GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER
ON SUBSTITUTE FORM W-9
How to Get a TIN
If you don’t have a taxpayer identification number (a “TIN”), apply for one immediately. To apply, get Form SS-5, Application for a Social Security Number Card (for individuals), from your local office of the Social Security Administration, or Form SS-4, Application for Employer Identification Number (for business and all other entities), from your local IRS office. For individuals who do not have and are not eligible to obtain a Social Security Number, apply for an IRS taxpayer identification number on Form W-7 which is available from your local IRS office.
If you do not have a TIN, write “Applied For” in the space for the TIN in Part I, sign and date the form, and give it to the requester. Generally, you will then have 60 days to get a TIN and give it to the requester. If the requester does not receive your TIN within 60 days, backup withholding, if applicable, will begin and continue until you furnish your TIN.
NOTE: Writing “Applied For” on the form means that you have already applied for a TIN or that you intend to apply for one soon.
As soon as you receive your TIN, complete a Form W-9, include your TIN, sign and date the form, and give it to the requester.
Specific Instructions
Name. If you are an individual, you must generally enter the name shown on your social security card. However, if you have changed your last name, for instance, due to marriage, without informing the Social Security Administration of the name change, please enter your first name, the last name shown on your social security card, and your new last name.
Sole Proprietor. You must enter your individual name (enter either your social security number (“SSN”) or your employer identification number (“EIN”) in Part 1). You may also enter your business name or “doing business as” name on the business name line. Enter your name as shown on your social security card and business name as it was used to apply for your EIN on Form SS-4.
Part I – TIN
You must enter your TIN in the appropriate box. If you are a sole proprietor, you may enter either your SSN or your EIN. Also see the chart on the attached page for further clarification of name and TIN combinations. If you do not have a TIN, follow the instructions under “How to Get a TIN” above.
Part II – For Payees Exempt from Backup Withholding
Individuals (including sole proprietors) are not exempt from backup withholding. Corporations are exempt from backup withholding for certain payments. If you are exempt from backup withholding, you should still complete this form to avoid possible erroneous backup withholding. Enter your correct TIN in Part I, write “Exempt” in the space provided, and sign and date the form.
If you are a nonresident or a foreign entity not subject to backup withholding, give the requester a completed Form W-8BEN, Certificate of Foreign Status.
The following is a list of payees exempt from backup withholding. For interest and dividends, all listed payees are exempt except the payee in item (ix). For broker transactions, payees listed in items (i) through (xiii), and a person registered under the Investment Advisors Act of 1940 who regularly acts as a broker are exempt.
(i) a corporation;
(ii) an organization exempt from tax under Section 501(a) of the Internal Revenue Code of 1986, as amended (the “Code”), or an individual retirement account, or a custodial account under Section 403(b)(7) of the Code if the account satisfies the requirements of Section 401(f)(2) of the Code;
(iii) the United States or any of its agencies or instrumentalities;
(iv) a state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities;
(v) a foreign government or any of its political subdivisions, agencies or instrumentalities;
(vi) an international organization or any of its agencies or instrumentalities;
(vii) a foreign central bank of issue;
(viii) a dealer in securities or commodities required to register in the United States or a possession of the United States;
(ix) a futures commission merchant registered with the Commodity Futures Trading Commission;
(x) a real estate investment trust;
(xi) an entity registered at all times during the tax year under the Investment Company Act of 1940;
(xii) a common trust fund operated by a bank under Section 584(a) of the Code;
(xiii) a financial institution;
(xiv) a middleman known in the investment community as a nominee or who is listed in the most recent publication of the American Society of Corporate Secretaries, Inc., Nominee List; or
(xv) a trust exempt from tax under Section 664 or described in Section 4947.
Privacy Act Notice – Section 6109 requires you to give your TIN to persons who must report certain 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 certain 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 TIN to a requester, 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 backup withholding, you are subject to a penalty of $500.
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(3) Criminal Penalty for Falsifying Information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.
FOR ADDITIONAL INFORMATION CONTACT YOUR TAX CONSULTANT OR THE INTERNAL REVENUE SERVICE.
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GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE FORM W-9
Guidelines for Determining the Proper Name and Identification Number to Give the Requester. –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 requester.
| | For this type of account: | | Give the SOCIAL SECURITY NUMBER of — | | | | For this type of account: | | Give the TAXPAYER IDENTIFICATION number of— |
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1. | An individual’s account | | The individual | | 10. | | Corporate account | | The corporation |
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2. | Two or more individuals (joint account) | | The actual owner of the account or, if combined funds, the first individual on the account(1) | | 11. | | Religious, charitable, oreducational organization account | | The organization |
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3. | Husband and wife (jointaccount) | | The actual owner of the account or, if joint funds, the first individual on the account(1) | | 12. | | Partnership account held in thename of the business | | The partnership |
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4. | Custodian account of aminor (Uniform Gift toMinors Act) | | The minor(2) | | 13. | | Association, club, or other tax-exempt organization | | The organization |
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5. | Adult and minor (jointaccount) | | The adult or, if the minor is the only contributor, the minor(1) | | 14. | | A broker or registered nominee | | The broker or nominee |
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6. | Account in the name ofguardian or committeefor a designated ward,minor, or incompetentperson | | The ward, minor, or incompetent person(3) | | 15. | | Account with the Department ofAgriculture in the name of apublic entity (such as a State orlocal government, school district,or prison) that receivesagricultural program payments | | The public entity |
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7. | a. | The usual revocable savings trust account (grantor is also trustee) | | The grantor-trustee(1) | | | | | | |
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b. | So-called trust account that is not a legal or valid trust under State law | | The actual owner(1) | | | | | | |
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8. | Sole proprietorship account | | The owner(4) | | | | | | |
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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) | | | | | | |
(1) | List first and circle the name of the person whose number you furnish. |
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(2) | Circle the minor’s name and furnish the minor’s social security number. |
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(3) | Circle the ward’s, minor’s or incompetent person’s name and furnish such person’s social security number. |
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(4) | Show your individual name. You may also enter your business name. You may use either your Social Security Number or Employer Identification Number. |
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(5) | List first and circle the name of the legal trust, estate, or pension trust |
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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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