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<br />Form"
<br />(Rev. January 2D 2)
<br />DotsztmQrt rI the Irousury
<br />irtamai Fxtrruca Soto w
<br />Request for Taxpayer
<br />Identification Number and Certification
<br />Give form to the
<br />requester. Do not .
<br />send to the IRS.
<br />a
<br />to
<br />Nrffl
<br />Fatalness name, Ir ctltaram tom above
<br />tndtttdtkutr Eternpt from backup
<br />check approprkate bat: ❑ a prcl.,tlwhir ❑ Corporation ❑ Pa- Mashie ❑ CtI1E ► ❑ vstthtnldtng
<br />ultress (rnmtex, street, cod apt cr suite n3.)
<br />City, state, and ZIP code
<br />Requester's reame and DICireSS (cpttonat)
<br />List accoint rurnterp) tree (t planar(
<br />Fart I
<br />Taxpayer Identification Numbe
<br />Enter your TIN in the appropriate box. For individuals, this is your social security number (SSNI.
<br />However, for a resident alien, sole proprietor, or disregarded entity, see the Part 1 instructions on
<br />page 2. Fcr ether entities, it is your employer identification number (EIN). If you do not have a number,
<br />see How to get a TIN on page 2.
<br />Note: If the account is in more than are .name, see tie chart err page 2 for gtadefines ar wfir a rnaoraer
<br />to enter.
<br />kuitil Certification
<br />soclat security number
<br />111.1E111
<br />or
<br />Employer Identification number
<br />I 1 1 1 1 1 1 I
<br />Under penalties of perjury, I certify that:
<br />1. Thy number sho'a -i on this farm is my camacttexpayer identification number (cr I am waiting for a number to be issued to me), and
<br />2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
<br />Revenue Service ORS) that. I am subject to backup vtithholding as a result of a failure to report all interest or dividends, or (o) the IRS has
<br />notified me that I am no longer subject to backup withholding, and
<br />3. I an a U.S. person (including a U.S. resident alien).
<br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject ter backup
<br />withholding because you have failed to report all interest and divkiends an you tax return. For real estate transactions, item 2 does not apply.
<br />For mortgage interest paid, acquisition cr abandonment of secured p- aperty, cancellation of debt, contributions to an individual retirement
<br />arrangement ORA), and generally, payments other than interest. and dividends, you are not required to sign the Certification, but you must
<br />provide your correct TIN. (See the instructions on page 2.)
<br />Sign
<br />Here
<br />Signature of
<br />U.S..erson ►
<br />(late I*
<br />Purpose of Form
<br />A parson who is required to file an information
<br />rerun with ire IRS must get your correct
<br />taxpayer identification rumber (TIRE to report, for
<br />ex<trn le, income paid to you, real estate
<br />transectiona, mortgage interest you paid,
<br />acquisition or abandonment of secured property,
<br />cancellation of debt, or contributions you made
<br />to an IRA.
<br />Use Form W -fl only if you are a li S. person
<br />(mcludrg a rmiderut alien), to give you correct
<br />TIN to the parson requesting it (the requester)
<br />and, when applicable, to:
<br />1. Certify ibee TIN you are giving is correct (or
<br />you are waiting for a number to be issuer),
<br />2, Certify you are not subject to backup
<br />wall-eliding, or
<br />3. Claim exemption front backup withholding if
<br />yccu ere a U.S. exempt payee.
<br />If you are a foreign person, use the
<br />appropriate Form W -8. See Pub. 515
<br />Withhcldrtg of Tax on Nonresident Aliens and
<br />Foreign Entities.
<br />Norte: i4 a requester t3tv.ar you a firma .tither than
<br />Form a to request your our TIN. yoc most arse the
<br />requester':s. farm .ifit is substairiser$primier to this
<br />Foram W-.9.
<br />"Mat is backup withholding) Persons makn3
<br />certain payments to you must under certain
<br />conditions witttnld and pay to the IRS 30 of
<br />Such payments after December 31. 2001 (M31,
<br />after December 31, 2D03). Thb is called "backup
<br />witltulding ' Payments that may be subject to
<br />backup withholding halide interest. dividends,
<br />broker and ba er exchange transactions, rents,
<br />royalties, ncnemployee pay, and certain
<br />payments from fishing boat. operators. Real
<br />estate lransectcns are not subject to backup
<br />withholding.
<br />You will not be s.rb ct to backup witttnlding
<br />on payments you receive if you g We the
<br />requesteryuur correct TIN, make the proper
<br />certificetixa, and report all your taxable interest .
<br />and dividends on your tax ration.
<br />Payments you receive will be subject. to
<br />backup withholding if:
<br />1, You do notfunrh your 11N t0 the
<br />requester, or
<br />2. You Fir; not certify you TIN when required
<br />(seethe Part II instructions on page 2 far
<br />detaiIi , or
<br />2. The IRS teals the requester that you
<br />famished an incorrect TIN, ar
<br />4, The IRS tells you that you are subject to
<br />backup withholding bemuse you did rot report
<br />all your merest and dividends on your tax return
<br />(For reportable interest and dividends only), cr
<br />G. You do not certify to the requester
<br />are not subject to backup withholding under 4
<br />above for reportable interest and dividend
<br />accounts opened alter 1983 ably).
<br />Certain payees and payments are exempt
<br />from backup withholding. See the instructions an
<br />page 2 and the separate instructions for tine
<br />Requester of Floral W -9
<br />Penalties
<br />Failure to furnish UN. If ynu fail to furnish your
<br />coact TIN to a requester, you are subject to a
<br />penalty of' SSD for each such failure unless your
<br />failure is due to reasonable case and riot to
<br />willful neglect.
<br />Civil penalty for false information with respect .
<br />to withholding, IF you make a false statement
<br />with re reasonable basis that results in no
<br />backup wiittnlding, you are sullied. to a
<br />penalty.
<br />Criminal penalty for- falsifying information_
<br />Willfully Falst(yi-g certifications or affirmations
<br />may subject you to criminal penalties includrg
<br />fines adior imprisonmrrt.
<br />fviisuse of fills. IF the requester discloses or
<br />uses TINs in violation of Fell law, tt'e
<br />requester may to subject to civil aid crimnal
<br />penalties.
<br />Minnesota Option Structure Lease
<br />2005 Final Date: 050617
<br />Cat. te. 10231X
<br />-49 -
<br />Farm W-9 tfi_v.1 -2r.
<br />
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