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Form W-9 Request for Taxpayer

form W-9 Request for Taxpayer Give form to the requester. Do not (Rev. January 2011). Department of the Treasury Identification Number and Certification send to the IRS. Internal Revenue Service Name (as shown on your income tax return). Business name/disregarded entity name, if different from above See Specific Instructions on page 2. Check appropriate box for federal tax classification (required): Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate Print or type Exempt payee Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) . Other (see instructions) . Address (number, street, and apt. or suite no.) Requester's name and address (optional). City, state, and ZIP code List account number(s) here (optional).

Form W-9 (Rev. 1-2011) Page 2 The person who gives Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable

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