EXHIBIT 99.5
TO BE COMPLETED BY ALL HOLDERS OF UNITS
(See Instruction 6 on this Letter of Transmittal and “Important Tax Information” on this Letter of Transmittal)
PAYER’S NAME: SABINE PRODUCTION PARTNERS LP
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SUBSTITUTE FORM W-9 | | PART 1—PLEASE PROVIDE YOUR | | |
Department of the Treasury Internal Revenue Service Payer’s Request for Taxpayer Identification Number (TIN) and Certificate | | TIN IN THE BOX AT RIGHT AND CERTIFY BY SIGNING AND DATING BELOW | | Social Security Number or Employer Identification Number |
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Part 2—Awaiting TIN [ ] |
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Part 3—CERTIFICATION—UNDER THE PENALTIES OF PERJURY, I CERTIFY THAT (1) the number shown on this form is my correct taxpayer identification number (or a TIN has not been issued to me but I have mailed or delivered an application to receive a TIN or intend to do so in the near future), (2) I am not subject to backup withholding either because 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 the IRS has notified me that I am no longer subject to backup withholding, and (3) all other information provided on this form is true, correct and complete. |
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You must cross out item (2) above if you have been notified by the IRS that you are currently subject to backup withholding because of under-reported interest or dividends on your tax return and you have not been advised by the IRS that such backup withholding has been terminated. |
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FAILURE TO COMPLETE AND RETURN THIS FORM MAY RESULT
IN BACKUP WITHHOLDING.
YOU MUST COMPLETE THE FOLLOWING CERTIFICATE IF YOU
CHECKED THE BOX IN PART 2 OF SUBSTITUTE FORM W-9
CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER
I certify under the 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 within sixty (60) days, 28% of all reportable payments made to me thereafter will be withheld until I provide a number.
IMPORTANT TAX INFORMATION
Under federal income tax law, a holder who delivers depositary units for exchange is required to provide Sabine Production Partners, LP (as payer), through the Exchange Agent, with the holder’s correct taxpayer identification number (“TIN”) on Substitute Form W-9 or otherwise establish a basis for exemption from backup withholding. Generally, if the holder is an individual, the TIN is the holder’s social security number. If the Exchange Agent is not provided with the correct TIN, the holder may be subject to a $50 penalty, as well as various other penalties, imposed by the Internal Revenue Service. In addition, payments made to the holder with respect to the Common Units or depositary units may be subject to backup withholding.
Certain holders (including, among others, all corporations and certain foreign individuals) are not subject to these backup withholding and reporting requirements. Exempt holders should indicate their exempt status on Substitute Form W-9. A foreign individual may qualify as an exempt recipient or other payee by submitting to the Exchange Agent a properly completed Internal Revenue Service Form W-8 signed under penalty of perjury, attesting to the holder’s exempt status.
If backup withholding applies, the Partnership is required to withhold 28% of any payment made to the holder or other payee. Backup withholding is not an additional federal income tax. Rather, the amount withheld will be credited against the federal income tax liability of persons subject to backup withholding. If withholding results in an overpayment of taxes, a refund may be obtained from the Internal Revenue Service provided that the required information is timely furnished to the Internal Revenue Service.
PURPOSE OF SUBSTITUTE FORM W-9
To prevent backup withholding on payments that are made to a holder with respect to Common Units or depositary units, the holder is required to provide the Exchange Agent with either: (i) the holder’s correct TIN by completing the form below, certifying that the TIN provided on Substitute Form W-9 is correct (or that the holder is awaiting a TIN) and that (A) the holder has not been notified by the Internal Revenue Service that he or she is subject to backup withholding as a result of failure to report all interest or dividends or (B) the Internal Revenue Service has notified the holder that he or she is no longer subject to backup withholding; or (ii) an adequate basis for exemption.
WHAT NUMBER TO GIVE THE EXCHANGE AGENT
The holder is required to give the Exchange Agent the TIN (e.g., social security number or employer identification number) of the record owner of the depositary units.
GUIDELINES FOR CERTIFICATION OF TAXPAYER
IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9
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, at the local office of the Social Security Administration office, or Form SS-4, Application for Employer Identification Number, at the local office of the Internal Revenue Service by calling 1 (800) TAX FORM or from the IRS website at www.irs.gov and apply for a new number.
Payees Exempt From Backup Withholding
Payees specifically exempted from backup withholding include:
| • | | An organization exempt from tax under Section 501(a), an individual retirement account (IRA), or a custodial account under Section 403(b)(7), if the account satisfies the requirements of Section 401(f)(2). |
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| • | | The United States or a state thereof, the District of Columbia, a possession of the United States, or a political subdivision or instrumentality of any one or more of the foregoing. |
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| • | | An international organization or any agency or instrumentality thereof. |
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| • | | A foreign government and any political subdivision, agency or instrumentality thereof. |
Payees that may be exempt from backup withholding include:
| • | | A corporation. |
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| • | | A financial institution. |
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| • | | A dealer in securities or commodities required to register in the United States, the District of Columbia, or a possession of the United States. |
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| • | | A real estate investment trust. |
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| • | | A common trust fund operated by a bank under Section 584(a). |
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| • | | An entity registered at all times during the tax year under the Investment Company Act of 1940. |
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| • | | A middleman known in the investment community as a nominee or custodian. |
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| • | | A futures commission merchant registered with the Commodity Futures Trading Commission. |
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| • | | A foreign central bank of issue. |
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| • | | A trust exempt from tax under Section 664 or described in Section 4947. |
Payments of dividends and patronage dividends generally exempt from backup withholding include:
| • | | Payments to nonresident aliens subject to withholding under Section 1441. |
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| • | | Payments to partnerships not engaged in a trade or business in the United States and that have at least one nonresident alien partner. |
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| • | | Payments of patronage dividends not paid in money. |
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| • | | Payments made by certain foreign organizations. |
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| • | | Section 404(k) payments made by an employee stock ownership plan (ESOP). |
Payments of interest generally exempt from backup withholding include:
| • | | Payments of interest on obligations issued by individuals. |
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| • | | Payments of tax-exempt interest (including exempt-interest dividends under Section 852). |
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| • | | Payments described in Section 6049(b)(5) to nonresident aliens. |
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| • | | Payments on tax-free covenant bonds under Section��1451. |
| • | | Payments made by certain foreign organizations. |
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| • | | Mortgage or student loan interest paid to you. |
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 the regulations under Sections 6041, 6041A, 6042, 6044, 6045, 6049, 6050A and 6050N.
EXEMPT PAYEES DESCRIBED ABOVE MUST FILE THIS FORM WITH THE PAYER TO AVOID POSSIBLE ERRONEOUS BACKUP WITHHOLDING. FURNISH YOUR TAXPAYER IDENTIFICATION NUMBER. WRITE “EXEMPT” ON THE FACE OF THE FORM AND SIGN AND DATE THE FORM.
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 the IRS. The IRS uses the numbers for identification purposes. Payers must be given the numbers whether or not recipients are required to file tax returns. Payers must generally withhold 28% 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 ADVISOR OR THE IRS.