Form W (Rev. August 2013) Deportment of the Treasury Internal Revenue Service -9 Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Name (as shown o your ncome tax return) Mort, Inc Business nameideregarded entity name. it deferent from above Check appropriate box for federal tax classifcalkm: K IndwiduaUsole proprietor K C Corporation K S Corporation K Partnership K Trust/estate K Limited liability company. Enter the tax classification (C=C corporation. S=5 corporation. P•partnershp)S K Other (see instructions) ► Exemptions (see instructions): Exempt payee code if any) Exemption from FATCA reporting code (if any) Address (number, street, and apt. or suite no.) 6100 Red Hook Quarter, 83 City, state. and 2IP code St. Thomas, USVI 00802 List account numbei(s) here (optional) Part I Requester name and address (optional) Taxpayer Identification Number (TIN) Enter your [IN in the appropriate box. f he 1lN provided must match the name given on the 'Name" line to avoid backup withholding. For individuals, this is your social security number ISSN). 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. Not*. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Part II I Social security number Employer Identification number 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 (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failu