IV. TAX ELECTION/DECLARATION OF TAX STATUS This Account Agreement is designed for use by both U.S. Persons and Non'U.S. Persons. Please check the box next to the applicable item below. Client certifies that Client will notify DBSI in writing Immediately if the representation certified to below ceases to be true and correct. 4;0 U.S. Citizen or U.S. Resident Allen Fenn W9 Request for Taxpayer Identification Number and Certification Substitute a F i n Name (as shown on your income lax return)/ 'le (64•0:;yintiv eni Cie rra t‘ent Itusiness ne tole above raPPOPtiets borbrletlerel fax daasifaatWn (reeltdred); I Exempt payee ❑Individual/sole proprietor Ill C Corporation K S Corporation 0 PannereNp 0 Trust/estate • Llmked liability company. Enter the tax classification (C.0 corporation, S.S corporation, P.partnership) Other 1 Addrela *Mbar, CMOS antdralfteilltrIte n0.) loc, pen *4 gelyKrier -33 aty P .'Sbliptilltd23 COM. -) r 7- korms ti5 V -I ... , Li Taxpayer den (cation Number (TIN) riterietiatiN 'nibs apPropitate Mi.*. The TIN provided must match the name given on the "Name line to avoid backup withholding. For individuals, this Is your social security number ISSN). For other entities. It Is your employer Identification number (EINI. t 11 Em identification Number Ix -MO I DO Certification Under penalties of perjury, I certify that: 1. The number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be issued to me). and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or lb/they° 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 subject to backup withholding. and .. 3. I am a U.S. citizen or other U.S. person lc/Wined in the instructions). ------------- - .... Certification In