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Form W-9 (Rev. November 2017) - Internal …

form (Rev. November 2017). W-9 Request for Taxpayer Identification Number and Certification Give form to the requester. Do not Department of the Treasury send to the IRS. Internal revenue Service Go to for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes.)

Form W-9 (Rev. November 2017) Department of the Treasury Internal Revenue Service . Request for Taxpayer Identification Number and Certification

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