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Form W-9(Rev.12-2014) Page 2 <br /> Note.If you are a U.S.person and a requester gives you a form other than Form 3.The IRS tells the requester that you furnished an incorrect TIN, <br /> W-9 to request your TIN,you must use the requester's form if it is substantially 4.The IRS tells you that you are subject to backup withholding because you did <br /> similar to this Form W-9. not report all your interest and dividends on your tax return(for reportable interest <br /> Definition of a U.S.person.For federal tax purposes,you are considered a U.S. and dividends only),or <br /> person if you are: 5.You do not certify to the requester that you are not subject to backup <br /> •An individual who is a U.S.citizen or U.S.resident alien; withholding under 4 above(for reportable interest and dividend accounts opened <br /> •A partnership,corporation,company,or association created or organized in the after 1983 only). <br /> United States or under the laws of the United States; Certain payees and payments are exempt from backup withholding.See Exempt <br /> •An estate(other than a foreign estate);or payee code on page 3 and the separate Instructions for the Requester of Form <br /> W-9 for more information. <br /> •A domestic trust(as defined in Regulations section 301.7701-7). Also see Special rules for partnerships above. <br /> Special rules for partnerships.Partnerships that conduct a trade or business in <br /> the United States are generally required to pay a withholding tax under section What is FATCA reporting? <br /> 1446 on any foreign partners'share of effectively connected taxable income from <br /> such business.Further,in certain cases where a Form W-9 has not been received, The Foreign Account Tax Compliance Act(FATCA)requires a participating foreign <br /> the rules under section 1446 require a partnership to presume that a partner is a financial institution to report all United States account holders that are specified <br /> foreign person,and pay the section 1446 withholding tax.Therefore,if you are a United States persons.Certain payees are exempt from FATCA reporting.See <br /> U.S.person that is a partner in a partnership conducting a trade or business in the Exemption from FATCA reporting code on page 3 and the Instructions for the <br /> United States,provide Form W-9 to the partnership to establish your U.S.status Requester of Form W-9 for more information. <br /> and avoid section 1446 withholding on your share of partnership income. <br /> In the cases below,the following person must give Form W-9 to the partnership Updating Your Information <br /> for purposes of establishing its U.S.status and avoiding withholding on its You must provide updated information to any person to whom you claimed to be <br /> allocable share of net income from the partnership conducting a trade or business an exempt payee if you are no longer an exempt payee and anticipate receiving <br /> in the United States: reportable payments in the future from this person.For example,you may need to <br /> •In the case of a disregarded entity with a U.S.owner,the U.S.owner of the provide updated information if you are a C corporation that elects to be an S <br /> disregarded entity and not the entity; corporation,or if you no longer are tax exempt.In addition,you must furnish a new <br /> Form W-9 if the name or TIN changes for the account;for example,if the grantor <br /> •In the case of a grantor trust with a U.S.grantor or other U.S.owner,generally, of a grantor trust dies. <br /> the U.S.grantor or other U.S.owner of the grantor trust and not the trust;and <br /> •In the case of a U.S.trust(other than a grantor trust),the U.S.trust(other than a Penalties <br /> grantor trust)and not the beneficiaries of the trust. Failure to furnish TIN.If you fail to furnish your correct TIN to a requester,you are <br /> Foreign person.If you are a foreign person or the U.S.branch of a foreign bank subject to a penalty of$50 for each such failure unless your failure is due to <br /> that has elected to be treated as a U.S.person,do not use Form W-9.Instead,use reasonable cause and not to willful neglect. <br /> the appropriate Form W-8 or Form 8233(see Publication 515,Withholding of Tax Civil penalty for false information with respect to withholding.If you make a <br /> on Nonresident Aliens and Foreign Entities). false statement with no reasonable basis that results in no backup withholding, <br /> Nonresident alien who becomes a resident alien.Generally,only a nonresident you are subject to a$500 penalty. <br /> alien individual may use the terms of a tax treaty to reduce or eliminate U.S.tax on Criminal penalty for falsifying information.Willfully falsifying certifications or <br /> certain types of income.However,most tax treaties contain a provision known as affirmations may subject you to criminal penalties including fines and/or <br /> a"saving clause."Exceptions specified in the saving clause may permit an imprisonment. <br /> exemption from tax to continue for certain types of income even after the payee <br /> has otherwise become a U.S.resident alien for tax purposes. Misuse of TINs.If the requester discloses or uses TINs in violation of federal law, <br /> If you are a U.S.resident alien who is relying on an exception contained in the the requester may be subject to civil and criminal penalties. <br /> saving clause of a tax treaty to claim an exemption from U.S.tax on certain types <br /> of income,you must attach a statement to Form W-9 that specifies the following Specific Instructions <br /> five items: <br /> 1.The treaty country.Generally,this must be the same treaty under which you Line 1 <br /> claimed exemption from tax as a nonresident alien. You must enter one of the following on this line;do not leave this line blank.The <br /> 2.The treaty article addressing the income. name should match the name on your tax return. <br /> 3.The article number(or location)in the tax treaty that contains the saving If this Form W-9 is for a joint account,list first,and then circle,the name of the <br /> clause and its exceptions. person or entity whose number you entered in Part I of Form W-9. <br /> 4.The type and amount of income that qualifies for the exemption from tax. a. Individual.Generally,enter the name shown on your tax return.If you have <br /> changed your last name without informing the Social Security Administration(SSA) <br /> 5.Sufficient facts to justify the exemption from tax under the terms of the treaty of the name change,enter your first name,the last name as shown on your social <br /> article. security card,and your new last name. <br /> Example.Article 20 of the U.S.-China income tax treaty allows an exemption Note.ITIN applicant:Enter your individual name as it was entered on your Form <br /> from tax for scholarship income received by a Chinese student temporarily present W-7 application,line 1 a.This should also be the same as the name you entered on <br /> in the United States.Under U.S.law,this student will become a resident alien for the Form 1040/1040A/1040EZ you filed with your application. <br /> tax purposes if his or her stay in the United States exceeds 5 calendar years. <br /> However,paragraph 2 of the first Protocol to the U.S.-China treaty(dated April 30, b. Sole proprietor or single-member LLC.Enter your individual name as <br /> 1984)allows the provisions of Article 20 to continue to apply even after the shown on your 1040/1040A/1040EZ on line 1.You may enter your business,trade, <br /> Chinese student becomes a resident alien of the United States.A Chinese student or"doing business as"(DBA)name on line 2. <br /> who qualifies for this exception(under paragraph 2 of the first protocol)and is c. Partnership,LLC that is not a single-member LLC,C Corporation,or S <br /> relying on this exception to claim an exemption from tax on his or her scholarship Corporation.Enter the entity's name as shown on the entity's tax return on line 1 <br /> or fellowship income would attach to Form W-9 a statement that includes the and any business,trade,or DBA name on line 2. <br /> information described above to support that exemption. d. Other entities.Enter your name as shown on required U.S.federal tax <br /> If you are a nonresident alien or a foreign entity,give the requester the documents on line 1.This name should match the name shown on the charter or <br /> appropriate completed Form W-8 or Form 8233. other legal document creating the entity.You may enter any business,trade,or <br /> DBA name on line 2. <br /> Backup Withholding e. Disregarded entity.For U.S.federal tax purposes,an entity that is <br /> What is backup withholding?Persons making certain payments to you must disregarded as an entity separate from its owner is treated as a"disregarded <br /> under certain conditions withhold and pay to the IRS 28%of such payments.This entity." See Regulations section 301.7701-2(c)(2)(iii).Enter the owner's name on <br /> is called"backup withholding." Payments that may be subject to backup line 1.The name of the entity entered on line 1 should never be a disregarded <br /> withholding include interest,tax-exempt interest,dividends,broker and barter entity.The name on line 1 should be the name shown on the income tax return on <br /> exchange transactions,rents,royalties,nonemployee pay,payments made in which the income should be reported.For example,if a foreign LLC that is treated <br /> settlement of payment card and third party network transactions,and certain as a disregarded entity for U.S.federal tax purposes has a single owner that is a <br /> payments from fishing boat operators.Real estate transactions are not subject to U.S.person,the U.S.owner's name is required to be provided on line 1.If the <br /> backup withholding. direct owner of the entity is also a disregarded entity,enter the first owner that is <br /> You will not be subject to backup withholding on payments you receive if you not disregarded for federal tax purposes.Enter the disregarded entity's name on <br /> give the requester your correct TIN,make the proper certifications,and report all line 2,"Business name/disrhe egarded egowed mustentity name."eIf the ownerrofthe disregarded <br /> your taxable interest and dividends on your tax return. entity is a foreign Wpe-9. Thiss the r <br /> eeven if the an foreignappersonse Form U.S.instead of a Form W-9. is the case if the has a .S.TIN. <br /> Payments you receive will be subject to backup withholding if: <br /> 1.You do not furnish your TIN to the requester, <br /> 2.You do not certify your TIN when required(see the Part II instructions on page <br /> 3 for details), <br />