Substitute W-8 Tax Certification Form - Oddcast

1 Substitute W-8 Tax Certification form This form is a Substitute to the Internal Revenue Service W-8 Tax form . This form allows Exempt Foreign Persons to state that they are a foreign entity or exempt foreign person not subject to certain information return reporting or backup withholding rules. The American Internal Revenue Service requires Oddcast to withhold 30% of all international payments unless the individual or organization can document that it is exempt from US tax withholding. Therefore, unless you fill out the attached, all affiliate payments to you will be made after 30% is withheld. An Exempt Foreign Person is (i) a nonresident alien individual or a foreign corporation, partnership, estate, or trust; (ii) who has not been, and plans not to be, present in the United States for a total of 183 days or more during the calendar year, and (iii) is neither engaged, nor plan to be engaged during the year, in a trade or business that has effectively connected gains from transactions with a broker or barter exchange.

2 Questions regarding this form should be directed to Please note that only companies and individuals located outside the United States are permitted to use this form . US entities and individuals must fill out a W-9 form . Complete all requested information and sign the W-8 form . The form can be faxed to (212) 375-6291 (US number), scanned and emailed to or mailed to: Oddcast , Inc. 134 W. 37th Street, 7th Floor New York, NY 10018 USA Please note that Oddcast may use this information for tax reporting to the IRS. Name of the individual or organization that is the beneficial owner: Country of incorporation of organization (if applicable): Type of entity (check the appropriate box): Individual Partnership Corporation Government Private Foundation Simple trust or grantor trust International organization Simple trust or grantor trust Complex trust Central bank of issue Disregarded entity Estate Tax exempt organization Permanent residence address (street, apt.)

3 Or suite no). Do not use a PO Box City or Town, state or province. Include postal code where appropriate: Country (do not abbreviate) Business address in the United States (street, apt. or suite no). DO not use a PO Box City or Town, state and zip code. Taxpayer Identification Number (if any): International Tax Identification Number (if any): SitePal Affiliate ID: Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct and complete. I further certify under penalties of perjury that: - I am the beneficial owner (or am authorized to sign for the beneficial owner) of all the income to which this form relates, - The beneficial owner is not a person or organization, - The income to which this form relates is not effectively connected with the conduct of a trade or business in the United States, and my organization is exempt from tax withholding.

4 Signature of beneficial owner (or individual authorized to sign for the beneficial owner) Date (MM-DD-YYYY) Capacity in which acting