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EFTA01355811

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Farm W-9 (Rew. Dann 2011) Othasmnial the Teary mime Rear Swam Request for Taxpayer Identification Number and Certification Give Form to the reqUeSter. Do not Sand to the IRS. ni gkZ . c a ii 1 I 2 (75 *we us mown on yam num* rax sauna Southern Trust Company. Inc. awns fahlaflart9artlecl witty none. x oilmen born aeon Southern Financial LLC oweiraseroprieta ear ler felony to elessillogort O troarktoWsolectoprielor O C Caporaeon CI 6 Careasterri O Pennerahle O TnnUestase n ...„ t WINO Hatay company Fluorinate. ctsurfewicrs (C.0 capeskin. S•8 comantat Pannerehleill - O Othw two ristnycloriq• Exempt eaves Mows inanter, stew, aid am. a sire no) 6100 Red Hoak Quarter B3 Requests?. ows anti worms lows* City. an. cod ZIP cede St. Themes, USV1 00802 LW account nimerdej has (wim* Past I Taxpayer Identification Number (TIN) Enter your TIN.in the speroalate box. The TIN provided must match the name given on Me *Name" line foamed backup withholding. For individuals, this rs your war/ security number ISSN). However. for a resident alien, sole predator, or disregarded entity, sae the Part I nstructions on page 3. For other tattle, h Is your employer identification numbur (El N) If you do not have a number, see How to get a 7W on page 3. Note. If the account is in more than one name. see the Chad on page 4 for guidelines on whose number to enter. Soda secerIty number I Employer IMintlemeen nester Part II Certification Under penalties at perjury, I candy that: 1. The number shown on this form is my correct taxpayer identification number (atom waiting fore number to be issued to me), and 2. I em not subject to backup withholding because: (attain exempt from backup withholding, or (b) I have not been Waded by the Internal Revenue Service gRS) that I ern subject to backup withholding as a result or a ?Whirs to report WO interest or dividendit, or (e)the IRS has notified me Malian no laird sublect to backup withholding. and 3. I am a U

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