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EFTA01359521

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Fri (nov December Deertinert Marl W'-9 2011) the Treaty Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. al Revenue Santa • Netts tes shwa en your InCOIDI isr rettrn) Mose t, „rite . Business nernekrwedwded entity nom if different from stove Check *propels% • Indlekluageole O Ltd %bey . 0 Other isee Instructional► box for federal be caseation: e 0 Exanvi payee proprietor • C Coreoratica SCcepretion 0 Partneri/ OTrust/CIS earperry. Enter the tea classicetion (fee catwalks\ S=S corporation, Pqminnenhip) li Us Requester's name and address fogeat Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Marne line to avoid backup withholding. For individuals, this is your tocial security number (SSN). However, for • resident alien, sole proprietor. or disregarded entity. see the Part I instructions on page 3. For other entities, it is your employer identification number (Eta). If you do not have a number, see How to get a 77N on page 3. Note. If the account is in more than one name, see the chart on peas 4 for guidelines on whose number to enter. Sects seasity number Employe. Idendleatitt Minton' Part 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 (till have not been notified by the Internal Revenue Service (IRS) that I am subject to backup eithholding as a result of a faun) to report all Interest or dividends, or (c) the IRS has notified me that I an no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certiflo•lion instructions. You must cross out item 2 above if you have been notified by th

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