subject to backup wrthhoklmg as a resu11 of a failure to report all artdmst o dmdends. of (c) the IRS has notified me Mat 1 am <br />no longer subject to backup withholding. and <br />3. 1 am a U.S. at¢en or other U.S. person (defined below): shd <br />a. The FATCA code(s) entered on this form (d any) indlCalkg that I am exempt from FATCA reporting Is Cones. <br />Carlifiratlon instructions. you must cross out Item 2 above it you have been notified by the IRS that you are currently WtaWt to backup withholding because <br />you have faded to repot all mtereri and drvIderws on your lax return. For real estate fransactibm. rtem 2 does not apply. For mortgage interest paid. <br />acquisition or aaandpnment of secured property, cancellation 01 debt, contributions to an Individual retirement arrangement (IRA). and generally payme ms <br />other than Interest and dividends. you are not required 10 sign the certification, but you must pmyxle your correct TIN See the instmclon5 for Pm It. later <br />syn.baa of <br />Us oerson a <br />General Instructions <br />Section references are to the Imemud Revenue Code unless ot1»nNse <br />noted <br />Future developments. For the latest informattin about developments <br />related to Form W-9 and Its instructions, Such as "i51ation eructed <br />after they were published. go to WWw.lrs.gpv/fpmW9. <br />Purpose of Form <br />An Individual or entity (Form W-9 requester) who Is required to He an <br />information return min the IRS must obtain your correct taxpayer <br />idmidbation number RIM which MY be You social security number <br />(SSM. individual taxpayer klemikalion number OTIN), adoption <br />taxpayer Identification number (ATIN), or employer xpentiriration number <br />(EIM. to repro on an tnfomatbn return the amount paid to you. or other <br />amount reportable on an information realm Examples of information <br />reams include, but are not landed to. the following. <br />• Form 1099-INT (interest earned or pad <br />Datel. UI'Ell l"11UAU <br />- Form 1099-Del (dividends. including those from stocks or mutual <br />funds) <br />• Form 1099-MISC Nanous types of income, prizes, awards. or gross <br />proceeds) <br />. Form 1099-B (stock or mutual fund sales and certain other <br />transactions by brokers) <br />• Form 1099-S (proceeds it= real estate transactions) <br />• Form 1099-K (merchant card and third party network transactions) <br />• Form 1098 Owme mortgage Interest). 1098-E (student ban interest). <br />1098-T (tuition) <br />• Form 1099-C (canceled debt) <br />• Form 1099-A (acqu6dron or abandonment of secured property) <br />Use Form W-9 only If you are a U.S. person Oncluding a resident <br />aim). to provide your correct TIN. <br />It you do Trot MWM Form W-9 to the requester mfh a TIN, you mght <br />be su0tect to backup miinholdbg. See What is backup withholding. <br />cute.. <br />Cat rub IonlX Four W-9fl W to -MISS <br />25C-46 <br />