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i4 <br /> Form W-9(Rev.10-2007) Page 2 ' <br /> ® The U.S. grantor or other owner of a grantor trust and not the 4.The IRS tells you that you are subject to backup .` <br /> trust, and withholding because you did not report all your interest and <br /> ® The U.S.trust(other than a grantor trust) and not the dividends on your tax return(for reportable interest and <br /> beneficiaries of the trust. dividends only), or <br /> Foreign person. If you are a foreign person, do not use Form 5.You do not certify to the requester that you are not subject <br /> W-9. Instead, use the appropriate Form W-8 (see Publication to backup withholding under 4 above(for reportable interest and <br /> 515,Withholding of Tax on Nonresident Aliens and Foreign dividend accounts opened after 1983 only). <br /> Entities). Certain payees and payments are exempt from backup <br /> Nonresident alien who becomes a resident alien.Generally, withholding. See the instructions below and the separate <br /> only a nonresident alien individual may use the terms of a tax Instructions for the Requester of Form W 9. <br /> treaty to reduce or eliminate U.S.tax on certain types of income. Also see Special rules for partnerships on page 1. <br /> However, most tax treaties contain a provision known as a Penalties <br /> "saving clause." Exceptions specified in the saving clause may <br /> permit an exemption from tax to continue for certain types of Failure to furnish TIN. If you fail to furnish your correct TIN to a <br /> income even after the payee has otherwise become a U.S. requester,you are subject to a penalty of$50 for each such <br /> resident alien for tax purposes. failure unless your failure is due to reasonable cause and not to <br /> If you are a U.S. resident alien who is relying on an exception willful neglect. <br /> contained in the saving clause of a tax treaty to claim an Civil penalty for false information with respect to <br /> exemption from U.S.tax on certain types of income,you must withholding. If you make a false statement with no reasonable <br /> attach a statement to Form W-9 that specifies the following five basis that results in no backup withholding, you are subject to a <br /> items: $500 penalty. <br /> 1.The treaty country. Generally,this must be the same treaty Criminal penalty for falsifying information.Willfully falsifying <br /> under which you claimed exemption from tax as a nonresident certifications or affirmations may subject you to criminal <br /> alien. penalties including fines and/or imprisonment. <br /> 2.The treaty article addressing the income. Misuse of TINs. If the requester discloses or uses TINs in <br /> 3.The article number(or location) in the tax treaty that violation of federal law, the requester may be subject to civil and <br /> contains the saving clause and its exceptions. criminal penalties. <br /> 4.The type and amount of income that qualifies for the Specific Instructionsexemption from tax. <br /> 5. Sufficient facts to justify the exemption from tax under the Name <br /> terms of the treaty article. <br /> Example. Article 20 of the U.S. China income tax treaty allows If you are an individual,you must generally enter the name <br /> shown on your income tax return. However, if you have changed <br /> an exemption from tax for scholarship income received by a <br /> Chinese student temporarily present in the United States. Under your last name, for instance, due to marriage without informing <br /> U.S. he Social Security Administration of the name change, enter <br /> .S. law, this student will become a resident alien for tax <br /> your first name, the last name shown on your social security <br /> purposes if his or her stay in the United States exceeds 5 <br /> calendar years. However, paragraph 2 of the first Protocol to the card, and your new last name. <br /> U.S.-China treaty(dated April 30, 1984)allows the provisions of If the account is in joint names, list first, and then circle,the <br /> Article 20 to continue to apply even after the Chinese student name of the person or entity whose number you entered in Part I <br /> becomes a resident alien of the United States. A Chinese of the form. <br /> student who qualifies for this exception (under paragraph 2 of Sole proprietor. Enter your individual name as shown on your <br /> the first protocol) and is relying on this exception to claim an income tax return on the "Name" line. You may enter your <br /> exemption from tax on his or her scholarship or fellowship business,trade, or"doing business as(DBA)" name on the <br /> income would attach to Form W-9 a statement that includes the 'Business name" line. <br /> information described above to support that exemption. <br /> If you are a nonresident alien or a foreign entity not subject to Limited liability company(LLC).Check the"Limited liability <br /> withholding, give the requester the appropriate company" box only and enter the appropriate code for the tax <br /> backupclassification ("D"for disregarded entity, "C"for corporation, "P" <br /> completed withholding, <br /> P Form W-8. for partnership) in the space provided. <br /> What is backup withholding?Persons making certain payments For a single-member LLC(including a foreign LLC with a <br /> to you must under certain conditions withhold and pay to the domestic owner)that is disregarded as an entity separate from <br /> IRS 28% of such payments.This is called "backup withholding." its owner under Regulations section 301.7701-3,enter the <br /> Payments that may be subject to backup withholding include owner's name on the "Name"line. Enter the LLC's name on the <br /> interest,tax-exempt interest, dividends, broker and barter "Business name" line. <br /> exchange transactions, rents, royalties, nonemployee pay, and <br /> certain payments from fishing boat operators. Real estate For an LLC classified as a partnership or a corporation, enter <br /> transactions are not subject to backup withholding. the LLC's name on the"Name" line and any business,trade, or <br /> You will not be subject to backup withholding on payments DBA name on the"Business name" line. <br /> you receive if you give the requester your correct TIN, make the Other entities. Enter your business name as shown on required <br /> proper certifications, and report all your taxable interest and federal tax documents on the "Name" line.This name should <br /> dividends on your tax return. match the name shown on the charter or other legal document <br /> creating the entity.You may enter any business,trade, or DBA <br /> Payments you receive will be subject to backup name on the "Business name"line. <br /> withholding if: Note.You are requested to check the appropriate box for your <br /> 1.You do not furnish your TIN to the requester, status (individual/sole proprietor, corporation, etc.). <br /> 2. You do not certify your TIN when required (see the Part II Exempt Payee <br /> instructions on page 3 for details), <br /> 3.The IRS tells the requester that you furnished an incorrect If you are exempt from backup withholding, enter your name as <br /> TIN, described above and check the appropriate box for your status, <br /> then check the "Exempt payee" box in the line following the <br /> business name, sign and date the form. <br /> 104 <br />