Laserfiche WebLink
Form <br />�M9 <br />Request for Taxpayer <br />Give Form to the <br />(Rev. August2073) <br />Identification Number and Certification <br />resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other <br />requester. Do not <br />send to the IRS. <br />Depanment <br />Internal <br />of the Treasury <br />Revenue Service <br />TM <br />_ m _ <br />entitles, It Is your employer Identification number (EIN). if you do not have a number, see How to get a <br />Name (as shown on your income tax return) <br />Cf <br />Business name/disregarded entity name, If different from above <br />Note. If the account is In more than one name, see the chart on page 4 for guidelines on whose <br />m <br />Swl« rct�1C INC—fir (t�fr INC. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Under penalties of perjury, I certify that: <br />The number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be Issued to me), and <br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue <br />Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am <br />no longer subject to backup withholding, and <br />S. I am a U.S. citizen or other U.S, person (defined below), and <br />4. The FATCA code(s) entered on this form (If any) Indicating that I am exempt from FATCA reporting Is correct. <br />Certification instructions. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding <br />because you have failed to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage <br />Interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and <br />generally, payments other than interesI nd dividends, you are not required to sign the certification, but you must provide your correct TIN. See the <br />Instructions on Dace 3. <br />Sign Signature of <br />Here I U.S.person► Dole <br />General Instructions <br />Section references are to the Internal Revenue Code unless otherwise noted. <br />Future developments. The IRS has created a page on IRS.gov for information <br />about Form W-9, at www.lrs.gov/w9. Information about any future developments <br />affecting Form W-9 (such as legislation enacted after we release It) will be posted <br />on that page. <br />Purpose of Form <br />A person who is required to file an Information return with the IRS must obtain your <br />correct taxpayer identification number (TIN) to report, for example, Income paid to <br />you, payments made to you in settlement of payment card and third party network <br />transactions, real estate transactions, mortgage interest you paid, acquisition or <br />abandonment of secured property, cancellation of debt, or contributions you made <br />to an IRA, <br />Use Form W-9 only if you are a U.S. parson (Including a resident alien), to <br />provide your correct TIN to the person requesting It (the requester) and, when <br />applicable, to: <br />1. Certify that the TIN you are giving is correct (oryou are waiting for a number <br />to be issued), <br />2. Certify that you are not subject to backup withholding, or <br />3. Claim exemption from backup withholding If you are a U.S. exempt payee. If <br />applicable, you are also certifying that as a U.S. person, your allocable share of <br />any partnership Income from a U.S, trade or business Is not subject to the <br />withholding tax on foreign partners' share of effectively connected income, and <br />4. Certify that FATCA sepals) entered on this form (if any) Indicating that you are <br />exempt from the FATCA reporting, is correct. <br />Note. If you are a U.S. person and a requester gives you a form other than Form <br />W-9 to request your TIN, you must use the requester's form If it is substantially <br />similar to this Form W-9. <br />Definition of a U.S. person. For federal tax purposes, you are considered a U.S. <br />person if you are: <br />• An individual who is a U.S. citizen or U.S. resident alien, <br />• A partnership, corporation, company, or association created or organized in the <br />United States or under the laws of the United States, <br />• An estate (other than a foreign estate), or <br />• A domestic trust (as defined in Regulations section 301.7701-7). <br />Special rules for partnerships. Partnerships that conduct a trade or business in <br />the United Stales are generally required to pay a withholding tax under section <br />1446 on any foreign partners' share of effectively connected taxable Income from <br />such business. Further, in certain cases where a Forth W-9 has not been received, <br />the rules under section 1446 require a partnership to presume that a partner is a <br />foreign person, and pay the section 1446 withholding tax. Therefore, if you are a <br />U.S. person that is a partner In a partnership conducting a trade or business in rho <br />United States, provide Form W-9 to the partnership to establish your US, status <br />and avoid section 1446 withholding on your share of partnership Income. <br />Cat. No. 10231X Form W-9 (Rev. 8-2013) <br />