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W-9 Request for Taxpayer

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Form W-9(Rev. December 2014)Department of the Treasury internal revenue Service Request for Taxpayer Identification Number and CertificationGive Form to the requester. Do not send to the or type See Specific Instructions on page Name (as shown on your income tax return). Name is required on this line; do not leave this line Business name/disregarded entity name, if different from above3 Check appropriate box for federal tax classification; check only one of the following seven boxes: Individual/sole proprietor or single-member LLC C CorporationS CorporationPartnershipTrust/estateLimite d liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) Note.

Form W-9 (Rev. December 2014) Department of the Treasury Internal Revenue Service . Request for Taxpayer Identification Number and Certification

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