IV. TAX ELECTION/DECLARATION OF TAX STATUS This Account Agreement is designed for use by both U.S. Persons and Non-U.S. Persons. Please check the box next to the applicable item below. Client comities that Client will notify DBSI in writing immediately if the representation certified to below ceases to be true and correct. 1.[7] U.S. Citizen or U.S. Resident Alien Form W9 Request for Taxpayer Identification Number and Certification Substitute a CC tt Pit. i Name (as shown on your income let return) 8115111033 name/disregarded entity name, it different from above Check appropriate box for federal tax clamification (required): 0 Exempt payee GI Individual/sole pr*Prieter 0 C Corporation K S Corporation K Partnership K Trust/estate El Limited liability company. Enter the tax classification (C-C corporation. SeS corporation, Pepartnership) P Other I Address (number, street, and apt. or suite no.) City, State, and ZIP code aliTaxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line to avoid backup withholding. For individuals, this is your social security number ISSN). For other entities. it is your employer identification number (FIN). N Security Number DMI-D LW I Sign Here Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am wailing for a number to be issued ha rne), and 2. I sin not subject to backup withholding because a) I am exempt from backup withholding. or at) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a resuh of a failure to report all interest or dividends. or (C) the IRS has notified me that I am no longer subject to backup withholding, end 3. I am e U.S. citizen or other U.S. person( fined In the Instructions). Certification instructions. You must cross oiti item 2 above if you have been