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EFTA01392984

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Corn W-9 (Rew. Dann 2011) Othassental tee hewn mime Rear Seem Request for Taxpayer Identification Number and Certification Give Form to the reclUeSter. Do not sand to the IRS. ni • c oweiraseroprieta a ii 1 I 2 (75 *we us mown on yew num* Ia* sauna Southern Trust Company. Inc. awns faeletart9iRled ratty an x dikeent born aeon Southern Financial LLC ear ler felony to elleallkeeas 0 trielvkfueesalectoprielior 0 C Corporation CI 6 Careoreat 0 Pannerahlp 0 Tnietheitate ...„ tread Hatay company Enterer*. ciessifatiat (C.0 caporeflon.S•8 eavaretket Peeetherekleill n - 0 Othir two ristnycloris)• 0 Exempt eaves Mows Krebs% stem and apt a ails no.) 6100 Red Hoak Quarter B3 Requests?. name anit worms lomat* City. stet aid ZIP ewe St. Themes, USV1 00802 tat account ntenbenq has emtionali Pawl I Taxpayer Identification Number (TIN) Enter your TINin the speroatate box. The TIN provided must match the name given on Me *Name" line foamed backup withholding. For individuals, this rs your wide security number (SW). However. for a resident alien, sole proprietor, or disregarded entity, sae the Part I nstructions on page 3. For other entitles, h Is your employer identification (lumbar (El N) If you do rot have a number, see How to get a 7W on page 3. Note. If the account is in more than one name. see the child on page 4 for guidelines on whose number to enter. Sods seoarity nun*. Employer Moneareeen mate Part Certification Under penalties at perjury, I caddy that: 1. The number shown on this form is my correct taxpayer identification number (atom waiting fore number to be issued to me), and 2. I em not subject to backup withhclang because: (attain exempt from backup withholding, or (b) I have not been Waded by the Internal Revenue Service gRS) that I ern subject to backup withholding as a result or a failure to report WO intreeSt or dividends, or (e)the IRS Pas notified me Malian no laver sublect to backup withholding. and 3. I am

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