Exhibit 6
PAYER’S NAME: THE BANK OF NEW YORK
SUBSTITUTE FORM W-9 Department of the Treasury Internal Revenue Service | Part 1 — PLEASE PROVIDE YOUR TIN IN THE BOX AT RIGHT AND CERTIFY BY SIGNING AND DATING BELOW. | TIN: Social Security Number or Employer Identification Number | ||
Payer’s Request for Taxpayer Identification Number (“TIN”) | Part 2 — TIN Applied For o | |||
Certification:Under penalties of perjury, I certify that: | ||||
(1) the number shown on this form is my correct Taxpayer Identification Number (or I am waiting for a number to be issued to me); and | ||||
(2) I am not subject to backup withholding either because: (a) I have not been notified by the Internal Revenue Service (the “IRS”) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (b) the IRS has notified me that I am no longer subject to backup withholding. | ||||
Certificate Instructions — You must cross out item (2) above if you have been notified by the IRS that you are subject to backup withholding because of underreporting of interest or dividends on your tax return. However, if after being notified by the IRS that you were subject to backup withholding, you received another notification from the IRS that you were no longer subject to backup withholding, do not cross out item (2). (Also see instructions in the enclosedGuidelines.) | ||||
Signature | Date | |||
NOTE: FAILURE TO COMPLETE AND RETURN THIS FORM MAY RESULT IN BACKUP WITHHOLDING OF 30% OF ANY PAYMENTS MADE TO YOU IN CONNECTION WITH THE EXCHANGE OFFER. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS. | ||||
YOU MUST COMPLETE THE FOLLOWING CERTIFICATE IF YOU ARE AWAITING (OR WILL SOON APPLY FOR) A TAXPAYER IDENTIFICATION NUMBER | ||||
CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER | ||||
I certify under penalties of perjury that a taxpayer identification number has not been issued to me, and either (a) I have mailed or delivered an application to receive a taxpayer identification number to the appropriate Internal Revenue Service Center or Social Security Administration Office or (b) I intend to mail or deliver an application in the near future. I understand that if I do not provide a taxpayer identification number by the time of the exchange, thirty percent (30%) of all reportable payments made to me thereafter will be withheld until I provide a number. | ||||
Signature | Date | |||
Guidelines for Determining the Proper Identification Number to Give the Payer. — Social Security numbers have nine digits separated by two hyphens: i.e. 000-00-0000. Employer identification numbers have nine digits separated by only one hyphen: i.e. 00-0000000. The table below will help determine the number to give the payer.
For this Type of Account: | Give the SOCIAL SECURITY Number of — | |||
1. | An individual’s account | The individual | ||
2. | Two or more individuals (joint account) | The actual owner of the account or, if combined funds, any one of the individuals(1) | ||
3. | Husband and wife (joint account) | The actual owner of the account or, if joint funds, either person(1) | ||
4. | Custodian account of a minor (Uniform Gift to Minors Act) | The minor(2) | ||
5. | Adult and minor (joint account) | The adult or, if the minor is the only contributor, the minor(1) | ||
6. | Account in the name of guardian or committee for a designated ward, minor, or in competent person | The ward, minor, or in competent person(3) | ||
7. | a. The usual revocable savings trust account (grantor is also trustee) | The grantor-trustee(1) | ||
b. So-called trust account that is not a legal or valid trust under State law | The actual owner(1) | |||
8. | Sole proprietorship account | The Owner(4) | ||
9. | A valid trust, estate, or pension trust | The legal entity (Do not furnish the identifying number of the personal representative or trustee unless the legal entity itself is not designated in the account title.)(5) | ||
10. | Corporate account | The corporation | ||
11. | Religious, charitable, or educational organization account | The organization | ||
12. | Partnership account held in the name of the business | The partnership | ||
13. | Association, club, or other tax- exempt organization | The organization | ||
14. | A broker or registered nominee | The broker or nominee | ||
15. | Account with the Department of Agriculture in the name of a public entity (such as a State or local government, school district, or prison) that receives agricultural program payments | The public entity | ||
(1) | List first and circle the name of the person whose number you furnish. |
(2) | Circle the minor’s name and furnish the minor’s social security number. |
(3) | Circle the ward’s, minor’s or incompetent person’s name and furnish such person’s social security number. |
(4) | Show the name of the owner. |
(5) | List first and circled the name of the legal trust, estate, or pension trust. |
Note: | If no name is circled when there is more than one name, the number will be considered to be that of the first name listed. |
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Obtaining a Number
If you don’t have a taxpayer identification number or you don’t know your number, obtain Form SS-5, Application for a Social Security Number Card, or Form SS-4, Application for Employer Identification Number, at the local office of the Social Security Administration or the Internal Revenue Service and apply for a number.
Payees Exempt from Backup Withholding
Payees specifically exempted from backup withholding on ALL payments include the following:
• | A corporation. |
• | A financial institution. |
• | An organization exempt from tax under section 501(a), or an individual retirement plan, or a custodial account under section 403(6)(7). |
• | The United States or any agency or instrumentality thereof. |
• | A State, the District of Columbia, a possession of the United States, or any subdivision or instrumentality thereof. |
• | A foreign government, a political subdivision of a foreign government, or any agency or instrumentality thereof. |
• | An international organization or any agency, or instrumentality thereof. |
• | A registered dealer in securities or commodities registered in the U.S. or a possession of the U.S. |
• | A real estate investment trust. |
• | A common trust fund operated by a bank under section 584(a) |
• | An exempt charitable remainder trust under section 664, or a non-exempt trust described in section 4947. |
• | An entity registered at all times under the Investment Company Act of 1940. |
• | A foreign central bank of issue. |
• | A middleman known in the investment community as a nominee or listed in the most recent publication of the American Society of Corporate Secretaries, Inc. Nominee List. |
Payments of dividends and patronage dividends not generally subject to backup withholding include the following:
• | Payments to nonresident aliens subject to withholding under section 1441. |
• | Payments to partnerships not engaged in a trade or business in the U.S. and which have at least one nonresident partner. |
• | Payments of patronage dividends where the amount received is not paid in money. |
• | Payments made by certain foreign organizations. |
Payments of interest not generally subject to backup withholding include the following:
• | Payments of interest on obligations issued by individuals. |
Note: You may be subject to backup withholding if this interest is $600 or more and is paid in the course of the payer’s trade or business and you have not provided your correct taxpayer identification number to the payer. |
• | Payments of tax-exempt interest (including exempt-in-interest dividends under section 852). |
• | Payments described in section 6049(b)(5) to non-resident aliens. |
• | Payments on tax-free covenant bonds under section 1451. |
• | Payments made by certain foreign organizations. |
• | Mortgage interest paid to the payer. |
Exempt payees described above should file Form W-9 to avoid possible erroneous backup withholding. FILE THIS FORM WITH THE PAYER, FURNISH YOUR TAXPAYER IDENTIFICATION NUMBER, WRITE “EXEMPT” ON THE FACE OF THE FORM, AND RETURN IT TO THE PAYER. IF THE PAYMENTS ARE INTEREST, DIVIDENDS, OR PATRONAGE DIVIDENDS, ALSO SIGN AND DATE THE FORM.
Certain payments other than interest, dividends, and patronage dividends, that are not subject to information reporting are also not subject to backup withholding. For details see section 6041, 6041A, 6042, 6044, 6045, 6049, 6050A, and 6050N and their regulations.
Privacy Act Notice. — Section 6109 requires most recipients of dividend, interest, or other payments to give taxpayer identification numbers to payers who must report the payments to IRS. IRS uses the numbers for identification purposes and to help verify the accuracy of your return. Payers must be given the numbers whether or not recipients are required to file tax returns. Payers must generally withhold 30% of taxable interest, dividend, and certain other payments to a payee who does not furnish a taxpayer identification number to a payer. Certain penalties may also apply.
Penalties
(1) Penalty for Failure to Furnish Taxpayer Identification Number. —If you fail to furnish your taxpayer identification number to a payer, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.
(2) Civil Penalty for False Information With Respect to Withholding. —If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500.
(3) Criminal Penalty for Falsifying Information. —Falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.
FOR ADDITIONAL INFORMATION CONTACT YOUR TAX