2005-086 Council Resolution - Laserfiche WebLink

Home Search

• • • Forel -9 (Rev. January 2D32) capatmtat or the Tract ry Irtanal klawrua Sen a+ Request for Taxpayer cation Number and Certification Give heron to the requester. Do not send to the IRS. to w a u • A 6 rr. N austnass name, Irettfar+ent torn above Check approprlata box: ❑ ISole proprietor ❑ Coipaaaon ❑ Petrership ❑ Ober ❑Exempt horn backup wlthtnldlrrg Address (lumber, greet, and apt or suite rev.) Ctly, state, and ZIP cad Requester's ramie aid adiless Kernel) Ust ar„cotrd number(s) Ire (optional) Mari 1 Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. Fcr individuals, this is your social security number (SSDj. However, for a resident alien, sole proprietor, or disregarded .entity, see the Part 1 instructions on page 2. Fcr tither entities, it is your employer identification number (EIN). If you do not he a number. see How to get a TIN on page 2. Note: if the account is in more than ono name, see the chart an page 2 for guidelines co Mese number to enter. U Certification Social security number 111II- 111 or Eml toyer ' 1 entinrat 1 n 1 m r 1 Under penalties of perjury. I certify that: 1. The number shovrn on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me)., and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding. or (b) I have not been notified by the Internal Revenue Service 1 RS) that I am subject to backup •thholding as a result of a failure to report all interest or dividends, or (c): the IRS has notified me that 1 am no longer subject to backup withholding, and 3. I am a U.S. person (includirg a U.S. resident alien). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are curer* subject to backup withholding because you have failed to report all interest and divkdends on your tax return. For real estate transactions. item 2 does not apply. For mortgage interest paid. acquisition err abandonment of secured Property, cancellation of debt, contributions to an individual retirement arrangement ORA), and generally, payments other than interest. and dividends, you are not required to sign the Certification. but you must Rovide your correct TIN. (Son the instructions on page 2.) Sign Signature of Here U.S. rson ► Date le Purpose of Form A person ratio is requited to rile an information ream with the IRS must get your correct taxpayer identification number (11N) to report. for example, income paid to you, reel estate transactions mortgage interest you paid, acquisilim or abandonment of secured property, cancellation of debt. a contributions you made to an IRA. Use Form W -9 only if you are a U,S. person Gnclud'ng a resident alien), to give your correct TIN to the parson requesting it (the requested and. tvl,en applicable, to: 1. Certify the TIN you are giving is correct (or ycu are waiting for a number to be issued), 2. Certify you are not subject to backup wid*olding, or 3. Claim exemption from backup wilttolding if you era a U.S. exempt payee. If you are a foreign person, use the appropriate Form W -8. See Pub. 515, Withhald'ng of Tax on Nonresident Aliens ord Foreign Entities. Note: ilea requester gives you a form other than Form W-9 to request your T1N your gust use the requester's form lit is substantially sinter to this Farm W -9. Nihau is backup withholding? Persons mating Derain paymrxtis to you must under certain conditions withrold and pay to the IRS 30% of such payments after December 31. 2001 (2£ after December 31, 20013). This is called "backup wilt holding " Payments that may be subject to backup withholding hctxda interest, dividends. broker and base exchange treasactions, rants royalties. ncnemployee pay, and certain payments front fishing boat operators. Real estate transacti:ns are not subject to backup with :Ming. You will not be subject to backup wit-holding on payments year receive if you give the requester your correct TIN, make the paper certifications. and report all your taxable interest and dividends on your tax rerun. Payments you receive will be subject. to backup withholding elf. 1. You do not hmesh your TIN to the requester, or 2. You do not certify your TIN when required (seethe Pen II instructions on page 2 far details), or 3. The IRS tells the requester that you furnished an incorrect T1N, or A. The IRS tells you that you are subject to backup wBHnlding because you did not report your iterest and dividends on your tax retum (for reportable interest and dividends only), or G. You do not certify to the requester tt are not subject to backup withholding under 4 above (for reportable interest end dividend accounts opened alter 1083 only). Certain payees and payments are exempt from backup withholding. See the instructions m page 2 and the separate Instructions for the Requester of Form W -9. Penalties Failure to furnish 1119 If you fail to furnish your Doran TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable corpse and root to willful neglect. Civil penalty for false information with respect . to withholding. If you make a false statement with no reasonable basis that results in m backup withholding. you are subject to a WO penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties includig fines and/or imprisonment. Misuse of Ms. If the requester discbses or uses TINS in violation cf Federal law, tow requester may be subject to civil end criminal penalties. Minnesota Option Structure Lease 2005 Final Date: 050617 Cat. 113. 10231 X -49- 14 Fran - . 1 •2002)