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V,.iF' Request for Taxpayer
<br />FormGive Form to the
<br />(Rev. October 2.018) Identification Number and Certlftcation requester. Dont
<br />tnlemal Ra Serv6oe 1 Go to wwwJro.gov/AOMWP for Instructions and the latest Information. send to the IRS.
<br />1 Name (as shown on your Income tax return* Nam], nqu(red On this ane; do not isave tints nne blanc.
<br />+MILESTONE CONTRACTORS NORTH, INC.
<br />2 Buslnesa neme/disregardod "ty arms, if dltfertnt from above
<br />WALSH & KELLY, INC.
<br />3 Chock appropriate box for federal tax dation of the person whose name is entered on line 1. Check only one of the a Exemptions (codes apply only to
<br />following smeven boxes. oenaln entities, not individuals; see
<br />c ❑ trmrt+vsduavaob
<br />Ifp tractions on pegs 3}:
<br />proprietor or EJC Corporation O p ❑ 7nrat/eatete
<br />S Corporation ❑ Partnermi
<br />shgb-rrmember LLC
<br />E:x.mpt payee code (H any)
<br />❑ United fiabinty company. Enter the tax classification (CwC oorporatlon, S.S oorporatlon, P6Partnership) P
<br />Zj Note. Check the appropriate box in the line abm for the tax Classification of the single -member owner. DO not check Exemption from FATCA ropordnp
<br />LLC H the LLC Is classified as a sfngla- member LLC that is disregarded from the owner uMees tiro owner of the LLC is code Gl arty)
<br />u anotherwner
<br />LLC that is not disregarded from the ofor U.S. feden d tax purposes. Otherwise. a "I*-membar LLC that
<br />to d-eregarded from the owner 4hould check the appropriate box for the tax classification of its owner.
<br />❑ Other fees lnstntotione) ► - 1Wr+ak a.r�u+r. nrr a.t.eowrae r,e use
<br />6 Address (number, straet, and W. or suite raj See instructions. Paqueetses name and address (optional)
<br />1700 EAST MAIN STREET
<br />6 City, state, and ZIP code
<br />GRIFFITH, IN 46319
<br />T List account number(s) snare
<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 Sociat eeantty number _
<br />backup withholding. For Individuals, is this b dgenerallyentity, your social security number , late . However, for a
<br />resident alien, isole proprietor, or disregarded entity, see the Instructions for Part 1, later. For other
<br />entitiers, It Is your employer ldentffication number (EIN). If you do not have a nurnW, see Now to yet a
<br />77N, later. or
<br />Note: If the account is in more than one name, see the instructions for Una 1. Also see What !Name and [ Employsr Identification number
<br />Number To Give the Requester for guidelines on whose number to enter. -
<br />3 5 1l1 2 0 68 5
<br />E;x�P�1��, _ -- Certifit;al;aon
<br />Under penalties o1 perjcwy, I certify that:
<br />1. The number shown on this form Is my correct taxpayer Identification number (or I am waking 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 wkhtmolding, or (b) I have not been notified by the Internal Revenue
<br />Service ORS) that I am subject to backup withholding as a result of a failure to report all itnenset or d'Mdends, or (c) the IRS has notified me that I 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 an this form of any) indicating that I am exempt from FATCA reporting is oorrect.
<br />Ceitfficatlon hetructiona, You must dross out item 2 above if you have been ratified 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, cartoelWon of debt, contributions to an individual retirement arrangement ORA), anis generally, payments
<br />other then Interest and dividends, you are not required to sign the certification, but you must provide your correct TiN. See the instructions for Part 11, later.
<br />Here U-Uxrf of
<br />S. p. on 1 t j i i lit 0-1 J-4,11(f..a •►t l i Ck _ Dot* 1 R � Z z .(
<br />General instructions
<br />Section references are to the lntemal Revenue Coda unless otherwise
<br />noted.
<br />Future developmants. 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.lrs.gov/FormW9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />information return with the IRS must obtdn your correct taxpayer
<br />identification number {TIN) which may be your social security number
<br />(SSM, individual taxpayer identification number OTIN), adoption
<br />taxpayer identification number (AT1N), or employer identification number
<br />(EIM, 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 />• Form 1099 -INT (interest earned or paid)
<br />a Form 1099-b1V (dividends, Including those from stocks or mutual
<br />funds)
<br />• Form 1099 -MSC (varfous types of income, prizes, awards, or gross
<br />proceeds)
<br />• Form 1099-B (stock or mutual fund sates and certain other
<br />transactions by brokers)
<br />• Form 1099-S (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. parson (including a resident
<br />alien), to provide your correct TIN.
<br />M you do not return Form W-9 to the requester with a nN, you might
<br />be subject to backup withholding. See What is backup withholding,
<br />later.
<br />Gat. No. 1D231x ��`-- Form W-9 ftv,10-201E)
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