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Formw_9 Request for Taxpayer Give Form to the
<br />(Rev, November 2017) Identification Number and Certification requester. Do not
<br />of the Treasury send to the IRS.
<br />Internal Revenue Service I � Go to www.irs.gov/ForinW9 for instructions and the latest information.
<br />I Narne (as shown on your Income tax return). Name is required on this line; do not leave this line blank.
<br />ih.YSIo-Contr9fJrtq.
<br />2 Hi"-n-e"s"-s-n,-a-m,e/disregarded entity name, if different from above
<br />3 Check appropriate box for federal tax classification of the person whose name Is ordered on fine 1. Check only one of the 4 Exemptions (codes apply only to
<br />following seven boxes. certain entities, not Individuals; see
<br />instructions on page 3):
<br />Individual/sole proprietor or 0 0 Corporation D S Corporation Partnership ❑ TrusVestate
<br />0
<br />single -member LLG Exempt payee code (if any) 5
<br />CL 01
<br />❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) i
<br />Note- Check the appropriate box In the line above for the tax classification of the single-momber owner. Do not check Exemption from FATCA reporting
<br />LLC If the LLC is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC Is code if any)
<br />another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLO that
<br />CL is disregarded from the owner should check the appropriate box for the tax classification of Its owner.
<br />1 E] Other (see, instructions) 0-
<br />6 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional)
<br />111811 Willows Rd NE
<br />n 6 City, state, and ZtP code
<br />Redmond, WA 98052
<br />7 List account number(s) here (optional)
<br />Taxpayer Identification Number (TIN),
<br />Enter your TIN! in the appropriate box. The TIN provided must match the name given on fine 1 to avoid
<br />backup withholding. For individuals, this Is generally your social security number i However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the instructions for Part 1, later, For other
<br />entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
<br />TIN, later.
<br />Note- If the account is In more than one name, see the instructions for line 1. Also see What Name and
<br />Number To Give the Requester for guidelines on whose number to enter.
<br />or
<br />security
<br />e■n
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholdling, or (b) I have not been notified by the Internal Revenue
<br />Servlco (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (o) the IRS has notified me that 11 am
<br />no longer subject to backup withholding: and
<br />.3. 1 am a U.S. citizen or other U.S, person (defined below); and
<br />4. The FATCA code(s) entered on this form (if any) !indicating that 11 am exempt from FATCA reporting is correct.
<br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
<br />you have failed to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
<br />acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA!, and generally, payments
<br />other than Interest and dividends, you are not required to sigi certification, but you must provide your correct TIN. See the Instructions for Part 11, later.
<br />Signature of
<br />Here I U.S.personlib, CD
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest Information about developments
<br />related to Form W-9 and its Instructions, such as legislation enacted
<br />after they were published, go to www,irs,govIFormIN9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />Information return with the IIRS must obtain Your correct taxpayer
<br />identification number (TIN) which may be your social security number
<br />(SSN), individual taxpayer Identification number (ITIN), adoption
<br />taxpayer Identification number (ATIN), or employer Identification number
<br />(EIN), to report on an information return the amount paid to you, or other
<br />amount reportable on an information return. Examples of information
<br />returns include, but are not limited to, the following.
<br />a Form 1099-INT (interest earned or paid)
<br />Date li I / 14 / 1z"', a I
<br />® Form 1099-DIV (dividends, including those from stocks or mutual
<br />funds)
<br />® Form 1099-MISC (various types of Income, prizes, awards, or gross
<br />proceeds)
<br />* Form 1099-8 (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />* Form 1099-5 (proceeds from real estate transactions)
<br />* Form 1099-K (merchant card and third party network transactions)
<br />® Form 1098 (home mortgage interest), 1098-E (student loan interest),
<br />1098-T (tuition)
<br />® Form 1099-C (canceled debt)
<br />• Form 1099-A (acquisition or abandonment of secured property)
<br />Use Form W-9 only if you are a U.S, person (including a resident
<br />alien), to provide your correct TIN.
<br />It you do not return Form W-9 to the requester with a TIN, you might
<br />be subject to backup withholding, See What is backup withholding,
<br />later.
<br />Cat. No. 10231X Form W-9 (Rev. 11 -2017)
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