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)
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