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<br />W-9 - '
<br />orm Request fur Taxpayer Give form to the
<br />(R¢v. March 1934( Identification Number and Certification
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<br /> Name (ll lolnt names. 1151 lust one pr[le the name of the person or entity wnase number you enter iR Part I below See inslrudlons on page Z it ywr name Aas Nanyed.l
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<br />FOUR CORNERS MATERIALS, INC.
<br /> Clry, state. ana ZIP cone P.O. BOX 16
<br /> FARMINGTON NEW MEXICO 8749
<br /> Tax ayer Identification Number IN List account numbensl here (optnnall
<br />Enter your TIN in the appropriate box. For
<br />individuals, this is your social security number Soda) security number
<br />(SSN). For sole proprietors, see the instructions
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<br />identification number (EIN). If you do not have a oFl For Payees Exempt Fmm Backup
<br />number, see How To Get a TIN below. Withholding (See Part II
<br />Note: 1l fhe account is in more than one name Empoy
<br />r Idenunwnon number
<br />e instructions on page 2)
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<br />see the chart on page 2 /or guidelines on whose ~ Y
<br />number to enter.
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<br />9-001
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this lone is my correct taxpayer identification number (or I am waiting for a number to De 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 riot been notifed by the Internal
<br />Revenue Service that I am subject to backup withholding as a result at a failure to report all interest or dividends. or (c) the IRS nos notified
<br />me that 1 am no bnger subject to backup. withholding.
<br />Cartifieation Instructions.-You must cross out item 2 above a you have been notified by the IRS that you are currently subject to backup
<br />withholding because of undereporting Interest or dividends on your tax return. Fw real estate transactions, item 2 does not apply. For mortgage
<br />interest paid. the acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement
<br />(IRy, and gerieraly payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct
<br />TIN. (Also see Part III instructions on page 2.)
<br />Sign
<br />Here 5gnature - Date -
<br />Section rte/erences are to the Infernal
<br />Revenue Code.
<br />Purpose o1 Form.-A person who.is
<br />required to lile ~an information return with
<br />the IRS must get your correct TIN to report
<br />income paid ~[o you, real estate
<br />transactions, mortgage interest you paid,
<br />the acquisition or abandonment of secured
<br />property, ccncetla;ion of debt, or
<br />contributions you made to an IRA. Use
<br />Forth W-9 to give your correct TIN to the
<br />requester (the person requesting your TIN)
<br />and, when aPPlicable, (1) to certify the TIN
<br />you are giving is correct (or you are waiting
<br />for a number to be issued), (2) to certify
<br />you are not subject to backup withholding,
<br />or (3) to claim exemption from backup
<br />withholding it you are an exempt payee.
<br />Giving your correct 71N and making the
<br />appropriate certifications will prevent
<br />certain payments from being subject to
<br />backup withholding.
<br />Note: 11 a requester gives you a loan other
<br />than a W-9 fo request your TlN, you must
<br />use the requester's loan it it is substantially
<br />similar to this Form W-9.
<br />What Is Backup WithholdingT-Persons
<br />making certain payments to you must
<br />withhold and pay to the IRS 31 Yo of such
<br />payments under. certain conditions. This is
<br />called "backup withholding." Payments
<br />that could be subject to backup
<br />withholding include interest, dividends,
<br />broker and barter exchange transactions,
<br />rents, royalties, nonemployee pay, and
<br />certain payments from fishing boat
<br />operators. Real estate transactions are not
<br />subject to backup withholding.
<br />If you give the requester your correct
<br />TIN, make the proper certifications, and
<br />report all your taxable interest and
<br />dividends on your tax return, your
<br />payments will not be subject to backup
<br />withholding. Payments you receive will be
<br />subject to backup withholding it:
<br />1. You do not furnish your TIN to the
<br />requester, or
<br />2. The IRS tells the requester that you
<br />furnished an incorrect TIN, or
<br />3. The IRS tells you that you are subject
<br />to backup withholding because you did not
<br />report all your interest and dividends on
<br />your tax return (tor reportable interest and
<br />dividends only), or
<br />4. Vou da not certiy to the requester
<br />that you are not subject to backup
<br />withholding under 3 above (for reportable
<br />interest and tlividend accounts opened
<br />aher 1983 only), or
<br />5. You do not certify your TIfV. See the
<br />Part III instructions for exceptions..
<br />Certain payees and payments are
<br />exempt from backup withholding and
<br />information reporting. See the Part II
<br />instructions and the separate Instructions
<br />for the Requester of Forth W-9.
<br />How To Get a TIN. If you do not have a
<br />TIN, apply (or one immediately. To apply,
<br />get Form SS-5, Application for a Social
<br />Security Number Card (tor individuals),
<br />from your local office of the Social Security
<br />Administration, or Forth Ss-4, Application
<br />for Employer Identification Number (for
<br />businesses and all other entities), from
<br />your local IRS oKce.
<br />If you do not have a TIN, write "Applied
<br />For" in the space for the TIN in Part I, sign
<br />and date the form, and give it to the
<br />requester. Generally, you will then have 60
<br />days to get a TIN and give it to the
<br />requester. If the requester does not receive
<br />your TIN within 60 days, backup
<br />withholding, it applicable, will begin and
<br />continue until you furnish your TIN.
<br />Cat. No. 102atx ~ Form W-9 (Rev 3~9a1
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