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Form W'9 <br />Request for Taxpayer <br />Give Form tot he <br />(Rev. August 2018) <br />Identification Number and Certification <br />requester. Do <br />=Department of the Treasury <br />send to the IRS. <br />IRS. <br />ends Service <br />Name (as shown on your Income tax return) <br />Curd, Galindo & Smith, LLP <br />Business name /disregarded entity name, If different from above <br />N <br />m <br />Exempliom (see Instmotlons): <br />Check appropriate box for federal tax classification: <br />❑ Individual /sole proprietor ❑ C Corporellon ❑ $ Corporation ❑✓ Partnership ❑ Trust/estate, <br />c <br />Exempt payee code (It any) <br />F <br />❑ Limited liability company. Enter the tax classification (C.0 corporation, S.8 eorporetlon, P =partnership) ► <br />Exemption from FATCA reporting <br />code (if any) <br />U <br />❑ Cther (sae Instmotions)► <br />u <br />Address (number, street, end apt. or suite no.) <br />Requester's name and address (optional) <br />OM <br />301 E. Ocean Blvd Ste 1700 <br />w <br />N <br />City, state, and ZIP code <br />Lon Beach, CA 96601 <br />List account numbers) here (optional) <br />Tax aver Identification Number IN <br />Enter your TIN In the appropriate box, The TIN provided must match the name given art the "Name" this I Social security number <br />avoid backup withholding, Far Individuals, this is your social security number However, for e <br />sole or disregarded entity, sea the Bart I Instructions on n page 3. Fo r ether <br />- m -� <br />resident alien, proprietor, <br />re <br />entities. It is your eolover identification number (EINI. If you do not have a number, see He to pet e <br />m <br />TIN an page -3. <br />Note. If the account Is In more than one name, see the chart on page 4 for guidelines on whose I Employer ldenufication number <br />number to enter. 3 3 - Fo 78 F6 To77 7 F6 <br />Under penalties of perjury, I certify that: <br />1. 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 />3, 1 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 11 Brest and dividends on your tax ratyon. For real estate transactions, Item 2 does not apply, For mortgage <br />Interest paid, acquisition or aband� ant of secure operty, canoallat , h of debt, contributions to an Individual retirement arrangement (IRA), and <br />generally, payments other than ins , st and divide a, ou are not rsg)a red to sign the certification, but you must provide your correct TIN. See the <br />Vad" Signature of <br />Here I W.S. person 0' _ Date 0- <br />General Instruction <br />Section refermoas are to the Interns Revenue Cade unless otherwise noted. <br />Future developments. The IRS has created a page on IRS.gov for Information <br />about Form W -9, at www.Os.gov /w9. Information about any future developments <br />affecting Form W -9 (such as legislation enacted afterwa release tt) will be panted <br />on that page. <br />Purpose of Form <br />A person who Is requhed to file an Information return with the IRS must obtain your <br />correct taxpayer Identification number (YIN) to report, for example, Income paid to <br />you, payments made to you in settlement of payment card and third parry network <br />transactions, real estate transactlons, 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, person (including a resident alien), to <br />provide your comsat TIN to the parson requesting it (the requester) and, when <br />applicable, to: <br />1. Certify that the TIN you are giving Is correct (or you are waiting for a number <br />to be Issuod), <br />2. Certify that you are not subject to backup withholding, or <br />8. Claim exemption from backup withholding If you are a U.S, exempt payee. If <br />If I t i U9 allocable share of <br />withholding tax on foreign partners' share of aITactively connected Income, and <br />4. Certify that FATCA cadets) entered on this form (If any) indicating that you are <br />exempt from the FATCA raponing, la correct, <br />Note. If you are a U.B. person and a requester gives you a form other than Form <br />W -9 to request your TIN, you must use the requester a fomr it It is substantlally <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 organlzed In the <br />United States or under the laws of the United States, <br />• An estate (other than a foreign estate), or <br />• Adomestic 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 States are generally required to pay a withholding tax under section <br />1446 on any forolgn partners'share of effectively connected taxable Income from <br />such business. Further, in certain cases where a Form W -9 has not been resolved, <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 buslness In the <br />United States, provide Form W -9 to the partnership to establish your U.S. status <br />and avoid section 1446 withholding on your share of partnership Income, <br />applloabla, you are a so sort y ng 1 Is a$ a . person, your <br />any partnership Income from a U.& trade or business Is not subject to the <br />Cat. No. 10231 X Form W-9 (Rev. 8 -2013) <br />