Form Ift1-9 fie% December int1) Oeportment a/ th, Treesay Norma RevenueSeirke Request for Taxpayer Identification Number and Certification Give Fonn to the requester, Do not send to the IRS. I 0 i 0 r .7 Name ras shown on your hams tax ream) The Haze Trust Business rianardisregerded (way name, a dlderera amebae* Check sppropriele box for Iodine tax clesslricedon: 0 lorliikluslarole proprietor 0 C Corporation 0 s Corporation • Pertnershp [El Trutt/sets* Limited Salary carpany. Enter the tax daselficatIon (C-.0 capotallon. S=S ccepOtatkn. P-41/01010IdiP) II" Othis Sow hotrod/cm)" 0 Exerrot Payee Requester's name and address (options Address inurber, street, end*. a sae no.) 6100 Red Hook Quarter B3 Cary, sane we ZIP code St. Thomas, U.S.V.I. 00802 Lai concert rarreier(s) here freakier) Past I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Names line I Social security nun* to avoid backup withholding, For individuals, this le your social security number (SSft. 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 gets 77N on page 3. Note. If the account is in more then one name, see the chart on page 4 for guidelines on whose number to enter. Employer Identalcatice number 3 7 1 S 4 1 4 Part II Under penalties of perjury, I certify that 1. The number shown on this form is my correct taxpayer identification number (or Ian waiting for a number to be issued to me). and 2. I am not subject to backup withholding because: (a) l am exempt from backup withholding. or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subje