Form W-9 (Rev. December 2011) Deportment of the Treany Internal Reveres Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name (as shown o your ncome tax return) Business nameidaregarded entity name. if different from above Check appropriate box for federal tax classifioatiorc O Indwiduai/sole proprietor O C Corporation O S Corporation O Partnership O Trust/estate O Limited liability company. Enter the tax classification (C=C corporation. S=5 corporation. P=partnership)P O Other (see instructions) P' O Exempt payee Address (number, street, and apt. or suite no.) Requesters name and address (optional) City. state, and ZIP code LAI account number(s) here (options) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name" line SocIal security number to avoid resident entities, backup withholding. For individuals, this is your social security number (SSN). However, for a alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other it is your employer identification number (EIN). If you do not have a number, see How to get a - - TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Part II [Employer Identification number Certification Under penalties of perjury, I certify that: 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 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) 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 me that I am no longer s