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9ldegtificatl
<br />Request for Tax
<br />Glue Farm to tn a
<br />Farm
<br />(Rev, 0alobar2818)
<br />n Number and
<br />d Certification
<br />requester. l3onof
<br />Aspan mentd0ra7raaaary
<br />telernal Pevanue`Ssrvlae
<br />rGo io,OwW:frs:goy/Form W9f6rinstYnations endiho latest Information.
<br />Send ta4ha3RS;
<br />_
<br />1 Name(atshown on your Income bog return).Name Is required on this line;donot leave this line blenk.-
<br />Ferguson '11S Holdings,1no,
<br />2 Business name/dleregsrded evilly, nems, If dliferent.from-above
<br />Ferguson Enterprises, LLG
<br />0 Oheolt appropnatebox for federaladd otasalfloatian of the person Whose name 14 entered on One` 1, 01heckaMy one 6fthe
<br />4 Exemptions (codas apply only to
<br />M
<br />I01loWlpg-oven boxes,
<br />certain entities, not lndlvlduals� sea
<br />a
<br />o
<br />❑ Indlvlduayeole proprietor or d CCorporatiop El Carp station Q -:Partnership ❑YrusVeslete
<br />Inlmoticnean pages);.
<br />c
<br />smgfe-megiber LLC
<br />Exemptpriyee codeOf any) 5
<br />0
<br />Ilmlted{lability company, Enter ihe Vox classification (Cc corporalloa, s -S corp6ratlan, P=Parinsrsirlp).►
<br />p 2
<br />Note:Chockthe appropriate boxinjhe line abovalorthe WKClassllloatlon of lhealhglevnsmbsr owner. Oonotchook
<br />ExempllonfmmFATCAtepoding.
<br />+'Te
<br />LLC lithe LI -Cls classified asasingle-mamber LLCthath; disregarded Irani the owner unless the ownerofth"L.0 Isanother LLC that I"ot disregarded fromtheowner(ar U.s, federal her purposes,Otherwise, as(nglA-(namber I -W that
<br />Dods Of any) E.
<br />a
<br />is. disregarded Unlothe owner ehauld ohechthe Appropriate.bag for the.tax -classillcationoftls owner,
<br />_ ❑ Olhar loss Instructions) i-_
<br />(ePP+k iaeccdunl+mvMiatmdwNb8lA+aaj:
<br />y
<br />-Address (number, S,tee{, and apt, rnsu_Ile no ,j See Instructions,
<br />Paquastafshome and Address(opganal)
<br />12600 Jefferson Avenue
<br />0 CRY. datep and ZIP code
<br />Newport.News, VA 23662
<br />7 Ltekaocount nurnw(s):hero (optisnal)
<br />Taxpayer Identification Number (TIN)
<br />Enter your TIN In the appropriate box, The TIN provided must match the name glven an line 1 to avoid. 560101 security
<br />fors
<br />numb
<br />s ctlons number , late . However,
<br />eerily, seer a Inst vedurns.for6ert h Iater..:For wever,
<br />backup e,sleop ietor, or this this Is generally your a the
<br />resident alien, sola withholding, FbArtrOvIdu la, this
<br />r
<br />'m _
<br />entf8as, it Is your employer iderti laation ntrmlbst-je �. If you do not have a number, sea Now to gei a
<br />.
<br />.TIN, later; - - _ or
<br />Note; If account is In more than one name, ee9:the Instructions ler line 1. Also see What Name and LEI
<br />NumWToo aNe•the Requesterfor guidelines on whose numberp enter,
<br />S, tans a. U;S, citizen or other U,% person
<br />I am exempt from FATCA reparAng Is oorrect.
<br />algn signature of(� s--.
<br />Here U:S.oarsont: 11�..--+ �- beta R'3. 1 '13
<br />General Instructions
<br />Section references sre lathe Internal RayenUo Code dtlless otherwise
<br />noted,
<br />Future developments. For the latest information about chwalopments:
<br />related 10 Form VN -9 and Its,Instruotlans, such as Iaglslailo t enacted
<br />After they, were published, Re to WWW/rs.pov/FoimW9,.
<br />Purj ose,of Form
<br />An IndiVldual or entity (Form W-9 requaster),Who Is required to flWal)
<br />Information relum Wlth the IRS.muat obtain your correct teXpayer
<br />Itlentilicatlbn ti4mbar (TIN) which may be your social seeurhY-humber.
<br />(S5N), IndlvkW taxpayer Ideir""catlan number (ITIN), adoption
<br />tax yr ae Identlitcatlon nuntber:(ATIN), or employer Idenllflcatlon number
<br />Celt0), to repoI an an InfoYrt)etlon return the amount paid tt>;yau; or other
<br />amount reportable on an Informallon relurn.Examples of Information
<br />Yalumstri'ludo, but
<br />are not limited'to, iheyollovjtn8
<br />. Form 1099 -INT (Interest earned or paid).
<br />313(8
<br />IFtavenue
<br />me that I am
<br />because
<br />+ Form 1099 DIV (dlvldend% molddtl d those front stocks6r.mutpal
<br />funda)
<br />• Form 1099-M,ISO (varlous types of lncoine, prizes., awardso.Y.gross
<br />proceeds)
<br />e Farm 9099-13 stookor mutual fund sales and aardoln othor
<br />traneactlans by brokers)
<br />+
<br />Form 10095 (pfoceeds from real'.: Wile trdn tgoo.ons)
<br />•-Fonrh 10004( (maronant card and third party n'etworlt trohsagt(bns)
<br />+ Form 1090 (hotnsaicrtgage Interest), I o90' -E (student loan Interest),:
<br />1098-T (tuitlon)
<br />• Form IM -0 (oonceled debt)
<br />+ Form 1690A (acquisltion or aband6nmant of seoured properlyy'
<br />Use -Form W-0 only If you area UA peraon (Including a resident
<br />-allan),:to provide your aorraotTIN,
<br />1t yoV do nal retuin:Fom) W-9 la-thetequester With a TIN, yau:ri7lght
<br />be anti/echo paoNupWlthholdipg, See What Is backup withholding,.
<br />i•,<r
<br />-- .Cat, 1`10,:10291X Farm W49 (Rau, 10-20`18)
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