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<br />® Request for Taxpayer
<br />Give worm to the
<br />lecember 2014) Identification dumber and Certification
<br />requester. ®o not
<br />nenl of the Treasury
<br />send to the IRS,
<br />Revenue Service
<br />1 Name tas shown on your Income tax return). Name Is required on this line; do not leave this line blank.
<br />Rinoon Consultants, Inc.
<br />2 Business name /dlsragarded entity name, If different from above
<br />3. Check appropriate box for federal tax clasalficatlon; check only one of the following seven boxes:
<br />4 Exemptions (codes apply only to
<br />❑ Individual /sole proprietor or [] C corporation IZ✓ S Corporation ❑ Partnership El Trust/estate
<br />carten entitles, not Individuals; see
<br />Inelections on page 3):
<br />single-member ember LLC
<br />[] Limited liability company. Enter the tax classification (C=C corporation, 9=S corporation, p= parGnarshlp) P
<br />Exempt payee code tit any)
<br />Note. For n single- member LLC that Is disregarded, do not check LLC, check the appropdars box in the line above for
<br />Exemption from FATCA reporting
<br />the tax classification of the single- member owner,
<br />code (If any)
<br />Q Other (see Instructions) b
<br />(Mall• +h,- mnw,ls n,ennemee ounmrz ne US)
<br />6 Address (number, street, and apt, or suite nc.)
<br />Requester's name and address (optional)
<br />190 N. Ashwood Avenue
<br />S City, state, and ZIP code
<br />Ventura, CA 93003
<br />7 List account number(6) hero (optional)
<br />lax aver Identification IUtamber (TIPI) .__.
<br />Enter your TIN in the appropriate box. TheTIN provided must matoh the name given online t to avoid
<br />backup. withholding. For Individuals, this is generally your social security number (SSN). However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3, for other
<br />entities, It Is your employer Identification number EN). If you do not have a number, see Haw to gat a
<br />TIN on page 3.
<br />Note, If the account is in more than one name, seethe Insh uotions for line 1 and the chart on page 4 for
<br />guidelines on whose number to enter.
<br />Social security number )
<br />®
<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 (o) 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 coddle) entered on this form (if any) Indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructions. You must cross out list 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 interest and dividends, you. are not required to sign the certification, but you must provide your correct TIN. See the
<br />srgul Signature of y t
<br />Here U.S.personk : ; ,, _ 1� ' v "O Date I,
<br />General Instructions
<br />Section references are to the Internal Revenue Code unlas's otherwise noted.
<br />Future developments. Intel 'motion about developments affecting Form W -9 (such
<br />as legislation enacted after we release In Is at wwwAregov/Iw9.
<br />Purpose of Form
<br />An individual or entity (Form W -9 requester) who Is required to file an Information
<br />return with the IRS must obtain your correct taxpayer identification number (TIN)
<br />which may be your social security number ISSN), Individual taxpayer identlNation
<br />number(ITIN) adoption taxpayer Identification number(AT(N), or employer
<br />Identldcation number(EIN), to report on an Information return the amount paid to
<br />you, or other amount reportable on an Information return, Examples of Information
<br />returns Include, but are not limited to, the following;
<br />• Form 1099 -1 NT (interest earned or paid)
<br />• Farm 1999 -DIV (dividends, including those from stocks or mutual funds)
<br />• Form 1099 -MISO (various types of Income, prizes, awards, or gross proceeds)
<br />• Form 1996 -0 (stoolk or mutual fund sales and certain other transactions by
<br />brokers)
<br />• Form 1099 -5 (proceeds from real estate transactions)
<br />• Form 1099 -K (merchant card and third party network b ansactions)
<br />• Form 1086 (home mortgage Interest), 1098-r (student loan interest), 10984
<br />(tuition)
<br />•. Form f 092 -0 (canceled debt)
<br />• Form 1099 -A (acquisition or abandonment of secured property)
<br />Use Form W -9 only If you are a U,S, person (Including a resident alien), to
<br />provide your correct TIN.
<br />If you do not ratum Form W -9 to the requester exth a TIN, you might be subjoot
<br />to backup withhotding, See What is backup wlthholding? on page 2.
<br />By signing lire filled- outform, you:
<br />1, Certify that the TIN you are giving Is correct (or you are welting for a number
<br />to be Issued),
<br />2. Certify that you are not subject to backup withholding, or
<br />3. Clain exemption from backup withholding If you are a U.S, exempt payee. If
<br />applicable, you are also codifying 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 Via
<br />withholding tax on foreign partners' share of effectively connected Incoino, and
<br />4. Certify that FATCA code(s) entered on this form (It any) Indicating that you are
<br />exempt from the FATCA reporting, Is comet, Son What Is FATCA reporting? on
<br />page 2 for further Information.
<br />Cat. No, 10231x Form W -9 (Rev. 12-20141
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