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For;,, W"l Request for Taxpayer Give form to the
<br />iRsv.C.Ictobr 2007 requester. Do not
<br />rit01the Tenser"
<br />Identification Number and Certification
<br />send to the IRS.
<br />Internal Ilt,nen„Srrvicrs
<br />Name(as shown on your income tax return)
<br />Slr e...51ti 'cokti.,e r S._xv(ntc k--Let I UGC,
<br />ta Business name,if different from above
<br />CCheck appropriate box: Individual/Sole proprietor Corporation Partnership Exempt
<br />Limited liability company.Enter the tax classification(D=disregarded entity,C=corporation,P=partnership)
<br />P
<br />payee
<br />p 2 Other(see instructions) 1.-
<br />Ea c Address(number,street,and apt,or suite no.)Requester's name and address(optional)
<br />4143a kk..9.,NE-- a c
<br />dCity,state,and ZIP code
<br />Vt.c7@
<br />v I
<br />List account nurfther(s'i here(optional;)
<br />Co i
<br />P„ I Taxpayer Identification Number (TIN)
<br />Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid I Social security number
<br />backup withholding. For individuals, this is your social security number(SSN). However,for a resident I
<br />alien, sole proprietor, or disregarded entity,see the Part I instructions on page 3.For other entities, it is
<br />your employer identification number(EIN). If you do not have a number,see Now to get a TIN on page 3. or
<br />Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose E m"j2 yer identification number 1
<br />number to enter. T1 ; l ill z
<br />Part II Certification
<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. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal
<br />Revenue 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
<br />notified me that I am no longer subject to backup withholding,and
<br />3. I am a U.S.citizen or other U.S. person (defined-below).
<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
<br />withholding because you i-rave failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
<br />For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement
<br />arrangement:IRA), and generally, payments other than: interest and dividends,you are not required to sign the Certification, but you must
<br />provide your correct TIN. See the instructions on page 4.
<br />Sign Signature of
<br />Here U.S.person tr Date t • — t
<br />General Instructions Definition of a U.S. person. For federal tax purposes, you are
<br />considered a U.S.person if you are:
<br />Section references are to the Internal Revenue Code unless An individual who is a U.S.citizen or U.S. resident alien,
<br />otherwise noted.
<br />A partnership, corporation, company, or association created or
<br />Purpose of Form organized in the United States or under the laws of the United
<br />A person who is required to file an information return with the States,
<br />IRS must obtain your correct taxpayer identification number(TIN) • An estate(other than a foreign estate), or
<br />to report, for example, income paid to you, real estate A domestic trust(as defined in Regulations section
<br />transactions, mortgage interest you paid, acquisition or 301.7701-7).
<br />abandonment of secured property, cancellation of debt, or Special rules for partnerships.Partnerships that conduct a
<br />contributions you made to an IRA.trade or business in the United States are generally required to
<br />Use Form W-9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners' share of income
<br />resident alien),to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9
<br />requesting it (the:: requester) and, when applicable, to: been received, a partnership is required topresume thatIlesnotaei rec ed, p r,, N
<br />1. Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax.
<br />waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a
<br />partnership conducting a trade or business in the United States,
<br />2. Certify that you are not subject to backup withholding, or provide Form W-9 to the partnership to establish your U.S.
<br />3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership
<br />exempt payee. If applicable, you are also certifying that as a income.
<br />U.S. person,your allocable share of any partnership income from The person who gives Form W-9 to the partnership for
<br />a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding
<br />foreign partners' share of effectively connected income.on its allocable share of net income from the partnership
<br />Note. If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the
<br />request your TIN,you must use the requester's form if it is following cases:
<br />substantially similar to this Form W-9. The U.S. owner of a disregarded entity and not the entity,
<br />Cat.No.10231X Forte W-9 (Rev.10-2007)
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