Form W-9 (Rev. November 2017) Depxtment of the Treasury Internal Revenue Semite Request for Taxpayer Identification Number and Certification . Go to vnywars.gov/ForrnW9 for instructions and the latest information Give Form to the requester. Do not send to the IRS. 1 Name (as s n on your Income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name different from above 3 Check appropriate box for federal tax classification of the person whose name a entered on kne 1. Check only one of the following seven boxes. O Individual/sole proprietor or O C Corporation K S Corporation O Partnership O Trust/estate single-member LLC El Limited kablity company. Enter the tax classification (C-C corporation, S-S corporation. P-Partnership) ► Noble Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LW is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LAC that is not disregarded from the owner for US. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. El Other (see instructions). S Address (number, street. and apt. or suite no.) See instructions. 4 Exemptions (codes apply crly to certain entities. not individuals: see instructions on Page 3): Exempt payee code Of girl) Exemption from FATCA reporting code (if any) lApOon to seccu lane. as IM USJ 6 Cay, state, and ZIP code Requesters name nd address (OM 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line I to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity,