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! ~ III IIIIIIII IIIII III
<br />~~ 999
<br />Form ^.
<br />Request for Taxpayer Give form to the
<br />IRew March 79aa) Identification Number and Certification requester Do NOT
<br />o.v+nrt.rtl oI iti rw,,,y send to the IRS.
<br />mlr,r.ei a....,r,e 5ente
<br /> Name 111 pint names, list first an0 Prcle the name of me Denson pr entity whose number you enter in Tan I below see inpructlons en pays 1 it year acme ha, raaeyea.l
<br />
<br />B
<br />Business name (501e proprietors see inswctions on page 2.1
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<br />y Please deck appropriate boa: ~ Individualr5ole proPnetor ~ Corppation ~ Partnership ~ Other - ,, ,,,,,,,,,,,,,,, ,,,,,, ,,,,,, ,,,
<br />°
<br />n Mdress Number. street, and apt. or suite no.l Requester's name antl adorers lopeonaq
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<br />a
<br />FOUR CORNERS MATERIALS, INC.
<br /> City. state. and ZIP code P.O. BOX 16
<br /> FARMINGTON NEW MEXICO 8749
<br /> Tax ayer IdentiTication Number IN List account numbe/ts) here lopt~onaq
<br />Enter your T1N in the appropriate box. For
<br />individuals, this is your social security number soda) security rwmber
<br />(SSN). For sole proprietors, see the instructions
<br />
<br />on page 2. For other entities, it is your employer
<br />identification number (EIN). It you do not have a ~R For Payees Exempt Fmm Backup
<br />number, see How To Get a TIN below. Withholding (See Part II
<br />Note: I/ the account i5 in more than one name E^Player Idmtinwtlon number instruMions on page 2)
<br />,
<br />see the chaA on page 2 for guidelines on whose
<br />number to enter.
<br />Certification
<br />9-CO1
<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 wtthholding because: (a) I am exempt horn backup withholding, or (b) I have not been notified by the Internal
<br />Revenue Service 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
<br />me that I am no longer subject to backup,wilhholding.
<br />Certification Instructions.-You must cross out item 2 above k you have been notified by the IRS that you are curtently subject to backup
<br />withholding because of undereporting interest or dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage
<br />Interest paid. the acquisition or abandonment of secured property. cancellation of tlebt, contributions to an indrvitlual retirement artargement
<br />(IRpa, and generally payments other than interest and divitlends, you are not required to sign the Certification, but you must provide your coned
<br />TIN. (Also see Part 111 instructions on page 2.)
<br />Sign
<br />Mere Signature - Date -
<br />Section re/erences an: to the Internal
<br />Revenue Code.
<br />Purpose of Form.-A person who is
<br />required to file an information return with
<br />the IRS must get your cored 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. c~^cetlc;ion of debt, or
<br />contributions you made to an IRA. Use
<br />Form W9 to give your coned 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 (0) to claim exemption from backup
<br />withholding d you are an exempt payee.
<br />Giving your coned TIN and making the
<br />appropriate certifications will prevent
<br />certain payments from being subject to
<br />backup withholding.
<br />Note: Il a requester gives you a form other
<br />than a W-9 fo request your TIN, you must
<br />use the requester's form it if is substantially
<br />similar ro this Form W-9.
<br />What Is Backup Withholding?-Persons
<br />making certain payments to you must
<br />withhold and pay to the IRS 314', 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 il:
<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 {RS fells 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 (for reportable
<br />interest and dividend accounts opened
<br />after 1963 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 separete Instructions
<br />for the Requester of Form W-9.
<br />How To Get aTIN.-If you do not have a
<br />TIN, apply (or one immediately. To apply,
<br />get Forth SS-5, Application for a Social
<br />Security Number Card (for individuals),
<br />from your local office of the Social Security
<br />Administration, or Form SS-4, Application
<br />for Employer Identification Number (for
<br />businesses and all other entitles), 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 Part I, sign
<br />and date the form, antl 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, if applicable. will begin and
<br />continue until you furnish your TIN. ,
<br />Cat. No. t027tX ~ Forth W-9 tae. 7~9a1
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