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EFTA01451493

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Form W-9 (Rev. 8-2013) Page 4 What Name and Number To Give the Requester For this type of account: Give name and SSN of: 1. Individual 2. Two or more individuals Ord account) 3. Custodian account of a minor (Uniform Gilt to Minors AC1) 4. a. The usual revocable savings trust (grantor is also trustee) b. Socalled trust account that is not a legal or vand trust under state law 5. Sole proprietorship or disregarded entity owned by an individual 6. Grantor mist filing under Optional Form 1099 Filing Method 1 (see Regulation section 1.671-411))(216109 The individual The actual owner of the account or, if combined funds, the first individual on the account The minor' The grantor-trustee' The actual owner' The owner' The grantor For this type of account: Give name and EIN of: 7. Disregarded entity not owned by an individual 8. A valid trust, estate, or pension trust 9. Corporation or LLC electing Corporate Statue on Form 8832 or Form 2553 10. Association, club, religious. charitable. educational, or other tax-exempt organization II. Partnership or multi-member LLC 12. A broker or registered nominee 13. Account with the Department of Agriculture in the name of a pubic entity (such as a state or local govemrnent. school district, or prison) that receives agricultural program payments 14. Grantor tent Nine under the Form 1041 Filing Method or the Optional Form 1099 Fling Method 2 (see Regulation section 1.671-4(b)(2)(0039 The owner Legal entity' The corporation The organization The partnership The broker or nominee The public entity The trust Lai first and Circle the nestled lie pew whose number you format . a only one penal on a pint accamt hes an SSN. that person's minter must be I unshed. ' Cede the mites MOTO and rumen the mincesSSN. 'you must show your in:Pr:duel none and you may ate enter your tininess or •DBA' roma on the 'Summits narnedOiregatOOO entity norm in.. You may um *thee your SSW a EIN Of you Ob

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