Font, W '''9 :Rev. ocambrenq 04;.therit el the treasury enema Revenue Santa Request for Taxpayer Identification Number and Certification Giva Form to the requester. Do not send to the IRS. • no ; .;.li. ! t S 7st Note. * sc‘ z E t to a I Neer let slam on rut name lax worn} Names roquiral on This lNr. 00 nth Dave, Ms Sy blank Southern Trust Company, Inc. pum a ma namordisteganSed enbly nese, ectillwera eye above Southern Financial, LLC 3 Cneck approortaie 0 Coe5•55daVen50 enlymenter 0 mimic, Wanlycompany. Unt Far a 3.09331itelbel the tax conlection box £or federal Lot dreelecatIon: OW onry ere of the following seven box= Mentor or ❑0 CCoroordion 0 SCapormlon 0 Penne-ship 0 ThaVestate U.0 Erna tee cassaketkm PAC caporatIon. SeS corporation. P4paracesMo)lo LLCM 4 C.soier0e0. de net stook t.1.C; dycx me appoorOle box D the arboreta of The Ace mambo/ Cr...CY. a• 4 F.xempticris gas° anttipoewlerta" EA anti payee bemPtic" code (f int) Idotft ex todedaed.x...r (codas atoll Otto fee code et yea Item FATCA159"5 ill Dino hoe rains:aorta) odd, 5 11 /454•333 5/ UrObOr • Ones. amt am. stags rod 6100 Red Hook Quarter, Ek3 ROgbeiYle mete sad Seine (omae/ li City. stale, araltlf? ca0s St. Thomas, USVI 00802 7 tut account nun0ey) here @patinae Pa -t c Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box:Therm provided must match the name given on lir a 1 to evOld I SOON ere backup withholding. Foe Individuals. IMS Is gsneraity your social security number (SSN). Howevor, tore resident alien. ado proprietor, or dicrepaniad Gnaw, too Ns Part I Instructlora on page 3. For other snide,. It Is your employer Identlicabon numbor (EIN). If you do not have a number. see How Co gal TIN on page 3. Or Note. If the account Is In more than one memo. see the Insuuellons for line I aniline than on page a TOT IM Oyer hkel5rdetiert numbs/ guldeinos on whose number to enter. • Certification Undo/ penatt