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W-9 Request for Taxpayer

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. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner.

Form W-9 (Rev. 12-2014) Page . 2 Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially

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