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i axpayer IQentfttoatlon Number (TIN) <br />Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social security number <br />backup with holdiFor Individuals, this is generally your t security number (SSNHowever, for a <br />resident alien, solea proprietor, or disregarded entity, see thea Instructions for Part I, later. For other <br />entities, it Is your employer identification number (EIN). It you do not have a number, see Now to get a <br />77N, later. or <br />Note: If the account Is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number <br />Number To Give the Requester for guidelines on whose number to enter. ml <br />Under penalties of perjury, i certify that: <br />1. The number shown on this form Is my correct taxpayer identfficatlon number (or I am walling for a number to be issued to me); and <br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue <br />Service QRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that i am <br />no longer subject to backup withholding; and <br />3. 1 am a U.S. citizen or other U.S. person (defined below); and <br />4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting Is correct. <br />Certification instructions. You must cross out Item 2 above if you have been notified by the iRS that you are currently subject to backup withholding because <br />you have failed to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, <br />acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments <br />other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. <br />s)9n Signature of a� R� l��[ <br />Here U.S. person ► <br />Date ► <br />General Instructions • Form 1099 -DIV (dividends, including those from stocks or mutual <br />(ands) <br />Section references are to the Internal Revenue Code unless otherwise f Form 1099-MISC various <br />noted. ( types of income, prizes, awards, or gross <br />proceeds) <br />Future developments. For the latest information about developments . Form 1099-B (stock or mutual fund sales and certain other <br />related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) <br />after they were published, go to wwwJrS.gov1FormW9. <br />• Form 1099-S (proceeds from real estate transactions) <br />Purpose of Form • Form 1099-K (merchant card and third party network transactions) <br />An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan Interest), <br />information return with the IRS must obtain your correct taxpayer 1098-T (tuition) <br />identification number MN) which may be your social security number • Form 1099-C (canceled debt) <br />(SSN), individual taxpayer Identification number (ITIN), adoption <br />taxpayer Identification number (ATIN), or employer identification number • Form 1099-A (acquisition or abandonment of secured property) <br />(EiN), to report on an information return the amount paid to you, or other Use Form W-9 only If you are a U.S. person (including a resident <br />amount reportable on an information return. Examples of information alien), to provide your correct TIN. <br />returns Include, but are not limited to, the following. Ifyou do not return form W-9 to the requester with a 77N, you might <br />• Form 1099 -INT (interest earned or paid) be subject to backup withholding. See What is backup withholding, <br />later. <br />Cat. No. 10231X Fors W-9(Rev. 10-2O8) <br />W-9 Request for Taxpayer <br />Give Form to the <br />Fom, <br />(Rev. <br />October 2018) Identification Number and Certification <br />1 <br />requester. Do not <br />Department <br />of the Treasury <br />send to the IRS. <br />Internal Revenue Service ► Go to www.lrs.gov/Form W9 for instructions and the latest information. <br />1 Name (as shown on your Income tax return). Name is required on this line; do not leave this line blank. <br />2 Business nameJdisregarded entity name, if different from above <br />y3 <br />Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the <br />4 Exemptions (Codes apply only to <br />following seven boxes. <br />certain entries, not indivlduaLs; see <br />p <br />❑ Intliv'rduaVsola proprietor or ❑ C Corporation 171S Corporation ❑Partnership ❑ Trust/estate <br />Instructions on page 3): <br />m <br />single -member LLC <br />Exempt payee code (if any) <br />'_2 <br />❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► <br />`o <br />Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check <br />Exemption from FATCA reporting <br />1 u N <br />LLC If the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is <br />another LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that <br />coda (if any) <br />_ <br />.0 <br />is disregarded from the owner should check the appropriate box for the tax olassificatlon of Its owner. <br />❑ Other (see Instructions) ► <br />n.us) <br />y <br />5 Address (number, street, and apt or suite no.) See Instructions. <br />Requester's name and address (optional) <br />8200 NW 93rd Street <br />ro <br />6 City, state, and ZIP code <br />Doral F) 33166 <br />7 List accoum numbers) here (optional) <br />i axpayer IQentfttoatlon Number (TIN) <br />Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social security number <br />backup with holdiFor Individuals, this is generally your t security number (SSNHowever, for a <br />resident alien, solea proprietor, or disregarded entity, see thea Instructions for Part I, later. For other <br />entities, it Is your employer identification number (EIN). It you do not have a number, see Now to get a <br />77N, later. or <br />Note: If the account Is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number <br />Number To Give the Requester for guidelines on whose number to enter. ml <br />Under penalties of perjury, i certify that: <br />1. The number shown on this form Is my correct taxpayer identfficatlon number (or I am walling for a number to be issued to me); and <br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue <br />Service QRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that i am <br />no longer subject to backup withholding; and <br />3. 1 am a U.S. citizen or other U.S. person (defined below); and <br />4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting Is correct. <br />Certification instructions. You must cross out Item 2 above if you have been notified by the iRS that you are currently subject to backup withholding because <br />you have failed to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, <br />acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments <br />other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. <br />s)9n Signature of a� R� l��[ <br />Here U.S. person ► <br />Date ► <br />General Instructions • Form 1099 -DIV (dividends, including those from stocks or mutual <br />(ands) <br />Section references are to the Internal Revenue Code unless otherwise f Form 1099-MISC various <br />noted. ( types of income, prizes, awards, or gross <br />proceeds) <br />Future developments. For the latest information about developments . Form 1099-B (stock or mutual fund sales and certain other <br />related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) <br />after they were published, go to wwwJrS.gov1FormW9. <br />• Form 1099-S (proceeds from real estate transactions) <br />Purpose of Form • Form 1099-K (merchant card and third party network transactions) <br />An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan Interest), <br />information return with the IRS must obtain your correct taxpayer 1098-T (tuition) <br />identification number MN) which may be your social security number • Form 1099-C (canceled debt) <br />(SSN), individual taxpayer Identification number (ITIN), adoption <br />taxpayer Identification number (ATIN), or employer identification number • Form 1099-A (acquisition or abandonment of secured property) <br />(EiN), to report on an information return the amount paid to you, or other Use Form W-9 only If you are a U.S. person (including a resident <br />amount reportable on an information return. Examples of information alien), to provide your correct TIN. <br />returns Include, but are not limited to, the following. Ifyou do not return form W-9 to the requester with a 77N, you might <br />• Form 1099 -INT (interest earned or paid) be subject to backup withholding. See What is backup withholding, <br />later. <br />Cat. No. 10231X Fors W-9(Rev. 10-2O8) <br />