W-9 Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Form (Rev. December 2011) Departmert o( the Treasury Intemal Revenue Service Name (as shown on your Income lax return) Business nama/disrerfarded entity name, if difforent from above e\i Check appropriate box for federal tax classification: y' K Individual/sole proprietor K C Corporation Q^Ctwporation 8 D Partnershp Q Tnist/estate 11 n Exempt payee K Limited liability company. Biter the tax classification (C=C corporation, S=S corporation, P=partnershp) >• 8 r—1 other (see Instnjctiors) Requester's name and address (optional) Address City, state, and ZIP code mST (Wt COlio-»^ List account number(s) here (optionaD Taxpayer Identification Number (TIN) Part I Social security number 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 (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other entities, it is your employer identification number (EIN). if you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. EFTA01402616