Form W '''9 (Rev. ocarierene 04;themi el the heathy thaws Ranee Santa Request for Taxpayer Identification Number and Certification Civil Form to the requester. 0o net send to the IRS. • oi ; .;.li. ! t S p a t soo. * s z c , E t in a I Nam go amen on yet/ Inecene lax worn} Nome 4 a °quirt", on This lNr. ea not erne ,Ms SW blank Southern Trust Company, Inc. pum a ma nameMisteganSod enthy Ire, ii went Item above Southern Financial, LLC 3 Check *egoistae O 53.45•Jalkell is mantis O Untied %salary For a brogbalictibel etc tax cunlectMon box ter federal lax cirsolgoagan: OW sty eve of the tonotAng seven toe= Menial et O 0 Comordion 0 SCaporalon O Penneship O the-Weida LLC EA company. Iola the taa caratestkm PAC Gemara:ch. SeS corporation. Paparmashh(P tic WI 4 C.srgar0t0, do net awe: LW; duck go appnecOle box D the rabCro3 for 0 lhO Acta mamba/ CFACIf. • 4 Exemptions gas° anteoewleral anti payee bemPtic" coda at eny) tusk.. vaavoavoniorvavo (codas aceit Otto fee code et ash keen FATCAnPerni Ill pow poor rains:Coro) ...vac 5 11/454•333 (nUelber•Onet. and ate. cesceere3 6100 Red Hook Quarter, .B3 RagtesYle mete and addiff4 Comae/ a City. stilt anOZO? co0e St. Thomas, USVI 00802 7 Ust account masthead Nee leptiente :Pa -t c Taxpayer Identification Number (TIN) Enter your TIN In the appropr!ate box:therm provided must match the name given on tine 1 to avoid backup withheldIng. Foe (ode/ duds. IMS Is generalty your social security number (SSN). However, for o resident alien. sole OlOcatOf, or dtcreganled entity, too tha Part I Instructions on paged For other amides. It Is your eMployerldentliCaU00 number (EIN). If you do not have a number, see How CO pet TIN on page 3. Unto. If the account Is hi mote than one name. see the Inalmottons for line I and the chart on page 4 lot guldenes on whose number t0 enter. 6oaa unyntrmber or Rending Identification number 616 0 7 7 9 711 . Certification Undo/ p