Exhibit 99.1
Blue Owl Finance LLC
LETTER OF TRANSMITTAL
Offer to Exchange the Exchange Notes Set Forth Below
Registered Under the Securities Act of 1933
for
Any and All Corresponding Original Notes Set Forth Opposite Below
Exchange Notes | CUSIP No. | Original Notes | CUSIP No. | |||
$59.8 million of 7.397% Senior Notes due 2028 | 09581J AQ9 | $59.8 million 7.397% Senior Notes due 2028 | 09581J AJ5, U0942J AE6, 09581J AK2 | |||
$700.0 million of 3.125% Senior Notes due 2031 | 09581J AR7 | $700.0 million 3.125% Senior Notes due 2031 | 09581J AA4, U0942J AA4, 09581J AB2 | |||
$400.0 million of 4.375% Senior Notes due 2032 | 09581J AS5 | $400.0 million 4.375% Senior Notes due 2032 | 09581J AG1, U0942J AD8 | |||
$1.0 billion of 6.250% Senior Notes due 2034 | 09581J AT3 | $1.0 billion 6.250% Senior Notes due 2034 | 09581JAM8, U0942JAG1 | |||
$350.0 million 4.125% Senior Notes due 2051 | 09581J AU0 | $350.0 million 4.125% Senior Notes due 2051 | 09581JAC0, U0942JAB2 |
THE EXCHANGE OFFERS AND WITHDRAWAL RIGHTS WILL EXPIRE AT 5:00 P.M., NEW YORK CITY TIME, ON , 2024 (THE “EXPIRATION DATE”) UNLESS EXTENDED. |
The Exchange Agent is:
WILMINGTON TRUST, NATIONAL ASSOCIATION
Please email all inquiries to:
DTC@wilmingtontrust.com
To Confirm by Telephone:
(302) 636-6470
By Mail, Overnight Mail or Courier:
Wilmington Trust, National Association
Rodney Square North
1100 North Market Street
Wilmington, DE 19890-1626
Attn: Workflow Management – 5th Floor
Delivery of this Letter of Transmittal to an address other than as set forth above will not constitute a valid delivery. Only hard copies of this Letter of Transmittal or presentations via The Depository Trust Company’s (“DTC”) Automated Tender Offer Program (“ATOP”) will be accepted.
Questions and requests for assistance or for additional copies of the Prospectus or of the Letter of Transmittal and or related materials must be directed to the Exchange Agent at DTC@wilmingtontrust.com.
The undersigned acknowledges receipt of the Prospectus, dated , 2024 (the “Prospectus”) of Blue Owl Finance LLC (the “Issuer”), Blue Owl Capital Inc., Blue Owl Capital GP Holdings LLC, Blue Owl Capital GP LLC, Blue Owl Capital Holdings LP, Blue Owl Capital Carry LP, Blue Owl Capital Group LLC, Blue Owl GPSC Holdings LLC, Blue Owl Capital GP Holdings LP, Blue Owl GP Stakes GP Holdings LLC, Blue Owl Real Estate Holdings LP, Blue Owl Real Estate GP Holdings LLC and Blue Owl Capital Holdings LLC (collectively, the “Guarantors”), and this Letter of Transmittal (the “Letter of Transmittal”), which together describe the Issuer’s offers (the “Exchange Offers”) to exchange all outstanding unregistered 7.397% Senior Notes due 2028 (the “2028 Original Notes”), 3.125% Senior Notes due 2031 (the “2031 Original Notes”), 4.375% Senior Notes due 2032 (the “2032 Original Notes”), 6.250% Senior Notes due 2034 (the “2034 Original Notes”) and 4.125% Senior Notes due 2051 (the “2051 Original Notes” and, together with the 2028 Original Notes, the 2031 Original Notes, the 2032 Original Notes and the 2034 Original Notes, the “Original Notes”) and in each case the guarantees of the Guarantors with respect thereto (such guarantees collectively with the Original Notes, the “Original Securities”) that are validly tendered and not validly withdrawn for an equal principal amount of the respective series of the Issuer’s 7.397% Senior Notes due 2028 (the “2028 Exchange Notes”), 3.125% Senior Notes due 2031 (the “2031 Exchange Notes”), 4.375% Senior Notes due 2032 (the “2032 Exchange Notes”), 6.250% Senior Notes due 2034 (the “2034 Exchange Notes”) and 4.125% Senior Notes due 2051 (the “2051 Exchange Notes” and, together with the 2028 Exchange Notes, the 2031 Exchange Notes, the 2032 Exchange Notes and the 2034 Exchange Notes, the “Exchange Notes”) and in each case the guarantees of the Guarantors with respect thereto (such guarantees collectively with the Exchange Notes, the “Exchange Securities”), the offers of which have been registered under the Securities Act of 1933, as amended (the “Securities Act”). The Issuer and the Guarantors are registering the Exchange Offers in reliance on the position of the staff of the U.S. Securities and Exchange Commission (the “Staff”) enunciated in Exxon Capital Holdings Corporation (April 13, 1989), Morgan Stanley & Co. Incorporated (June 5, 1991) and Shearman & Sterling (July 2, 1993).
The terms of the Exchange Notes to be issued in the Exchange Offers are substantially identical in all material respects to the Original Notes, except that the Exchange Notes will be registered under the Securities Act and, therefore, will not bear legends restricting their transfer, and with respect to the 2034 Exchange Notes, will not contain terms providing for additional interest if the Issuer and the Guarantors fail to perform their registration obligations with respect to the 2034 Original Notes and, with limited exceptions, will not be entitled to registration rights. The Issuer is not making the Exchange Offers to holders of the Original Notes in any jurisdiction in which the Exchange Offers or the acceptance of the Exchange Offers would not be in compliance with the securities or Blue Sky laws of such jurisdiction. Nor will the Issuer also accept surrenders for exchange from holders of the Original Notes in any jurisdiction in which the Exchange Offers or the acceptance of the Exchange Offers would not be in compliance with the securities or Blue Sky laws of such jurisdiction.
Capitalized terms used but not defined herein shall have the same meaning given them in the Prospectus.
YOUR BANK OR BROKER CAN ASSIST YOU IN COMPLETING THIS FORM. THE INSTRUCTIONS INCLUDED WITH THIS LETTER OF TRANSMITTAL MUST BE FOLLOWED. QUESTIONS RELATING TO THE PROCEDURE FOR TENDERING AND REQUESTS FOR ASSISTANCE OR FOR ADDITIONAL COPIES OF THE PROSPECTUS AND THIS LETTER OF TRANSMITTAL MAY BE DIRECTED TO THE EXCHANGE AGENT.
The undersigned has checked the appropriate boxes below and signed this Letter of Transmittal to indicate the action the undersigned desires to take with respect to the Exchange Offers.
PLEASE READ THE ENTIRE
LETTER OF TRANSMITTAL AND THE PROSPECTUS
CAREFULLY BEFORE CHECKING ANY BOX BELOW.
List below the Original Notes to which this Letter of Transmittal relates. If the space provided below is inadequate, the certificate numbers and aggregate principal amounts should be listed on a separate signed schedule affixed hereto.
DESCRIPTION OF ORIGINAL NOTES TENDERED HEREWITH |
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Name(s) and Address(es) of Registered Holder(s) (Please fill in) | Certificate Number(s)* | Aggregate Principal Amount Represented by Original Notes* | Principal Amount Tendered** | |||||||||
Total: |
* | Need not be completed by book-entry holders. |
** | Unless otherwise indicated, the holder will be deemed to have tendered the full aggregate principal amount represented by such Original Notes. See instruction 2. |
Unless the context otherwise requires, the term “holder” for purposes of this Letter of Transmittal means any person in whose name Original Notes are registered or any other person who has obtained a properly completed bond power from the registered holder or any person whose Original Notes are held of record by DTC.
☐ | CHECK HERE IF EXCHANGE NOTES ARE TO BE ISSUED TO A PERSON OTHER THAN THE PERSON SIGNING THIS LETTER OF TRANSMITTAL: |
Name:
Address:
☐ | CHECK HERE IF EXCHANGE NOTES ARE TO BE DELIVERED TO AN ADDRESS DIFFERENT FROM THAT LISTED ELSEWHERE IN THIS LETTER OF TRANSMITTAL: |
Name:
Address:
☐ | CHECK HERE IF YOU ARE A BROKER-DEALER THAT ACQUIRED ORIGINAL NOTES FOR YOUR OWN ACCOUNT AS A RESULT OF MARKET MAKING OR OTHER TRADING ACTIVITIES AND WISH TO RECEIVE 10 ADDITIONAL COPIES OF THE PROSPECTUS AND 10 COPIES OF ANY AMENDMENTS OR SUPPLEMENTS THERETO. |
Name:
Address:
The undersigned or any beneficial owner represents that it is not engaged in, and does not intend to engage in, a distribution of Exchange Securities. If the undersigned or any beneficial owner is a broker-dealer that will receive Exchange Securities for its own account in exchange for Original Securities that were acquired as a result of market-making activities or other trading activities, the undersigned or such beneficial owner acknowledges that (i) it has not entered into any arrangement or understanding with the Issuer, the Guarantors or any of their affiliates to distribute the Exchange Securities; and (ii) it will deliver a prospectus meeting the requirements of the Securities Act, in connection with any resale of Exchange Securities received in respect of such Original Securities pursuant to the Exchange Offers. By so acknowledging and by delivering a prospectus, a broker-dealer will not be deemed to admit that it is an “underwriter” within the meaning of the Securities Act. A broker-dealer may not participate in the Exchange Offers with respect to Original Securities acquired other than as a result of market-making activities or other trading activities. Any holder who is an “affiliate” of the Issuer or any Guarantor or who has an arrangement or understanding with respect to the distribution of the Exchange Securities to be acquired pursuant to the Exchange Offers, or any broker-dealer that purchased Original Securities from the Issuer to resell pursuant to Rule 144A under the Securities Act or any other available exemption under the Securities Act must comply with the registration and prospectus delivery requirements under the Securities Act.
PLEASE READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY
Ladies and Gentlemen:
Upon the terms and subject to the conditions of the Exchange Offers, the undersigned hereby tenders to the Issuer the principal amount of the Original Notes indicated above. Unless otherwise indicated above, the undersigned will be deemed to have tendered the full aggregate principal amount represented by the Original Notes. Subject to, and effective upon, the acceptance for exchange of any portion of the Original Notes tendered herewith in accordance with the terms and conditions of the Exchange Offers (including, if the Exchange Offers are extended or amended, the terms and conditions of any such extension or amendment), the undersigned hereby exchanges, assigns and transfers to, or upon the order of, the Issuer all right, title and interest in and to such Original Notes as are being tendered herewith. The undersigned hereby irrevocably constitutes and appoints the Exchange Agent as the true and lawful agent and attorney-in-fact of the undersigned (with full knowledge that the Exchange Agent also acts as the agent of the Issuer, in connection with the Exchange Offers) to cause the Original Notes to be assigned, transferred and exchanged.
The undersigned represents and warrants that it has full power and authority to tender, exchange, assign and transfer the Original Notes and to acquire Exchange Notes issuable upon the exchange of such tendered Original Notes, and that, when the same are accepted for exchange, the Issuer will acquire good and unencumbered title to the tendered Original Notes, free and clear of all liens, restrictions, charges and encumbrances and not subject to any adverse claim. The undersigned also warrants that it will, upon request, execute and deliver any additional documents deemed by the Exchange Agent or the Issuer to be necessary or desirable to complete the exchange, assignment and transfer of the tendered Original Notes or transfer ownership of such Original Notes on the account books maintained by the book-entry transfer facility. The undersigned further agrees that acceptance of any and all validly tendered 2034 Original Notes by the Issuer and the issuance of 2034 Exchange Notes in exchange therefor shall constitute performance in full by the Issuer of its obligations under the registration rights agreements dated as of April 18, 2024 and June 6, 2024, in connection with the issuance of the 2034 Original Notes (the “Registration Rights Agreements”), and that the Issuer shall have no further obligations or liabilities thereunder. The undersigned will comply with its obligations under the Registration Rights Agreements.
The undersigned understands that tenders of Original Notes pursuant to any one of the procedures described in the Prospectus and in the instructions attached hereto will, upon the Issuer’s acceptance for exchange of such tendered Original Notes, constitute a binding agreement between the undersigned and the Issuer upon the terms and subject to the conditions of the Exchange Offers. The undersigned recognizes that, under circumstances set forth in the Prospectus, the Issuer may not be required to accept for exchange any of the Original Notes.
By tendering Original Notes and executing this Letter of Transmittal, the undersigned represents that (i) the holder is not an “affiliate” of the Issuer or any Guarantor within the meaning of Rule 405 under the Securities Act or, if such an affiliate, will comply with the registration and prospectus delivery requirements of the Securities Act to the extent applicable in connection with the resale of the Exchange Securities; (ii) the holder is not participating or engaged in, and does not intend to participate or engage in, and has no arrangement or understanding with any person to participate or engage in, the distribution (within the meaning of the Securities Act) of the Exchange Securities; (iii) the holder is acquiring the Exchange Securities in its ordinary course of business; and (iv) if the holder is a broker-dealer that will receive the Exchange Securities for its own account in exchange for the Original Securities that were acquired as a result of market-making activities or other trading activities, such holder has not entered into any arrangement or understanding with the Issuer, the Guarantors or any of their affiliates to distribute the Exchange Securities and such holder will deliver a prospectus (or, to the extent permitted by law, make available a prospectus) meeting the requirements of the Securities Act in connection with any resales of the Exchange Securities. If the undersigned or the person receiving such Exchange Securities, whether or not such person is the undersigned, is a broker-dealer that will receive Exchange Securities for its own account in exchange for Original Securities that were acquired as a result of market-making activities or other trading activities, it acknowledges that it will deliver a prospectus in connection with any resale of such Exchange Securities; however, by so acknowledging and by delivering a prospectus, the undersigned will not be deemed to admit that it is an “underwriter” within the meaning of the Securities Act.
The undersigned understands that all resales of the Exchange Securities must be made in compliance with applicable state securities or Blue Sky laws. If a resale does not qualify for an exemption from these laws, the undersigned acknowledges that it may be necessary to register or qualify the Exchange Securities in a particular state or to make the resale through a licensed broker-dealer in order to comply with these laws. The undersigned further understands that the Issuer, the Exchange Agent and the Guarantors assume no responsibility regarding compliance with state securities or Blue Sky laws in connection with resales.
Any holder of Original Securities using the Exchange Offers to participate in a distribution of the Exchange Securities (i) cannot rely on the position of the Staff of the Securities and Exchange Commission enunciated in its interpretive letter with respect to Exxon Capital Holdings Corporation (April 13, 1989) or similar interpretive letters and (ii) must comply with the registration and prospectus requirements of the Securities Act in connection with a secondary resale transaction.
All authority herein conferred or agreed to be conferred shall survive the death or incapacity of the undersigned and every obligation of the undersigned hereunder shall be binding upon the heirs, personal representatives, successors and assigns of the undersigned. Except as stated in the Prospectus, this tender is irrevocable but tendered Original Notes may be withdrawn at any time prior to the Expiration Date in accordance with the terms of this Letter of Transmittal.
Certificates for all Exchange Notes delivered in exchange for tendered Original Notes and any Original Notes delivered herewith but not exchanged, in each case if registered in the name of the undersigned, shall be delivered to the undersigned at the address shown below the signature of the undersigned.
The undersigned, by completing the box entitled “Description of Original Notes Tendered Herewith” above and signing this letter, will be deemed to have tendered the Original Notes as set forth in such box.
TENDERING HOLDER(S) SIGN HERE
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Must be signed by registered holder(s) exactly as name(s) appear(s) on certificate(s) for Exchange Notes hereby tendered or in whose name Exchange Notes are registered on the books of DTC or one of its participants, or by any person(s) authorized to become the registered holder(s) by endorsements and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth the full title of such person. See Instruction 3.
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(Signature(s) of Holder(s)) | ||
Date | ||
Name(s) | ||
(Please Print) | ||
Capacity (full title) | ||
Address | ||
(Including Zip Code) | ||
Daytime Area Code and Telephone No. | ||
Taxpayer Identification No. | ||
GUARANTEE OF SIGNATURE(S) (If Required-See Instruction 3) | ||
Authorized Signature | ||
Date | ||
Name | ||
Title | ||
Name of Firm | ||
Address of Firm | ||
(Include Zip Code) | ||
Area Code and Telephone No. |
SPECIAL ISSUANCE INSTRUCTIONS (See Instructions 3 and 4) (Complete accompanying IRS Form W-9 or IRS Form W-8, as applicable)
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To be completed ONLY if Exchange Notes or Original Notes not tendered are to be issued in the name of someone other than the registered holder of the Original Notes whose name(s) appear(s) above.
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Issue: | ☐ Original Notes not tendered to: | |
☐ Exchange Notes to: | ||
Name(s): | ||
(Please Print) | ||
Address: | ||
(Including Zip Code) | ||
Daytime Area Code and Telephone No. | ||
Taxpayer Identification No. |
SPECIAL DELIVERY INSTRUCTIONS (See Instructions 3 and 4)
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To be completed ONLY if Exchange Notes or Original Notes not tendered are to be delivered to the registered holder(s) at an address other than that shown above.
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Deliver: | ☐ Original Notes not tendered to: | |
☐ Exchange Notes to: | ||
Name(s): | ||
Address: | ||
(Including Zip Code) | ||
Daytime Area Code and Telephone No. | ||
Taxpayer Identification No. |
INSTRUCTIONS
FORMING PART OF THE TERMS AND CONDITIONS OF THE EXCHANGE OFFERS
1. | Delivery of this Letter of Transmittal and Certificates. |
A holder of Original Notes may tender the same by (i) properly completing and signing this Letter of Transmittal and delivering the same, together with the certificate or certificates, if applicable, representing the Original Notes being tendered and any required signature guarantees and any other documents required by this Letter of Transmittal, to the Exchange Agent at its address set forth above on or prior to the Expiration Date or (ii) complying with the procedure for book-entry transfer described below.
Holders of Original Notes may tender Original Notes by book-entry transfer by crediting the Original Notes to the Exchange Agent’s account at DTC in accordance with ATOP and by complying with applicable ATOP procedures with respect to the Exchange Offers. DTC participants that are accepting the Exchange Offers should transmit their acceptance to DTC, which will edit and verify the acceptance and execute a book-entry delivery to the Exchange Agent’s account at DTC. DTC will then send a computer-generated message (an “Agent’s Message”) to the Exchange Agent for its acceptance in which the holder of the Original Notes acknowledges and agrees to be bound by the terms of, and makes the representations and warranties contained in, this Letter of Transmittal or the DTC participant confirms, on behalf of itself and the beneficial owners of such Original Notes, all provisions of this Letter of Transmittal (including any representations and warranties) applicable to it as if such beneficial owners had fully completed the information required herein and executed and transmitted this Letter of Transmittal to the Exchange Agent. Delivery of the Agent’s Message by DTC will satisfy the terms of the Exchange Offers as to execution and delivery of a Letter of Transmittal by the participants identified in the Agent’s Message.
The method of delivery of this Letter of Transmittal, the Original Notes and any other required documents is at the election and risk of the holder, and except as otherwise provided below, the delivery will be deemed made only when actually received or confirmed by the Exchange Agent. If such delivery is by mail, it is suggested that registered mail with return receipt requested, properly insured, be used. In all cases, sufficient time should be allowed to permit timely delivery. No Original Notes or Letters of Transmittal should be sent to the Issuer. The Issuer reserves the right to reject any particular Original Note not properly tendered, or any acceptance that might, in the Issuer’s judgment, be unlawful. The Issuer also reserves the right to waive any defects or irregularities with respect to the form of, or procedures applicable to, the tender of any particular Original Note before the expiration date. Unless waived, any defects or irregularities in connection with tenders of Original Notes must be cured before the expiration date.
The Exchange Agent must receive the certificates for all physically tendered Original Notes, in proper form for transfer, or a book-entry confirmation, as the case may be, together with this properly completed and duly executed Letter of Transmittal or Agent’s Message with any required signature guarantees and any other documents required by this Letter of Transmittal, prior to the Expiration Date, all as provided in the Prospectus.
No alternative, conditional, irregular or contingent tenders will be accepted. All tendering holders, by execution of this Letter of Transmittal, shall waive any right to receive notice of the acceptance of the Original Notes for exchange.
2. | Partial Tenders (not applicable to holders that tender by book-entry transfer); Withdrawals. |
If less than the entire principal amount of Original Notes evidenced by a submitted certificate is tendered, the tendering holder must fill in the aggregate principal amount of Original Notes tendered in the box entitled “Description of Original Notes Tendered Herewith.” A newly issued certificate for the Original Notes submitted but not tendered will be sent to such holder as soon as practicable after the Expiration Date. All Original Notes delivered to the Exchange Agent will be deemed to have been tendered unless otherwise clearly indicated.
If not yet accepted, a tender pursuant to the Exchange Offers may be withdrawn prior to the Expiration Date.
To be effective with respect to the tender of Original Notes, a written notice of withdrawal must specify the name of the person who tendered the Original Notes to be withdrawn, identify the Original Notes to be withdrawn (including the principal amount of such Original Notes and, if applicable, the registration numbers and total principal amount of such Original Notes), where certificates for Original Notes have been transmitted, and specify the name in which such Original Notes were registered if different from that of the withdrawing holder. Any such notice of withdrawal must also be signed by the person having tendered the Original Notes to be withdrawn in the same manner as the original signature on the letter of transmittal by which these Original Notes were tendered, including any required signature guarantees, or be accompanied by documents of transfer sufficient to permit the trustee for the Original Notes to register the transfer of these Original Notes into the name of the person having made the original tender and withdrawing the tender and, if applicable because the Original Notes have been tendered through the book-entry procedure, specify the name and number of the participant’s account at DTC to be credited if different than that of the person having tendered the Original Notes to be withdrawn.
If certificates for Original Notes have been delivered or otherwise identified to the Exchange Agent, then, prior to the release of such certificates, the withdrawing holder must also submit the serial numbers of the particular certificates to be withdrawn and a signed notice of withdrawal with signatures guaranteed by an Eligible Guarantor Institution (as defined below) unless such holder is an Eligible Guarantor Institution.
If Original Notes have been tendered pursuant to the procedure for book-entry transfer described above, any notice of withdrawal must specify the name and number of the account at DTC to be credited with the withdrawn Original Notes and otherwise comply with the procedures of such facility. The Issuer will determine all questions as to the validity, form and eligibility (including time of receipt) of such notices, and the Issuer’s determination shall be final and binding on all parties. The Issuer will deem any Original Notes so withdrawn not to have been validly tendered for exchange for purposes of the Exchange Offers. Any Original Notes that have been tendered for exchange but that are not exchanged for any reason will be returned to their holder without cost to the holder (or, in the case of Original Notes tendered by book-entry transfer into the Exchange Agent’s account of DTC according to the procedures described above, such Original Notes will be credited to an account maintained with DTC for Original Notes) promptly after withdrawal, rejection of tender or termination of the Exchange Offers. Properly withdrawn Original Notes may be retendered by following one of the procedures described under “The Exchange Offer—Procedures for Tendering” in the Prospectus at any time prior to the expiration time.
3. | Signature on this Letter of Transmittal; Written Instruments and Endorsements; Guarantee of Signatures. |
If this Letter of Transmittal is signed by the registered holder(s) of the Original Notes tendered hereby, the signature must correspond with the name(s) as written on the face of the certificates without alteration, enlargement or any change whatsoever. If any of the Original Notes tendered hereby are owned of record by two or more joint owners, all such owners must sign this Letter of Transmittal.
If a number of Original Notes registered in different names are tendered, it will be necessary to complete, sign and submit as many separate copies of this Letter of Transmittal as there are different registrations of Original Notes.
When this Letter of Transmittal is signed by the registered holder or holders (which term, for the purposes described herein, shall include the book-entry transfer facility whose name appears on a security listing as the owner of the Original Notes) of Original Notes listed and tendered hereby, no endorsements of certificates or separate written instruments of transfer or exchange are required.
If this Letter of Transmittal is signed by a person other than the registered holder or holders of the Original Notes listed, such Original Notes must be endorsed or accompanied by separate written instruments of transfer or exchange in form satisfactory to the Issuer and duly executed by the registered holder, in either case signed exactly as the name or names of the registered holder or holders appear(s) on the Original Notes.
If this Letter of Transmittal, any certificates or separate written instruments of transfer or exchange are signed by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, such persons should so indicate when signing, and, unless waived by the Issuer, proper evidence satisfactory to the Issuer of their authority so to act must be submitted.
Endorsements on certificates or signatures on separate written instruments of transfer or exchange required by this Instruction 3 must be guaranteed by an Eligible Guarantor Institution.
Signatures on this Letter of Transmittal must be guaranteed by an Eligible Guarantor Institution, unless Original Notes are tendered: (i) by a holder who has not completed the box entitled “Special Issuance Instructions” or “Special Delivery Instructions” on this Letter of Transmittal; or (ii) for the account of an Eligible Guarantor Institution. In the event that the signatures in this Letter of Transmittal or a notice of withdrawal, as the case may be, are required to be guaranteed, such guarantees must be by an Eligible Guarantor Institution which is a member of a firm of a registered national securities exchange or of the Financial Industry Regulatory Authority, a commercial bank or trust company having an office or correspondent in the United States or another “eligible guarantor institution” within the meaning of Rule 17Ad-15 under the Securities Exchange Act of 1934, as amended (an “Eligible Guarantor Institution”). If Original Notes are registered in the name of a person other than the signer of this Letter of Transmittal, the Original Notes surrendered for exchange must be endorsed by, or be accompanied by a written instrument or instruments of transfer or exchange, in satisfactory form as determined by the Issuer, in its sole discretion, duly executed by the registered holder with the signature thereon guaranteed by an Eligible Guarantor Institution.
4. | Special Issuance and Delivery Instructions. |
Tendering holders should indicate, as applicable, the name and address to which the Exchange Notes or certificates for Original Notes not exchanged are to be issued or delivered, if different from the name or address of the person signing this Letter of Transmittal. In the case of issuance in a different name, the taxpayer identification number of the person named must also be indicated and, as described in Instruction 8, a duly completed Internal Revenue Service (“IRS”) Form W-9 or IRS Form W-8, as applicable, must be provided. Holders tendering Original Notes by book-entry transfer may request that Original Notes not exchanged be credited to such account maintained at the book-entry transfer facility as such holder may designate.
5. | Transfer Taxes |
If certificates representing Exchange Notes or Original Notes for principal amounts not tendered or accepted for exchange are to be registered or issued in the name of any person other than the registered holder of the Original Notes tendered, or if tendered Original Notes or Exchange Notes are to be registered in the name of any person other than the person signing this Letter of Transmittal, or if a transfer tax is imposed for any other reason, the amount of any such transfer taxes (whether imposed on the registered holder or any other person) will be payable by the applicable holder. If satisfactory evidence of payment of such taxes or exemption therefrom is not submitted herewith, the amount of such transfer taxes will be billed directly to such applicable holder.
6. | Waiver of Conditions. |
The Issuer reserves the absolute right to waive, in whole or in part, any of the conditions to the Exchange Offers set forth in the Prospectus.
7. | Mutilated, Lost, Stolen or Destroyed Securities. |
Any holder whose Original Notes have been mutilated, lost, stolen or destroyed, should contact the Exchange Agent at the address indicated above for further instructions.
8. | Taxpayer Information; IRS Form W-9; IRS Form W-8. |
Under U.S. federal income tax law, a tendering holder whose Original Notes are accepted for exchange for Exchange Notes may be subject to backup withholding on reportable payments made on the Exchange Notes unless the holder provides the Exchange Agent, Issuer, or other payor with its correct taxpayer identification number (“TIN”) and certain other information on IRS Form W-9, which is provided below, or otherwise establishes an exemption. If the Exchange Agent, Issuer or other payor is not provided with the correct TIN or an adequate basis for an exemption, a holder may be subject to a penalty imposed by the IRS, and backup withholding (currently, at a rate of 24%) may apply to any reportable payments on the Exchange Notes made to such holder. Such reportable payments generally will be subject to information reporting, even if the Exchange Agent, Issuer or other payor is provided with a TIN.
Backup withholding is not an additional tax. Rather, the U.S. federal income tax liability of a person subject to backup withholding will be reduced by the amount withheld. If withholding results in an overpayment of taxes, a refund may be obtained, provided that the required information is timely provided to the IRS.
To prevent backup withholding on reportable payments made on the Exchange Notes, each holder that is a “United States person” for U.S. federal income tax purposes should provide a properly completed and executed IRS Form W-9. Please see the instructions to the enclosed IRS Form W-9 for further information.
Certain holders (including, among others, generally all corporations and certain non-U.S. persons) are not subject to backup withholding. Exempt U.S. holders may establish their exempt status on IRS Form W-9. A non-U.S. holder may establish an exemption from backup withholding by submitting a properly completed IRS Form W-8BEN, W-8BEN-E, W-8ECI, W-8EXP or W-8IMY, as the case may be, together with any required attachments, signed under penalties of perjury, attesting to that holder’s non-U.S. status. The applicable IRS Form W-8 can be obtained from the IRS website at www.irs.gov.
9. | Requests for Assistance or Additional Copies. |
Questions relating to the procedure for tendering, as well as requests for additional copies of the Prospectus and this Letter of Transmittal, may be directed to the Exchange Agent at the address and telephone number set forth above. In addition, all questions relating to the Exchange Offers, as well as requests for assistance or additional copies of the Prospectus and this Letter of Transmittal, may be directed to the Exchange Agent at the address and telephone number indicated above.
IMPORTANT: This Letter of Transmittal (together with certificates of Original Notes or confirmation of book-entry transfer and all other required documents) must be received by the Exchange Agent on or prior to the Expiration Date.
FW-9 October 2015 Department of the Tанауown on your incomeRequest for Taxpayer Identification Number and CertificationGo to www.irs.gov/FormWD for instructions and the latest information.Name in required on this the die not leave these2 Business rameldisregandad snitty name, if different from aboveGive Form to the requester. Do not send to the IRS.Print or type. See Specific Instructions on page 3.he personfollowing sevenproprieCorporationCorporshansingle-menther LCheck onlyPatresheLimited liability company. Finter the tax classification corporation, Si corporation, PaPartnershipi Note: Check the appropriateIna above for the tax classification of the single-member awrer. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the dener unless the owner of the LLC is another LLC that is not daregarded from the owner for US. federal purposes. Otherwise, a single-member LLC that is daregarced from the owner shoad check the appropriate box for classification of oOther (see instructionaj AkbCity state, and ZIP code4 Exemptiona podes applyinstructione on pageExempt payve code (if any)Exeration tom FATCA pertinghere onPart 1 Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuais, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to got a TIN, IsterNote: If the account is in more than one name, see the instructions for Ine 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enterPart CertificationSocial securityUnder penalties of perjury, 1 certify thatThe number shown on this form is my correct taxpayer identification number for I am waiting for a number to be issued to mej; and 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 Service (RS) that I am subject to backup withholding as a result of a tallure to report all efterest or dividends, or (0) the IRS has notified me that I am no longer subject to backup withholding and3.1 am a US citizen or other US person (defined below andYOU Certification instructions. You must cross out item 2 above If you have been modified by the IRS that you are currently subject to backup withholding because you have failed d to to report report all all interest and dividends on your tax retum For real estate estate transactione, term 2 does not apply. For mortgage mortgage interest paid acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (A), and generally, poverenita other then interest and dividends, you are not required to sign the certificatum, but you must provide your corect TIN. See the instructions for Part, later.4. The FATCA codes) entered on this form of arry) Indicating that tam exempt from FATCA reporting is comect.Sign Here Signature of US, personDisteGeneral InstructionsSection references are to the Intermal Revenus Code unless otherwisenotedFuture developments. For the latest information about developmentsrelated to Form W- and its instructions, such as legislation enacted after they published, go to www.is.gov/FormW9Purpose of FormAn individual or entity Form W-9 requester) who is required to tile an Information retum with the IRS must obtain your correct taxpayer iclentification number (TIN) which may be your social security number(SSN), Individual taxpayer icient fication number (TIN), adoption taxpayer identification number (ATIN), or employee identifloatice sumber (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Fuemples of information retums include, but are not limited to, the foliowingForm 1099-INT (nterest earned or paidForm 1099-DIV dividends, including those from stocks or mutual fundsForm 1989-MISC (vanous types of income, prizes, awards, or gros proceeds)Forms 1099-5 stock or mutual fund sales and certain othertransactions by beokanForm 1000-8 proceeds from real estate transactions)Form 1099-K merchant card and third party network transactions Form 1098 (home mortgage interest), 1096-E (student loan interest), 1098-T (tuition)Form 1099-0 canceled debitoForm 1090-A (acquisition or abandonment of secured property) Use Form W- only if you are a US. person jintluding a residentallenj, to provide your correct TIN.If you do not retum Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is bacicup withholding,857832-001Cat. No. 10231X04Sep24 23:32
Form W- Rav 10-2018)By signing the filled-out form, you1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued.2. Certify that you are not subject to backup withholding, or3. Clam exarmption trom backup withholding if you are a U.S.xm payee, applicable, you are e also al certifying that as a U.S. person, your altocable share of any partnership income from a US, trade or business la not subject to the withholding tax on foreign partners’ shwe of effectively connected income, and4. Certify that FATCA cockered on this form of any) indicating that you are exempt from the FATCA reporting, is correct fiee What is FATCA reporting, later, for further informationNotec If you are a UB. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form f It is substantialy similar to this Form W-8.Definition of a U.S. person. For lederai tas purposes, you are considered a US. person if you are: An individual who is a US citizen or U.S. resident enA partnership, corporation, company, or association created or organized in the United States or under the An estate (other than a foreign estate or laws of the United States; domestic trust pas defined in Regulations section 301.7701-7)Special rules for partnerships. Partnerships that conduct a trade of business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners share of effectively connected taxable income from such business, Further, in certain cenes where a Form W-Ghas not been receivect, the rules under section 1440 require a partnership to presume that a partner is a foreign pemon, and pay the section 1448 withholding tax. Therefore, If you are a US. person that is a partner in a parthenship conducting a trade or business in the United States, provide Form W-9 to US, us statue and avoid section partnership income menshin 1445 hebatnership to establish your 1445 withholding on your share ofIn the cates below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its alocatie share of net income from the partriership conducting a trade or business in the United States.the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity: the case of a granitor trust with a US, grantor or other US, owner,generally, the US. grantor or other US owner of the grantor trust and not the trust; and In the case of a UB. trust jother than a grantor treat), the U.8. trut(other than a grantor biosty and not the beneficiates of the trust.Foreign person. If you a are foreign persion or the US branch of a foreign bank that has elected to be breited as a a US t person, do not use Form W-9. Instead, use the appropriate Form W-9 or Form 1233 Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign EntitiesNoriresident alien who becomes a resident alien, Genensly, only anonresicient allen individual may use the terms of a tax treaty to reduce or eliminate US tax on certain types of income. However, most tax treatties contain a provision nknown as “saving cleuse” Exceptions specified in the saving clause may permit extemption from tτακτα continue certain types of income even after the payee become a resident alien for purposes otherwiseIf you are a U.5, resident alien who is relying on an exception contained in the saning clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five starts.1. The treaty country. Generally, this must be the same treaty under which you claimed exer ned xemption from tax as as a nomasident alien, 2. The treaty article addressing the income3. The article sumber for location) in the tax treaty that contains the saving clause and its exceptions.The type and amount of income that quathes for the exemption from tas5. Sufficient facts to justify the exemption from tax snder the terms of the treaty article.Page 2Examplo, Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarstip income received by a Chinese student temporarily present in the United States. Lindor U.S. law, this student will become a resident allen for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocel to the U.S.-China treaty (dated April 30, 1964) w the provisions of Article 20 to continue to apply even after the Chinese the Ch student student becom becomes a resident alien of the United States. Steak A & C student who qualties for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from to on his or her actiolanship or fellowship income would attach to Form W- a statement that includes the information described above tosupport that exemptionIf you are nonewsident alien or foreign entity, цімм appropriate completeci Farm W-8 or Form 8233 the requester theBackup WithholdingWhat is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding Payments that may be tax-exeript interest beckup withholding include og include interest, ta dividende, broker and barter exchange transactions, rents, royaltes nanemployes pay, payments made in settlement of payenent card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. tax-exenipt interestYou will not be subject to backup withholding on payments you receive if you give the requester your conect TIN, make the proper you give certifications and report report all all your return taxable interest and dhidends on on yourPayments you receive will be subject to backup withholding if 1. You do not fumish your TIN to the requester,2. You do not cartify your TIN when required see the instructions for Part It for detail3. The IRS tells the requester that you furnished an incorrect TIN,4. The IRS tels you that you are subject to backup withholding because you did not report all your interest and dividends on your tax retum for reportable interest and dividends only), or5. You do not ortify to the requester that you are not subject to backup withholding under & above for reportable interest and dividend accounts opened after 1963 onlCertain payees and payments are exempt from backup withholding See Exempt payee code, later, and the separate instructions for the Requester of Form W-9 for more information.Also see Special rules for partnershipe, earlierWhat is FATCA Reporting?The Foreign Account Tax Compliance Act (FATCA requires participating foreign financial instituiton to report all inted States account holders that are specified United States persons. Certainpayees are exempt from FATCA reporting. Bee Exemption from FATCA reporting co code, later, and W-9 for more information. Instructions for the Requester of FormUpdating Your InformationYou must provide updated information to any person to whors you claimed to be an exempt payes you are no longer an exempt payse and anticipate receiving reportable payments in the future from this person, For example, you may need to provide updated information if you are a corporation that elects to be an 5 corporation, or if you no longer are tax exempt. In addition, you must fumish a new Form W-9 the name or TIN changes for the account, for example, if the grantor of agrantor Irust dies,PenaltiesFallure to furnish TIN, If you fall to fumish your correct TIN to a requester, you are subject to a penalty of 550 for each such talken Unleas your failure is due to reasonable cause and not to willful neglect Civil penalty for faise information with respect to withholding. If you rake a false statement with no reasonable base that results in no backup withholding, you are subject to a $600 penalty.
Form W-B10-2018)Criminal penalty for falsifying information. Willfully falsifying certifications or affionations may subject you to criminal penalties including fines and/or imprisonment.Misuse of TINS. If the requester discloses or uses Tiles in violation of federal low quester may be subject to ovil and criminal penalties.Specific InstructionsLine 1You must enter one of the following on this do not leave this line biank. The name shotad match the name on your tax rotum,thes Form W-9 is for a joint acpount other than an account maintained by a foreign francial institution (PPT), st first, and then circle the name of t the person or entity whose num the person or entity whose number you ent stered in Part of Form W-9. If you are providing Form W-9 to en FFI to document a joint account, each holder of the account that is a US. person must provide a Form W-Ba. Individual, Generally, enter the name shown on your tax retum. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your fest name, the name as shown on your social security card, and your new last name. Note: ITIN applicant: Enter your individus name as it was entered on your Form W-7 application, ine la. The should also be the same as the name you entered on the Form 1040/1040A/1040EZ you fled with your applicationb. Sole proprietor or single-member LLC. Enter your individualname as shown your 1040/10404/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2. Partnership, LLC that is not a single-member LLC, C corporation, or $ corporation. Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name ond. Other entities. Enter your name as shown on required U.S. federat tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on Ine 2.. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from te owner is treated as a “disregarded entity. See Regulations section 301.7701-2002). Enter The owner’s name on ine 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax retum on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a US person, the U.S. owner’s name is required to be provided on line 1. the direct owner of the entity is also a disregarded entity, enter the first owner that is disregarded not disreganck tax purposes Enter tax purposes. Enter the deregarded entity’s name name/disregarded entity name, if the owner of the disregarded entity as a foreign person, the oerer must complete an appropriate Form W-B instead of a Form W-9. This is the case even it the foreign person has a US. TIN for federal tax on line 2, “BusinessLine 2If you have a business name, trade name, DBA name, or disregardedentity name, you may enter it on line 2.Line 3Check the appropriate box on line 3 for the LLS. federal taoc classification of the person whose name is entered on line 1. Check only one box on line 3Page 3IF the entity/person on line 1 isTHEN check the box for....CorporationIndividualSole proprietorship, orSingle-member limited liability company (LLC) owned by an disregarded for Individual federal ferteral tax tux and and disregarded USpurposes.altax purposes, LLC treated as a partnership for US federal •LLC that han flied Form 8632 or 2563 to be taxed as a corporation,CorporationIndividual/sole propnator or single member LLCLimited liability company and erite the appropnate tax classification. IP Partnership: CCcorporation or S corporation)LLC that is regarded as an entity separate from its owner bot the owner is another LLC that in not disregarded fo arded for US. federal tax purposesPartnership Trust/estateLine 4, ExemptionsPartrenstip Trust/estateIf you are exempt from backup withholding andior FATCA reporting, enter in the appropriate space on line 4 any code) that may apply to youExempt payee code.Generally, individuals including sole pecprietors are not exempt trom backup withholdingExcept as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. Corporations are not exempt from backup withholding for paymentsmade in setterment of payment card or third party network transactions Corporations are not exempt Bom backup withholding with respect to attomeys’ fees or gross proceeds paici to attomeys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC The following codes identify payees that are exempt from backupwithholding. Enter appropriate code in the space in line 4. 1- An organization exempt from tax ander section 501(a) any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(2)2-The United States or any of its agencies or instrumentalities 3-A state, the District of Columbia, a US commonwealth or possession, or any of their political subdivisions or instrumentalities4-A foreign govemment or or instrumentalties any of its political subdivisions, agencies.5-A corporationA dealer in secunties or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth orpossession 7-A futures cassion mennt registered with the Commodity Futures Trading Commission-Aras estate investment trastAn unity registered at all times during the tax year under the Investment Company Act of 194010-A common trust fund operated by a bank ander section 58400)11-Ananci intitution 12-A middleman known in the investment community as a nominee or custodian13-A trust exempt from tax under section 64 or described in section 4947
Form W- Rav 10-2018)The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payées listed above, 1 through 13.IF the payment is for...Interest and dividend paymentsBroker bhansactionsBarter exchan hange trane nge transactions and patronage dividendsPayments over 5000 required to be reported and direct sales over $5,000Payments in settlement of ayment card or third party network Dayn transactionsTHEN the payment is exempt forAll exempt payees except for 7Exempt payees 1 through 4 and 6 through 11 and all C corporations 8 corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012Exempt payees 1 through 4Generally, exempt payees 1 throughExempt payees 1 through 4on However, the following paynerita made to a corporation and exempt from backup withnoiding: meclical and health care payments, aftomeys’ fees, gross proceeds paid to an attorney reportable uncier section 60451 and payments for services paid by a federal executive agency Exemption from FATCA reporting code. The following owing codes codes identity payees that are exempt from reporting un under FATCA A. These codes apply to persons submitting this forrs for accounts maintained outside of the United States by certain forsigs financial insitutions. Therefore, if you are only subenitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the itne for a FATICA exemption code.See Form 1099-MISC. Miscellaneous income, and its instructions.A-An organization exempt from tax under section 501(a) or anyIndividual netzement plan as defined in section 7701(3) 8-The Unifled States or any of its agencies or instrumentalitiesC-A state, the District of Columbia, a US. commonwealth or possession, or any of their political subdivisions or instrumentalities D-A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(0(1E-A corporation that is a member of the same expanded affiliated group as a corporation clescribed in Regulations section 1.1472-1(c)(1) F-A -A dealer in securities, commodities, or cerivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United Matem or any stateG-A real estate awestment trustH-A regulatedt investment company as defined in section 851 or an entity registered at all times during the tax year sunder the Investment Company Act of 19401-A common trust find as defined in section 584(8) J-A bark as defined in section 581K-A brokerL-A trust exempt from tax under section 664 or described in section4947)(1)Page 4M-A tax exempt trust under a section 403 plan or section 457g)planNotes You may wish to consult with the financial institution nstitution requesting requesting This fo form to determine whether the FATCA code and/or exempt payee code should be completedLine 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mall your informationretums. If this acichess differs from the one the requester already hes on fie, write NEW at the top. I a new address is provided, there is solla chance the old address will be used until the peyor clanges your address in thair necords.Line 6Enter your olby, state, and ZIP code,Part I. Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. you are a resident alien and you do not thavs and are not eligible to get an SSN your TIN in your IRS Individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TINbelow. you are a sole proprietor and you have an EIN, you may enter ether your SSN or EINIf you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has onej. Do not enter the daregarded entity’s EIN. If the LLC is cinsified as a corporation or partnership, enter the antity’s EINNote: See What Name and Number To Give the i Requester, later, for further clarification of name and TIN combinationsHow to get a TIN. If you do not trave a TIN, apply for one immediately. To apply for an SSN, get Form 55-5. Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213 Use Form W-7. Application for IRS individual Taxpayer identification Applica cation Namber to Number, to apply for an an ITIN ITIN, or Form SS-4, S Application for for Empic Employer Identification Number, to apply for an EIN, You c can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and otoking os Emproyer Identification Number (EIN under Starting aBusiness. Go to www.irs.gov/Forms to View, dowload, or print Form W-7 and/or Form 58-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10business daysyou are anked to complete Form W but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily traciable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will the subject to backup withholding on at such payments unti you provide your TIN to the requester.Notat Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon Caution: A disregarded U.S. entity that has a foreign owner must usethe appropriate Form W-aPart II. CertificationTo establish to the withholding agent that you are a US, person, or resident see, sign Form W-9. You may be requested to sign by the withholding agent even if term 1,4, or 5 below inclicales otherwise. For a joint account, only the person whose TIN is sitown in Part I should sign when required. In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.Signature requirements. Complete the certification as indicated in items 1 through 5 below.
Form W- Rav 10-2018)1. Interest, dividend, and barter exchange accounts opened before 1964 and broker accounts considered active during 1983. You must give your comect TIN, but you do not have to sign tha certification.2. Interest, dividend, broker, and barter exchange accounts opened after 1903 and broker accounts considered inactive during 1003. You must sign the certification or backup withholding will apply. you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form3. Real estate estate transactions. You must sign the certification. You may cross cut item 2 of the certification.4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN, “Other payments include payments made in the course of the requester’s trade or business for rents, royalties, coods other than bits for merchandise), medical and health care services (in health care services (includ including payments to corporations), p payments to payments to anonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attomeys (including payments to corporations5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments funder section 528, ABLE accounts (under section 52A)IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct but you thave to sign the certification.What Name and Number To Give the RequesterFor this type of account:Indivodos2. Two or more individuais joint socount other than an account maintained by an FF3. Two or mon UB persone sint account maintained by an4. Custodial account of a minor (Unitere Gift to Menorm Act)Give name and SSN of The indi dalThe acted owner of the conted funds on the accounEach hotdel of the accountThe minor5. a. The usual revocable savings trust gotoral trusteeThe grantor-trusteeb. So-called trust accoure a legal or valid trust underThe actual owner6. Sole proprietorship or daregardedThe owneroumed by an individuGantar Busting under Optional Fumm 1000 Filing Method se Faguntuns section 1871-428The gruntoGive name and EIN ofFor this type of accountmity not cemed by anThe ownerindadual persion thastLagal aristyCorporation or LLC electing corporalle status on Farm 8832 orThe corporationAssociation chartable, educational, or other ationThe organization12. Partrenship or mu-member LLC 13. A broker of registered nursneeThe partnership The broker oFor this type of account:14. Account with the Department of Agricuture in the name of a public entity such as a state local government, school disbict, on piter that receives agrotundprogram paymer15. Grantor trust fång under the Form 1041 Filing Method or Option Form 1000 Fing Mat 2Give name and EIN of: The public ernityThe pustPage 5List finst and circle the name of the person whose number you fumish. If only one person on a joint account has an SSN, that person’s nur must be furnvahecCircle the minor’s and fumish the minor’s 88%. You must w Individual narne and you also enterbusiness or DBA name on the name line. You may use alther your IRS encourages you to use your SSN. SSN or EIN (If you have one), but theList first and circle the name of the trust, estate, or pension trust. (Do not fumish the TIN of the personal representative or bustee unless the legal entity itself is not designated in the account title) Also see Special rules for partnerships, narlor,“Note: The grantor also must provide a Form W-9 to trustee of trust. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.Secure Your Tax Records From Identity TheftIdentity theft occurs when someone uses your personal informationsuch as your name, 85N, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refundTo reduce your kProtect your 88N,Ensure your employer is protecting your SSN, andBe careful when choosing a fax preparer.If your tax records are affected by identity theft and you receive a notice from the IRS, respond night away to the name and phone numberprinted on the IRS notice or letter If your tax records are not currently affected by identity theft but youthink you are at risk clue to a lost or stolen purse or wallet, ques credit card acthity or credit report, contact the IRS Identity Theft Hotline at 1-800-008-4400 or submit Form 14030 For more information, see Pub. 5027, Identity Theft Informatice for Taxpayers Victims of identity theft who are experiencing economic harm or a systemic problem, or ans seeking help in resolving tas problems thathave not been masived through normal channais, may be eligible for Taxpayer Adrocats Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD1-800-829-4069 Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and Phishing is the creation and use of email and websites nd use of email designed to mimic legitimate business emails a and websites The most common act is sending an email to a user falsely claiming to be an establishedlegitariate enterprise atteript to scam the asar to surrenderingprivate information that will be used for identity theft.
Form W- (Rav 10-2018)The IRS does not initiale contacts with taxpayers via emals. Also, the IRS does not request personal detalieci antarmustion through emall or ask taxpayers for the PIN numbers, passwords, or similar secret nocess Information for their credit card, bank, or other financial accounts.If you receive an unsolicited email ularning to be from the IRS forward this message to phishinglés gou. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4464, You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-43316. If you have been the victim of identity theft, se www.dentity Theft.gov and Pub 5027Visit www.irs.gov/Identity Theft to learn more about identity theft and how to reduce your nak.Pape 6Privacy Act NoticeSection $100 of the Intermal Revenue Code mquires you to provide your correct TIN to persons (including federsil agencies) who are required to file information returns with the IRS to report interest, diviciends, or certain other income paid to you, mortgage interest you paid; the acquisition or abandonment of secured property, the cancellation of debt, or contributions you made to an IFIA, Archer MSA, or HSA. The person collecting this form uses the information on the form to fhe information returns with the IRS, reporting the above information. Rouane yees of the raportoing t Information ing Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cibes, states, the District of Columbia, and U.S. commonwealths and possessions for use in aciministering their laws. The information also may be disclosed to other countries under a treaty, to federal anci state agencies to enforce civil and criminal laws, or to feciersi law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payersmust generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain etan penalties penalties may also information.