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<br />rpm, W-9 -
<br />Request for Taxpayer -
<br />Give form to the
<br />'R`" '"ar~"~°' Identification Number and Certi fication
<br />requester. Do NOT
<br />bro+nn,.nr er iM )wary send to the IRS.
<br />Mlerul Revenue $en,ce
<br /> Name 111 pmt names, list hrsl anO urcle the name of the Derson or ennry whose number you enter in Pan I belpw Ser instrvcllans on page 2 it yosr name aaa ahantrtl.)
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<br />
<br />` Business name (sole propr,etors see ,nsuucoons on page 2.)
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<br />y Please Ueck approprgte box: ~ Indivxlual/Sole propneta ~ Corpo2lion ~ Partnership ~ Otner -
<br />... .............................
<br />~ Address humber, street, and apt. or swte no.) Requester's name ono aodress loptanaq
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<br />FOUR CORNERS MATERIALS, INC.
<br /> City, stale, arq PP code P . 0. BOX 16
<br /> FARMINGTON NEW MEXICO 8749
<br /> Taxpayer Identification Number IN List account numbens) here (aptanall
<br />Enter your TIN in the appropriate bdx. For
<br />individuals. this is your social security number Sorual security number
<br />(SSN). For sole proprietors, see the instructions
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<br />on page
<br />or other ent
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<br />t
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<br />s your emp
<br />oyer
<br />es,
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<br />identification~number (EIN). It you do not have a Dp For Pa ees Exem t From Backu
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<br />number, see How To Get a TIN below. Withholding (See Part II
<br />Note: f! the account is in more than one name Employer Idenenntion number instructions on page 2)
<br />,
<br />see the chart on page 2 /or guidelines on whose
<br />number to enter.
<br />Cert~cation
<br />9-001
<br />Under penattbs of perjury, 1 certify that:
<br />t. The number shown on this form is my cornett 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 horn backup withholding, or ro) 1 have not been notified by the Internal
<br />Revenue Service that I am subject to backup withholding as a result of a failure to mport all interest or dividends, or (e) the IRS has notified
<br />me that 1 am no longer subject to backup, withholding.
<br />Cartifleation lnstruetions.-VOU must cross out item 2 above it you have been notified by the IRS that you are currently subject to backup
<br />withholding because of undeneporting 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, conidbutions to an indiwtlual retirement arrangement
<br />(IRa.), and generally payments other than interest and dividends, you are not required to sign the Certiliwtion, but you must provide your conect
<br />TIN. (Also see Part III instructions on page 2.)
<br />Sign
<br />Here Signature - Date -
<br />Section re/erences are to the Internal
<br />Revenue Code.
<br />Purpose of Form.-A person who is
<br />requireii to fle an information return with
<br />ihe IRS must get your coned TiN to report
<br />income paid to you, real estate
<br />transactions, mortgage interest you paid.
<br />the acquisition or abandonment of secured
<br />property, ccncellation of debt, or
<br />contributions you made to an IRA. Use
<br />Form W-9 to give your conect TIN to the
<br />requester (the person requesting your TIN)
<br />and, when applicable, (1) to certify the T1N
<br />you are giving is cornett (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 A you are an exempt payee-
<br />Giving your conect TIN and making the
<br />appropriate certifications will prevent
<br />certain Payments from being subject to
<br />backup withholding.
<br />Note: II a requester gives you a /orm other
<br />than a W~9 fo request your TIN, you must
<br />use the requester's loan i! it is substantially
<br />similar ro thrs Form W-9.
<br />What Is Backup Withholding7-Persons
<br />making certain payments to you must
<br />withhold and pay to the IRS 31 % 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 Iron 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 />7. You do not famish your TIN to the
<br />requester, or
<br />2. The IRS tells the requester that you
<br />famished 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 (for reportable interest and
<br />dividends only), or
<br />4. You do not certify to the requester
<br />that you are not subject to backup
<br />withholding under 3 above (tor reportable
<br />Cal No. 1027tX
<br />interest and dividend accounts opened
<br />after 1983 only), or
<br />5. You do not certify your TIN. 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 Aequester of Form W-9.
<br />How To Get aTIN.-If you do not have. a
<br />TIN, apply for gne immediately. To apply,
<br />get Form $S-5, Application for a Social
<br />Security Number Card (for individuals),
<br />from your Iocai office of the Social Security
<br />Administration, or Fonn SS-4, Application
<br />for Employer Identification Number (for
<br />businesses and all other entities), from
<br />your local IRS office.
<br />If you do not have a TIN, write "Applied
<br />For" in the space for the TIN in Pan I, sign
<br />and date the form, and give it tq 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 tloes not receive
<br />your TIN within 60 days, backup
<br />withholding, it applicable, will begin and
<br />continue until you furnish your TIN. ~
<br />Forn+ W-9 IRev. 3-9s1
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