<?xml version="1.0" encoding="UTF-8"?>
<?xfa generator="Designer_V6.5.0.20190320.3.935878" APIVersion="3.6.19011.0"?>
<xdp:xdp xmlns:xdp="http://ns.adobe.com/xdp/" timeStamp="2024-08-28T18:06:41Z" uuid="73ed55de-66aa-41dd-b330-13665f615a06"
><template xmlns="http://www.xfa.org/schema/xfa-template/3.6/"
><?formServer defaultPDFRenderFormat acrobat12.0static?><?formServer allowRenderCaching 0?><?formServer formModel both?><subform name="topmostSubform" layout="tb" locale="en_US"
><pageSet
><pageArea id="PageArea1" name="PageArea1"
><contentArea name="ContentArea1" x="0pt" y="0pt" w="215.891mm" h="791.968pt"
/><medium short="611.976pt" long="791.968pt" stock="custom"
/><draw name="Version" x="154.94mm" w="48.26mm" h="6.35mm" y="4.233mm" locale="en_US" presence="hidden"
><ui
><textEdit
/></ui
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;text-decoration:none;letter-spacing:0in"
>Version A, Cycle 26</p
><p style="font-weight:normal;text-decoration:none;letter-spacing:0in"
>Fillable Fields: Font size=9 pt; Color=Black<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:bold"
><span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><font size="7pt" typeface="HelveticaNeueLT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="middle" hAlign="right"
/><traversal
><traverse ref="Draft[0]"
/></traversal
></draw
><draw name="Draft" w="190.5mm" h="76.2mm" x="12.7mm" y="101.6mm" locale="en_US" presence="hidden"
><ui
><textEdit
/></ui
><value
><text
>INTERNAL USE ONLY DRAFT AS OF March 4, 2024</text
></value
><font size="48pt" typeface="HelveticaNeueLT Std" weight="bold" baselineShift="0pt"
><fill
><color value="192,192,192"
/></fill
></font
><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="middle" hAlign="center" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/></draw
><?templateDesigner expand 1?></pageArea
><?templateDesigner expand 0?></pageSet
><desc
><text name="title"
>Form W-9 (Rev. March 2024)</text
><text name="creator"
>SE:W:CAR:MP</text
><text name="description"
>Request for Taxpayer Identification Number and Certification</text
></desc
><subform name="Page1" w="215.9mm" h="10.999597in" locale="en_US"
><breakBefore targetType="pageArea" target="PageArea1"
/><bind match="none"
/><event activity="enter" name="event__enter"
><script contentType="application/x-javascript"
>/*Ubiquity
var needsUpdate = 0;
if (app.viewerType == "Exchange" &amp;&amp; app.viewerVariation=="Fill-In")
    needsUpdate = 1;
else if (app.viewerType == "Reader")
{
    if (app.viewerVersion &gt;= 5.1)
        needsUpdate = 0;
    else
        needsUpdate = 1;
}
if (needsUpdate)
{
    var ans = app.alert("This document requires one of the following\nin order to be used as the author intended:\n\n - Acrobat Reader 5.1 or later\n - Acrobat 5.0.5 or later\n - Acrobat Approval 5.0.5 or later\n\nYou are viewing this document with an earlier\nversion of one of these products.  As a result,\nsome features\nof the document will not operate.\n\nClick OK to go on-line and obtain the latest version\nof the free Adobe Reader.\n", 1, 1);
    if (ans == 1)
        this.getURL("http://www.adobe.com/acrobat", false);
}*/
</script
></event
><subform x="12.7mm" y="12.7mm" locale="en_US" name="Pg1Header"
><draw name="FormNo" w="30.48mm" h="7.056mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Form<span style="xfa-spacerun:yes"
>  </span
><span style="font-family:'HelveticaNeueLT Std Blk Cn';font-size:24pt"
>W-9</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="20pt" spaceAbove="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><edge presence="hidden"
/><corner
/><corner thickness="0.353mm"
/><corner presence="hidden"
/><corner
/></border
><assist role="H1"
/><traversal
><traverse ref="RevDate[0]"
/></traversal
></draw
><draw y="7.056mm" w="30.48mm" h="3.528mm" name="RevDate" locale="en_US"
><font typeface="Myriad Pro"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';font-size:7pt;text-decoration:none;letter-spacing:0in"
>(Rev. March 2024)</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><para spaceAbove="0pt" vAlign="middle"
/><assist
><speak disable="1"
>Rev. March 2024. Cat. No. 10231X. </speak
></assist
><traversal
><traverse ref="Title[0]"
/></traversal
><border
><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><edge presence="hidden"
/><corner
/><corner thickness="0.353mm"
/><corner
/><corner
/></border
></draw
><draw name="Title" x="30.48mm" w="129.54mm" h="12.7mm" locale="en_US"
><value
><text
>Request for Taxpayer
Identification Number and Certification</text
></value
><ui
><textEdit
><margin
/></textEdit
></ui
><para hAlign="center" lineHeight="15pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" vAlign="middle"
/><font size="14pt" typeface="ITC Franklin Gothic Std Book" weight="bold" baselineShift="0pt"
/><border
><edge presence="hidden"
/><corner
/><corner
/><corner presence="hidden"
/><corner
/></border
><assist role="H1"
/><traversal
><traverse ref="DeptTreasury[0]"
/></traversal
></draw
><draw name="DeptTreasury" y="10.583mm" h="6.35mm" w="30.48mm" locale="en_US"
><value
><text
>Department of the Treasury  Internal Revenue Service </text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom"
/><font size="7pt" typeface="HelveticaNeueLT Std" fontHorizontalScale="97%"
/><border
><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner thickness="0.353mm"
/><corner thickness="0.353mm"
/><corner
/></border
><margin bottomInset="0.3528mm"
/><traversal
><traverse ref="GoTo[0]"
/></traversal
></draw
><draw x="30.48mm" y="12.7mm" w="129.54mm" h="4.233mm" name="GoTo" locale="en_US"
><font typeface="Myriad Pro"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-align:center;font-family:'HelveticaNeueLT Std';font-size:8pt;font-weight:bold;text-decoration:none;letter-spacing:0in"
>Go to<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>www.irs.gov/FormW9<span style="xfa-spacerun:yes"
> </span
></span
>for instructions and the latest information.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="GiveForm[0]"
/></traversal
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
></draw
><draw name="GiveForm" x="160.02mm" w="30.48mm" h="16.933mm" locale="en_US"
><value
><text
>Give form to the 
requester. Do not
send to the IRS.</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle" spaceAbove="0pt" spaceBelow="0pt" marginLeft="7pt"
/><font size="9pt" typeface="HelveticaNeueLT Std" weight="bold"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge thickness="0.3528mm"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner thickness="0.353mm"
/></border
><traversal
><traverse ref="BeforeYou[0]"
/></traversal
><margin topInset="0.7056mm"
/></draw
><traversal
><traverse operation="first" ref="FormNo[0]"
/><traverse ref="BeforeYou[0]"
/></traversal
><?templateDesigner expand 1?></subform
><draw name="BeforeYou" w="190.5mm" locale="en_US" x="12.7mm" y="29.633mm" h="4.233mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;text-decoration:none;letter-spacing:0in"
>Before you begin.<span style="font-weight:normal"
> For guidance related to the purpose of Form W-9, see<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>Purpose of Form</span
><span style="font-weight:normal"
>, below.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="PrintOrType[0]"
/></traversal
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
></draw
><draw name="PrintOrType" y="33.867mm" h="7.62mm" rotate="90" w="88.9mm" anchorType="topRight" locale="en_US" x="12.7mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Print or type.<br
/><span style="font-weight:normal"
>See</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>Specific Instructions</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>on page 3.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para hAlign="center" spaceAbove="1pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><edge presence="hidden"
/><corner presence="hidden"
/><corner
/><corner presence="hidden"
/><corner
/></border
><traversal
><traverse ref="f1_01[0]"
/></traversal
></draw
><field name="f1_01" x="20.32mm" y="33.867mm" w="182.88mm" h="12.7mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><margin
/></textEdit
></ui
><para vAlign="bottom" marginLeft="0pt" marginRight="0pt" spaceBelow="0pt"
/><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><caption placement="top" reserve="7.7611mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;letter-spacing:0in"
>1<span style="font-weight:normal"
><span style="xfa-spacerun:yes"
>    </span
>Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)</span
></p
></body
></exData
></value
><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" spaceBelow="0pt" textIndent="-12pt" marginLeft="3pt" marginRight="0pt"
/></caption
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner presence="hidden"
/><corner
/><corner
/><corner
/></border
><assist
><speak disable="1"
>Page 1. Print or type. See Specific Instructions on page 3. 1. Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.). </speak
></assist
><traversal
><traverse ref="f1_02[0]"
/></traversal
><margin leftInset="0.3528mm"
/></field
><field name="f1_02" x="20.32mm" y="46.567mm" w="182.88mm" h="8.467mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><margin
/></textEdit
></ui
><para vAlign="bottom" marginLeft="0pt" marginRight="0pt" spaceBelow="0pt"
/><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><caption placement="top" reserve="3.5278mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;letter-spacing:0in"
>2<span style="font-weight:normal"
><span style="xfa-spacerun:yes"
>    </span
>Business name/disregarded entity name, if different from above.</span
></p
></body
></exData
></value
><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="3pt" marginRight="0pt"
/></caption
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><assist
><speak disable="1"
>2. Business name/disregarded entity name, if different from above. </speak
></assist
><traversal
><traverse ref="Boxes3a-b_ReadOrder[0]"
/></traversal
><margin leftInset="0.3528mm"
/></field
><subform y="55.033mm" name="Boxes3a-b_ReadOrder" locale="en_US" x="20.32mm"
><draw name="Line3a" w="5.5in" h="8.467mm" locale="en_US" y="0mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;letter-spacing:0in"
>3a<span style="font-weight:normal"
><span style="xfa-spacerun:yes"
>  </span
>Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only<span style="xfa-spacerun:yes"
> </span
></span
>one<span style="font-weight:normal"
> of the following seven boxes.<span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" textIndent="-12pt" spaceAbove="3pt" marginRight="7.2pt"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="c1_1[0]"
/></traversal
></draw
><field h="4.233mm" name="c1_1" w="33.02mm" x="5.08mm" y="8.467mm" locale="en_US"
><ui
><checkButton mark="check" size="2.8222mm"
><border
/><margin
/></checkButton
></ui
><items
><text
>1</text
><text
>0</text
></items
><para vAlign="middle"
/><assist
><toolTip
> </toolTip
><speak disable="1"
>3a. Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes.  Individual/sole proprietor. </speak
></assist
><margin leftInset="0.3528mm" topInset="0mm" rightInset="0mm" bottomInset="1.2347mm"
/><bind match="global"
/><traversal
><traverse ref="c1_1[1]"
/></traversal
><event activity="mouseUp" name="event__mouseUp"
><script contentType="application/x-javascript"
>comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
   fld.checkThisBox (0, true);
}
else {
   fld.checkThisBox (0, false);
}
MainCalculation();
</script
></event
><value
><text
>0</text
></value
><caption placement="right" reserve="27.8694mm"
><value
><text
>Individual/sole proprietor</text
></value
><font typeface="HelveticaNeueLT Std" size="7pt"
/><para vAlign="bottom" lineHeight="6.5pt"
/></caption
></field
><field w="20.32mm" h="4.233mm" x="43.18mm" y="8.467mm" name="c1_1" locale="en_US"
><ui
><checkButton size="2.8222mm" mark="check"
><border
/></checkButton
></ui
><font typeface="Myriad Pro"
/><margin leftInset="0mm" rightInset="0mm" bottomInset="1.2347mm"
/><para vAlign="middle"
/><caption placement="right" reserve="15.5222mm"
><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="6.5pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><value
><text
>C corporation</text
></value
></caption
><items
><text
>2</text
><text
>0</text
></items
><assist
><speak disable="1"
>3a. C corporation. </speak
></assist
><bind match="global"
/><traversal
><traverse ref="c1_1[2]"
/></traversal
><value
><text
>0</text
></value
></field
><field w="20.32mm" h="4.233mm" x="68.58mm" y="8.467mm" name="c1_1" locale="en_US"
><ui
><checkButton size="2.8222mm" mark="check"
><border
/></checkButton
></ui
><font typeface="Myriad Pro"
/><margin leftInset="0mm" rightInset="0mm" bottomInset="1.2347mm"
/><para vAlign="middle"
/><caption placement="right" reserve="15.5222mm"
><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="6.5pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><value
><text
>S corporation</text
></value
></caption
><items
><text
>3</text
><text
>0</text
></items
><assist
><speak disable="1"
>3a. S corporation. </speak
></assist
><bind match="global"
/><traversal
><traverse ref="c1_1[3]"
/></traversal
><event activity="mouseUp" name="event__mouseUp"
><script contentType="application/x-javascript"
>comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
   fld.checkThisBox (0, true);
}
else {
   fld.checkThisBox (0, false);
}
MainCalculation();
</script
></event
><value
><text
>0</text
></value
></field
><field w="17.78mm" h="4.233mm" x="93.98mm" y="8.467mm" name="c1_1" locale="en_US"
><ui
><checkButton size="2.8222mm" mark="check"
><border
/></checkButton
></ui
><font typeface="Myriad Pro"
/><margin leftInset="0mm" rightInset="0mm" bottomInset="1.2347mm"
/><para vAlign="middle"
/><caption placement="right" reserve="12.983mm"
><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="6.5pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><value
><text
>Partnership</text
></value
></caption
><items
><text
>4</text
><text
>0</text
></items
><assist
><speak disable="1"
>3a. Partnership. </speak
></assist
><bind match="global"
/><traversal
><traverse ref="c1_1[4]"
/></traversal
><value
><text
>0</text
></value
></field
><field w="20.32mm" h="4.233mm" x="116.84mm" y="8.467mm" name="c1_1" locale="en_US"
><ui
><checkButton size="2.8222mm" mark="check"
><border
/></checkButton
></ui
><font typeface="Myriad Pro"
/><margin leftInset="0mm" rightInset="0mm" bottomInset="1.2347mm"
/><para vAlign="middle"
/><caption placement="right" reserve="15.522mm"
><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="6.5pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><value
><text
>Trust/estate</text
></value
></caption
><items
><text
>5</text
><text
>0</text
></items
><assist
><speak disable="1"
>3a. Trust/estate. </speak
></assist
><bind match="global"
/><traversal
><traverse ref="c1_1[5]"
/></traversal
><value
><text
>0</text
></value
></field
><field h="4.233mm" name="c1_1" w="4.233mm" x="5.08mm" y="12.7mm" locale="en_US"
><ui
><checkButton mark="check" size="2.8222mm"
><border
/><margin
/></checkButton
></ui
><items
><text
>6</text
><text
>0</text
></items
><para vAlign="middle"
/><assist
><toolTip
> </toolTip
><speak disable="1"
>3a. L L C. Note: Check the “L L C” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the L L C, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. </speak
></assist
><margin leftInset="0mm" topInset="0mm" rightInset="1.0583mm" bottomInset="0.3528mm"
/><bind match="global"
/><traversal
><traverse ref="f1_03[0]"
/></traversal
><value
><text
>0</text
></value
></field
><field name="f1_03" x="10.16mm" y="12.7mm" w="127mm" h="4.233mm" locale="en_US"
><ui
><textEdit
><margin
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
></textEdit
></ui
><para vAlign="bottom" hAlign="center"
/><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge stroke="dashed" presence="hidden"
/><edge presence="hidden"
/><corner
/><corner
/><corner stroke="dashed" presence="hidden"
/><corner
/></border
><assist
><speak disable="1"
>3a. Enter the tax classification (C = C corporation, S = S corporation, P = partnership). </speak
></assist
><value
><text maxChars="1"
/></value
><caption reserve="116.84mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="tab-interval:0.5in;xfa-tab-stops:left leader (dots page 12pt) 4.578in;font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) <span style="xfa-tab-count:1"
>         </span
></p
></body
></exData
></value
><font typeface="Helvetica LT Std" size="7pt" baselineShift="0pt"
/><para vAlign="bottom" lineHeight="6.5pt"
/></caption
><traversal
><traverse ref="NoteCheck[0]"
/></traversal
><margin bottomInset="0.3528mm"
/></field
><draw y="16.934mm" name="NoteCheck" w="129.54mm" h="9.172mm" x="10.16mm" locale="en_US"
><font typeface="Myriad Pro" baselineShift="0pt" fontHorizontalScale="99%"
/><para spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="3.6pt" vAlign="middle" lineHeight="7.75pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';font-size:7pt;font-weight:bold;letter-spacing:0in"
>Note:<span style="font-weight:normal"
> Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="c1_1[6]"
/></traversal
></draw
><field h="4.233mm" name="c1_1" w="4.233mm" x="5.08mm" y="25.4mm" locale="en_US"
><ui
><checkButton mark="check" size="2.8222mm"
><border
/><margin
/></checkButton
></ui
><items
><text
>7</text
><text
>0</text
></items
><para vAlign="middle"
/><assist
><toolTip
> </toolTip
><speak disable="1"
>3a. Other (see instructions). </speak
></assist
><margin leftInset="0mm" topInset="0mm" rightInset="1.0583mm" bottomInset="0mm"
/><bind match="global"
/><border
><edge presence="hidden"
/><corner
/><corner
/><corner presence="hidden"
/><corner
/></border
><traversal
><traverse ref="f1_04[0]"
/></traversal
><value
><text
>0</text
></value
></field
><field name="f1_04" x="10.16mm" y="25.4mm" w="127mm" h="4.233mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><margin
/><border
><?templateDesigner StyleID aped0?><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/></border
></textEdit
></ui
><para vAlign="bottom" hAlign="center" spaceBelow="0pt"
/><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><border
><edge presence="hidden"
/><corner
/><corner
/><corner presence="hidden"
/><corner
/></border
><assist
><speak disable="1"
>3a. Other. </speak
></assist
><caption reserve="26.8111mm"
><value
><text
>Other (see instructions)	</text
></value
><font typeface="HelveticaNeueLT Std" size="7pt" baselineShift="0pt"
/><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/></caption
><traversal
><traverse ref="CheckAppropriateBox[0]"
/></traversal
><margin rightInset="0mm" bottomInset="0mm"
/></field
><draw name="CheckAppropriateBox" w="134.62mm" h="11.642mm" locale="en_US" y="30.691mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 5.244in;font-weight:bold;text-decoration:none;letter-spacing:0in"
>3b<span style="xfa-font-horizontal-scale:150%;font-weight:normal"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal"
>If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions <span style="xfa-tab-count:1"
>         </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" textIndent="-12pt" spaceAbove="0pt" marginRight="5pt" vAlign="bottom" hAlign="justify" spaceBelow="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="c1_2[0]"
/></traversal
><border
><edge
/><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><corner
/></border
><margin topInset="0mm" bottomInset="1.4111mm"
/></draw
><field h="11.642mm" name="c1_2" w="5.08mm" x="134.62mm" y="30.691mm" locale="en_US"
><ui
><checkButton mark="check" size="2.8222mm"
><border
/><margin
/></checkButton
></ui
><items
><text
>1</text
><text
>0</text
></items
><para vAlign="middle"
/><assist
><toolTip
> </toolTip
><speak disable="1"
>3b. If on line 3a you checked "Partnership" or "Trust/estate," or checked "L L C" and entered "P" as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries, See instructions. </speak
></assist
><margin leftInset="0mm" topInset="5.2917mm" rightInset="1.7639mm" bottomInset="0mm"
/><bind match="global"
/><value
><text
>0</text
></value
><border
><edge
/><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><corner
/></border
><traversal
><traverse ref="Box4[0]"
/></traversal
></field
><traversal
><traverse operation="first" ref="Line3a[0]"
/><traverse ref="Box4[0]"
/></traversal
><?templateDesigner expand 1?></subform
><draw name="Box4" w="43.18mm" h="12.7mm" locale="en_US" x="160.02mm" y="55.033mm"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><comb numberOfCells="11"
/><margin
/></textEdit
></ui
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;text-decoration:none;letter-spacing:0in"
>4<span style="font-weight:normal"
><span style="xfa-spacerun:yes"
>  </span
>Exemptions (codes apply only to certain entities, not individuals; <br
/>see instructions on page 3):</span
></p
></body
></exData
></value
><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><margin leftInset="0mm"
/><para marginLeft="4pt" marginRight="0pt" spaceBelow="0pt" spaceAbove="4pt" textIndent="-8pt"
/><border
><edge presence="hidden"
/><corner thickness="0.176mm" presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner thickness="0.176mm" presence="hidden"
/><corner thickness="0.176mm" presence="hidden"
/><corner thickness="0.176mm"
/></border
><traversal
><traverse ref="f1_05[0]"
/></traversal
></draw
><field name="f1_05" y="67.733mm" w="43.18mm" h="4.233mm" locale="en_US" x="160.02mm"
><ui
><textEdit hScrollPolicy="off"
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><margin
/></textEdit
></ui
><font size="9pt" typeface="Helvetica LT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="bottom" hAlign="center"
/><caption reserve="31.75mm"
><font typeface="HelveticaNeueLT Std" size="7pt" fontHorizontalScale="97%"
/><para vAlign="bottom" marginLeft="4pt" spaceBelow="1.5pt"
/><value
><text
>Exempt payee code (if any)</text
></value
></caption
><assist
><speak disable="1"
>4. Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any). </speak
></assist
><traversal
><traverse ref="ExemptionFromFACTA[0]"
/></traversal
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
></field
><draw y="71.967mm" name="ExemptionFromFACTA" w="43.18mm" h="8.467mm" locale="en_US" x="160.02mm"
><font typeface="Myriad Pro" baselineShift="0pt"
/><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-left:4pt;font-family:'HelveticaNeueLT Std';font-size:7pt;text-decoration:none;letter-spacing:0in"
>Exemption from Foreign Account Tax Compliance Act (FATCA) reporting<span style="xfa-spacerun:yes"
> </span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="f1_06[0]"
/></traversal
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
></draw
><field name="f1_06" y="80.433mm" w="43.18mm" h="4.233mm" locale="en_US" x="160.02mm"
><ui
><textEdit hScrollPolicy="off"
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><margin
/></textEdit
></ui
><font size="9pt" typeface="Helvetica LT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="bottom" hAlign="center"
/><caption reserve="16.5806mm"
><font typeface="HelveticaNeueLT Std" size="7pt" baselineShift="0pt"
/><para marginLeft="2.5pt" spaceAbove="0pt" spaceBelow="2pt" textIndent="0pt" marginRight="0pt" vAlign="bottom"
/><value
><text
> code (if any)</text
></value
></caption
><assist
><speak disable="1"
>4. Exemption from Foreign Account Tax Compliance Act (F A T C A) reporting code (if any). </speak
></assist
><traversal
><traverse ref="AppliesToAccounts[0]"
/></traversal
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
></field
><draw y="84.667mm" name="AppliesToAccounts" w="43.18mm" h="12.7mm" locale="en_US" x="160.02mm"
><font typeface="Myriad Pro" baselineShift="0pt" size="7pt" posture="italic"
/><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" hAlign="center"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>(Applies to accounts maintained outside the United States.)</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="2.8222mm"
/><traversal
><traverse ref="Address_ReadOrder[0]"
/></traversal
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
></draw
><subform x="20.32mm" y="97.367mm" minH="16.934mm" name="Address_ReadOrder" locale="en_US"
><field name="f1_07" w="116.84mm" h="8.467mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><margin
/></textEdit
></ui
><para vAlign="bottom" marginLeft="0pt" marginRight="0pt" spaceBelow="0pt"
/><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><caption placement="top" reserve="3.5278mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;text-decoration:none;letter-spacing:0in"
>5<span style="font-weight:normal"
><span style="xfa-spacerun:yes"
>    </span
>Address (number, street, and apt. or suite no.). See instructions.</span
></p
></body
></exData
></value
><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="3pt" marginRight="0pt"
/></caption
><border
><edge
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><assist
><speak disable="1"
>5. Address (number, street, and apt. or suite no.). See instructions. </speak
></assist
><traversal
><traverse ref="f1_08[0]"
/></traversal
><margin leftInset="0.3528mm" rightInset="0.2646mm"
/></field
><field name="f1_08" y="8.466mm" w="116.84mm" h="8.467mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><margin
/></textEdit
></ui
><para vAlign="bottom" marginLeft="0pt" marginRight="0pt" spaceBelow="0pt"
/><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><caption placement="top" reserve="3.5278mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;letter-spacing:0in"
>6<span style="font-weight:normal"
><span style="xfa-spacerun:yes"
>    </span
>City, state, and ZIP code</span
></p
></body
></exData
></value
><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="3pt" marginRight="0pt"
/></caption
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><assist
><speak disable="1"
>6. City, state, and Z I P code. </speak
></assist
><traversal
><traverse ref="f1_09[0]"
/></traversal
><margin leftInset="0.3528mm" rightInset="0.2646mm"
/></field
><traversal
><traverse operation="first" ref="f1_07[0]"
/><traverse ref="f1_09[0]"
/></traversal
><?templateDesigner expand 1?></subform
><field name="f1_09" x="137.16mm" y="97.367mm" w="66.04mm" h="16.933mm" locale="en_US"
><ui
><textEdit multiLine="1" hScrollPolicy="off" vScrollPolicy="off"
><margin
/></textEdit
></ui
><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><para marginLeft="0pt" spaceAbove="0pt" vAlign="bottom" spaceBelow="0pt"
/><caption placement="top" reserve="3.5278mm"
><value
><text
>Requester’s name and address (optional)</text
></value
><font size="7pt" typeface="HelveticaNeueLT Std"
/><para marginLeft="3pt" spaceAbove="3pt"
/></caption
><border
><edge
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><assist
><speak disable="1"
>Requester's name and address (optional). </speak
></assist
><traversal
><traverse ref="f1_10[0]"
/></traversal
><margin leftInset="0.3528mm"
/></field
><field name="f1_10" x="20.32mm" y="114.3mm" w="182.88mm" h="8.467mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><margin
/></textEdit
></ui
><para vAlign="bottom" marginLeft="0pt" marginRight="0pt" spaceBelow="0pt" hAlign="center"
/><font weight="bold" typeface="Helvetica LT Std" size="9pt"
/><caption placement="top" reserve="3.5278mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;text-decoration:none;letter-spacing:0in"
>7<span style="font-weight:normal"
><span style="xfa-spacerun:yes"
>    </span
>List account number(s) here (optional)</span
></p
></body
></exData
></value
><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="3pt" marginRight="0pt"
/></caption
><border
><edge presence="hidden"
/><corner
/><corner
/><corner presence="hidden"
/><corner
/></border
><assist
><speak disable="1"
>7. List account number(s) here (optional). </speak
></assist
><traversal
><traverse ref="Part1[0]"
/></traversal
><margin leftInset="0.3528mm"
/></field
><subform x="12.7mm" y="122.767mm" name="Part1" locale="en_US"
><draw name="PartI" y="0mm" w="12.7mm" locale="en_US" h="4.233mm"
><value
><text
>Part I</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="center"
/><font weight="bold" typeface="HelveticaNeueLT Std"
><fill
><color value="255,255,255"
/></fill
></font
><border
><edge presence="hidden"
/><fill
><color value="0,0,0"
/></fill
></border
><assist role="H2"
/><traversal
><traverse ref="TaxpayerIdentification[0]"
/></traversal
></draw
><draw name="TaxpayerIdentification" w="190.5mm" locale="en_US" h="4.233mm"
><value
><text
>Taxpayer Identification Number (TIN)</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" marginLeft="50.4pt"
/><font weight="bold" typeface="HelveticaNeueLT Std"
/><border
><edge thickness="0.2646mm"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner thickness="0.265mm"
/><corner
/><corner
/><corner
/></border
><assist role="H2"
/><traversal
><traverse ref="EnterTIN-Note_ReadOrder[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="PartI[0]"
/><traverse ref="EnterTIN-Note_ReadOrder[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform x="12.7mm" y="127mm" name="EnterTIN-Note_ReadOrder" locale="en_US"
><traversal
><traverse operation="first" ref="EnterYourTIN[0]"
/><traverse ref="SocialSecurityNumber[0]"
/></traversal
><draw name="EnterYourTIN" w="129.54mm" h="19.05mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>How to get a TIN</span
>,<span style="xfa-spacerun:yes"
> </span
>later.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" spaceAbove="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NoteIfAccount[0]"
/></traversal
><margin bottomInset="0.7056mm"
/></draw
><draw name="NoteIfAccount" y="19.05mm" w="129.54mm" h="10.583mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Note:<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If the account is in more than one name, see the instructions for line 1. See also<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>What Name and Number To Give the Requester<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal"
>for guidelines on whose number to enter.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="middle" spaceBelow="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="SocialSecurityNumber[0]"
/></traversal
></draw
><?templateDesigner expand 1?></subform
><draw name="SocialSecurityNumber" y="127mm" x="147.32mm" w="55.88mm" h="3.528mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><comb numberOfCells="11"
/><margin
/></textEdit
></ui
><value
><text
>Social security number</text
></value
><font weight="bold" size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><margin leftInset="0mm"
/><para vAlign="bottom" marginLeft="4pt" marginRight="0pt" spaceBelow="1pt" spaceAbove="0pt" textIndent="0pt"
/><border
><edge
/><corner thickness="0.176mm"
/></border
><traversal
><traverse ref="f1_11[0]"
/></traversal
></draw
><field name="f1_11" w="15.24mm" h="8.467mm" y="131.233mm" locale="en_US" x="147.32mm"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><margin
/><comb numberOfCells="3"
/></textEdit
></ui
><font size="9pt" typeface="Helvetica LT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="middle" spaceAbove="2pt"
/><assist
><speak disable="1"
>Part I. Taxpayer Identification Number (T I N). Enter your T I N in the appropriate box. The T I N provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (S S N). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (E I N). If you do not have a number, see How to get a T I N later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number. First 3 digits. </speak
></assist
><traversal
><traverse ref="SSN-Dash1[0]"
/></traversal
></field
><draw name="SSN-Dash1" x="162.56mm" w="5.08mm" h="8.467mm" locale="en_US" y="131.233mm"
><value
><text
>–</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle" spaceBelow="0pt" hAlign="center"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><margin topInset="0.7056mm"
/><traversal
><traverse ref="f1_12[0]"
/></traversal
></draw
><field name="f1_12" x="167.64mm" w="10.16mm" h="8.467mm" y="131.233mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><margin
/><comb numberOfCells="2"
/></textEdit
></ui
><font size="9pt" typeface="Helvetica LT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="middle" spaceAbove="2pt"
/><assist
><speak disable="1"
>Middle 2 digits. </speak
></assist
><traversal
><traverse ref="SSN-Dash2[0]"
/></traversal
></field
><draw name="SSN-Dash2" x="177.8mm" w="5.08mm" h="8.467mm" locale="en_US" y="131.233mm"
><value
><text
>–</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle" spaceBelow="0pt" hAlign="center"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><margin topInset="0.7056mm"
/><traversal
><traverse ref="f1_13[0]"
/></traversal
></draw
><field name="f1_13" x="182.88mm" w="20.32mm" h="8.467mm" y="131.233mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><margin
/><comb numberOfCells="4"
/></textEdit
></ui
><font size="9pt" typeface="Helvetica LT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="middle" spaceAbove="2pt"
/><assist
><speak disable="1"
>Last 4 digits. </speak
></assist
><traversal
><traverse ref="Or[0]"
/></traversal
></field
><draw name="R_1" w="5.08mm" h="8.467mm" x="147.32mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_2" x="152.4mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_3" x="157.48mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_4" x="167.64mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_5" x="172.72mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_6" x="182.88mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_7" x="187.96mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_8" x="193.04mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_9" x="198.12mm" w="5.08mm" h="8.467mm" y="131.233mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="Or" w="5.08mm" h="4.233mm" x="147.32mm" y="139.7mm" locale="en_US"
><ui
><textEdit
/></ui
><value
><text
>or</text
></value
><font size="9pt" typeface="HelveticaNeueLT Std" weight="bold" baselineShift="0pt"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="bottom" spaceAbove="0pt" spaceBelow="1pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><traversal
><traverse ref="EmployerIDNumber[0]"
/></traversal
></draw
><draw name="EmployerIDNumber" y="143.933mm" x="147.32mm" w="50.8mm" h="3.528mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><comb numberOfCells="10"
/><margin
/></textEdit
></ui
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="color:#000000"
>Employer identification number<span style="color:#000080"
><span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><font weight="bold" size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
><fill
><color value="0,0,128"
/></fill
></font
><margin leftInset="0mm"
/><para vAlign="bottom" marginLeft="4pt" marginRight="0pt" spaceBelow="1pt" spaceAbove="0pt" textIndent="0pt"
/><border
><edge
/><corner thickness="0.176mm"
/></border
><traversal
><traverse ref="f1_14[0]"
/></traversal
></draw
><field name="f1_14" w="10.16mm" h="8.467mm" y="148.167mm" x="147.32mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><margin
/><comb numberOfCells="2"
/></textEdit
></ui
><font size="9pt" typeface="Helvetica LT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="middle" spaceAbove="2pt"
/><assist
><speak disable="1"
>Employer identification number. First 2 digits. </speak
></assist
><traversal
><traverse ref="EIN-Dash[0]"
/></traversal
></field
><draw name="EIN-Dash" x="157.48mm" w="5.08mm" h="8.467mm" locale="en_US" y="148.167mm"
><value
><text
>–</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle" spaceBelow="0pt" hAlign="center"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><margin topInset="0.7056mm"
/><traversal
><traverse ref="f1_15[0]"
/></traversal
></draw
><field name="f1_15" x="162.56mm" w="35.56mm" h="8.467mm" y="148.167mm" locale="en_US"
><ui
><textEdit hScrollPolicy="off"
><border hand="right"
><edge presence="hidden"
/><corner presence="hidden"
/></border
><margin
/><comb numberOfCells="7"
/></textEdit
></ui
><font size="9pt" typeface="Helvetica LT Std" weight="bold"
/><margin topInset="0mm" bottomInset="0mm" leftInset="0mm" rightInset="0mm"
/><para vAlign="middle" spaceAbove="2pt"
/><assist
><speak disable="1"
>Last 7 digits. </speak
></assist
><traversal
><traverse ref="Part2[0]"
/></traversal
></field
><draw name="R_10" y="148.167mm" w="5.08mm" h="8.467mm" x="147.32mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_11" y="148.167mm" x="152.4mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_12" y="148.167mm" x="162.56mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_13" y="148.167mm" x="167.64mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_14" y="148.167mm" x="172.72mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_15" y="148.167mm" x="177.8mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_16" y="148.167mm" x="182.88mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_17" y="148.167mm" x="187.96mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><draw name="R_18" y="148.167mm" x="193.04mm" w="5.08mm" h="8.467mm"
><value
><rectangle
><edge
/><corner radius="5.08mm"
/></rectangle
></value
></draw
><subform x="12.7mm" y="156.633mm" name="Part2" locale="en_US"
><draw name="PartII" w="12.7mm" locale="en_US" h="4.233mm" y="0mm"
><value
><text
>Part II</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="center"
/><font weight="bold" typeface="HelveticaNeueLT Std"
><fill
><color value="255,255,255"
/></fill
></font
><border
><edge presence="hidden"
/><fill
><color value="0,0,0"
/></fill
><corner
/><corner
/><corner presence="hidden"
/><corner
/></border
><assist role="H2"
/><traversal
><traverse ref="Certification[0]"
/></traversal
></draw
><draw name="Certification" w="190.5mm" locale="en_US" h="4.233mm" y="0mm"
><value
><text
>Certification</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" marginLeft="50.4pt"
/><font weight="bold" typeface="HelveticaNeueLT Std"
/><border
><edge thickness="0.2646mm"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner thickness="0.265mm"
/><corner
/><corner
/><corner
/></border
><assist role="H2"
/><traversal
><traverse ref="UnderPenalties[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="PartII[0]"
/><traverse ref="UnderPenalties[0]"
/></traversal
><?templateDesigner expand 1?></subform
><draw name="UnderPenalties" x="12.7mm" y="160.867mm" w="190.5mm" locale="en_US" h="4.233mm"
><value
><text
>Under penalties of perjury, I certify that:</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NumberedList[0]"
/></traversal
></draw
><subform x="12.7mm" y="165.1mm" name="NumberedList" locale="en_US"
><subform name="Number1" locale="en_US" y="0mm"
><draw name="NumberShown" w="190.5mm" h="4.233mm" locale="en_US"
><value
><text
>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</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" marginLeft="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="NumberShown[0]"
/><traverse ref="Number2[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="4.233mm" name="Number2" locale="en_US"
><draw name="IAmNotSubject" w="190.5mm" h="10.583mm" locale="en_US"
><value
><text
>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 (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" spaceBelow="0pt" textIndent="-9pt" marginLeft="0pt" spaceAbove="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Number3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="IAmNotSubject[0]"
/><traverse ref="Number3[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="14.817mm" name="Number3" locale="en_US"
><draw name="USCitizen" w="190.5mm" h="4.233mm" locale="en_US"
><value
><text
>3. I am a U.S. citizen or other U.S. person (defined below); and</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" marginLeft="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="USCitizen[0]"
/><traverse ref="Number4[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="19.05mm" name="Number4" locale="en_US"
><draw name="FATCACodes" w="190.5mm" h="4.233mm" locale="en_US" y="0mm"
><value
><text
>4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="CertificationInstructions[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="FATCACodes[0]"
/></traversal
><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Number1[0]"
/><traverse ref="CertificationInstructions[0]"
/></traversal
><?templateDesigner expand 1?></subform
><draw name="CertificationInstructions" w="190.5mm" h="14.817mm" y="188.383mm" x="12.7mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Certification instructions.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>provide your correct TIN. See the instructions for Part II, later.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" fontHorizontalScale="96%" baselineShift="0pt"
/><traversal
><traverse ref="SignHere[0]"
/></traversal
><margin bottomInset="0.1764mm"
/></draw
><draw name="SignHere" x="12.7mm" y="203.2mm" w="12.7mm" h="8.467mm" locale="en_US"
><value
><text
>Sign
Here</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle" lineHeight="10pt" spaceAbove="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std"
/><border
><edge
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.265mm"
/><corner
/></border
><assist role="H3"
/><traversal
><traverse ref="SignatureUSPerson[0]"
/></traversal
><margin topInset="0.882mm"
/></draw
><draw name="SignatureUSPerson" x="25.4mm" y="203.2mm" w="109.22mm" h="8.467mm" locale="en_US"
><value
><text
>Signature of
U.S. person</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" spaceBelow="2pt" marginLeft="4pt"
/><font weight="bold" size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge
/><corner
/><corner
/><corner thickness="0.265mm"
/><corner
/></border
><traversal
><traverse ref="Date[0]"
/></traversal
></draw
><draw name="Date" x="134.62mm" y="203.2mm" w="68.58mm" h="8.467mm" locale="en_US"
><value
><text
>Date</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" spaceBelow="2pt" marginLeft="4pt"
/><font weight="bold" size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.265mm"
/><corner
/></border
><traversal
><traverse ref="Col1[0]"
/></traversal
></draw
><subform x="12.7mm" y="211.667mm" w="91.44mm" name="Col1" layout="tb" locale="en_US"
><draw name="GeneralInstructions" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>General Instructions</text
></value
><ui
><textEdit
/></ui
><para lineHeight="15pt" spaceAbove="10pt"
/><font weight="bold" size="14pt" typeface="HelveticaNeueLT Std"
/><assist role="H2"
/><traversal
><traverse ref="SectionReferences[0]"
/></traversal
></draw
><draw name="SectionReferences" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Section references are to the Internal Revenue Code unless otherwise noted.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="FutureDevelopments[0]"
/></traversal
></draw
><draw name="FutureDevelopments" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para spaceAbove="3pt" lineHeight="9pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;text-decoration:none;letter-spacing:0in"
>Future developments<span style="font-weight:normal"
>. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>www.irs.gov/FormW9</span
><span style="font-weight:normal"
>.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="WhatsNew[0]"
/></traversal
></draw
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="GeneralInstructions[0]"
/><traverse ref="Col2[0]"
/></traversal
><draw name="WhatsNew" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>What’s New</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="6pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="NewLine[0]"
/></traversal
></draw
><draw name="NewLine" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" lineHeight="9pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><value
><text
>Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Col2[0]"
/></traversal
></draw
><?templateDesigner expand 1?></subform
><subform x="111.76mm" y="211.667mm" w="91.44mm" name="Col2" layout="tb" locale="en_US"
><draw name="ApplicableReporting" w="91.44mm" locale="en_US" minH="2.117mm"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para spaceAbove="10pt" lineHeight="9pt" textIndent="8pt"
/><value
><text
>New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="PurposeForm[0]"
/></traversal
></draw
><draw name="PurposeForm" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Purpose of Form</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="6pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="AnIndividual[0]"
/></traversal
></draw
><draw name="AnIndividual" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="CatNo[0]"
/></traversal
></draw
><subform w="91.44mm" layout="tb" name="BulletedList" locale="en_US"
><assist role="UL"
/><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="ApplicableReporting[0]"
/><traverse ref="CatNo[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Pg1Header[0]"
/></traversal
><draw name="CatNo" w="160.02mm" minH="4.233mm" locale="en_US" y="262.467mm" x="12.7mm"
><value
><text
>Cat. No. 10231X</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="center"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge thickness="0.3528mm"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><corner thickness="0.353mm"
/><corner
/><corner
/><corner
/></border
><assist
><speak disable="1"
>     </speak
></assist
><traversal
><traverse ref="FormNoBottom[0]"
/></traversal
></draw
><draw name="FormNoBottom" w="30.48mm" h="4.233mm" x="172.72mm" y="262.467mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Form<span style="xfa-spacerun:yes"
> </span
><span style="font-size:10pt;font-weight:bold"
>W-9</span
> (Rev. 3-2024)</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="right" lineHeight="9pt"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge thickness="0.3528mm"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><corner thickness="0.353mm"
/><corner
/><corner
/><corner
/></border
><assist
><speak disable="1"
>     </speak
></assist
></draw
><?templateDesigner expand 0?></subform
><subform w="215.891mm" h="791.968pt" name="Page2" locale="en_US"
><breakBefore targetType="pageArea" startNew="1"
/><subform x="12.7mm" y="12.7mm" w="190.5mm" h="4.233mm" name="Pg2Header" locale="en_US"
><draw name="FormNo" w="180.34mm" minH="4.233mm" locale="en_US"
><value
><text
>Form W-9 (Rev. 3-2024)</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Page[0]"
/></traversal
></draw
><draw name="Page" x="180.34mm" w="10.16mm" h="4.233mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Page<span style="xfa-spacerun:yes"
> </span
><span style="font-size:10pt;font-weight:bold"
>2<span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="middle" hAlign="right"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Col1[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="FormNo[0]"
/><traverse ref="Col1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform x="12.7mm" y="16.933mm" w="91.44mm" name="Col1" layout="tb" locale="en_US"
><draw name="IdentificationNumber" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="10pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="BulletedList1[0]"
/></traversal
></draw
><subform y="25.753mm" w="91.44mm" minH="55.033mm" layout="tb" name="BulletedList1" locale="en_US"
><traversal
><traverse operation="first" ref="Bullet1[0]"
/><traverse ref="UseFormW-9[0]"
/></traversal
><subform w="91.44mm" layout="tb" name="Bullet1" locale="en_US"
><draw w="91.44mm" minH="2.117mm" name="Form1099-INT" locale="en_US"
><font typeface="Myriad Pro" size="8pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>• Form 1099-INT (interest earned or paid).</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Bullet2[0]"
/></traversal
><para lineHeight="9pt" spaceAbove="3pt"
/></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-INT[0]"
/><traverse ref="Bullet2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Bullet2" locale="en_US"
><draw name="Form1099-DIV" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>• Form 1099-DIV (dividends, including those from stocks or mutual funds).</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="0pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-DIV[0]"
/><traverse ref="Bullet3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Bullet3" locale="en_US"
><draw name="Form1099-MISC" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds).</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="0pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-MISC[0]"
/><traverse ref="Bullet4[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" locale="en_US" name="Bullet4"
><draw w="91.44mm" name="Form1099-A" minH="2.117mm" locale="en_US"
><font typeface="Myriad Pro" size="8pt"
/><para textIndent="0pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';text-decoration:none;letter-spacing:0in"
>• Form 1099-NEC (nonemployee compensation).</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Bullet5[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="Form1099-A[0]"
/><traverse ref="Bullet5[0]"
/></traversal
><?templateDesigner expand 1?><assist role="LI"
/></subform
><subform w="91.44mm" layout="tb" name="Bullet5" locale="en_US"
><draw name="Form1099-B" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers).</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="0pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet6[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-B[0]"
/><traverse ref="Bullet6[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Bullet6" locale="en_US"
><draw name="Form1099-S" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>• Form 1099-S (proceeds from real estate transactions).</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="0pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet7[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-S[0]"
/><traverse ref="Bullet7[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Bullet7" locale="en_US"
><draw w="91.44mm" name="Form1099-K" locale="en_US" minH="2.117mm"
><font typeface="Myriad Pro" size="8pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>• Form 1099-K (merchant card and third-party network transactions).</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Bullet8[0]"
/></traversal
><para lineHeight="9pt" spaceAbove="3pt"
/></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-K[0]"
/><traverse ref="Bullet8[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Bullet8" locale="en_US"
><draw w="91.44mm" minH="2.117mm" name="Form1098" locale="en_US"
><font typeface="Myriad Pro" size="8pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>• Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition).</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><para spaceAbove="3pt" lineHeight="9pt"
/><traversal
><traverse ref="Bullet9[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1098[0]"
/><traverse ref="Bullet9[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Bullet9" locale="en_US"
><draw w="91.44mm" name="Form1099-C" locale="en_US" minH="2.117mm"
><font typeface="Myriad Pro" size="8pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>• Form 1099-C (canceled debt).</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><para spaceAbove="3pt" lineHeight="9pt"
/><traversal
><traverse ref="Bullet10[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-C[0]"
/><traverse ref="Bullet10[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Bullet10" locale="en_US"
><draw w="91.44mm" name="Form1099-A" minH="2.117mm" locale="en_US"
><font typeface="Myriad Pro" size="8pt"
/><para textIndent="0pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>• Form 1099-A (acquisition or abandonment of secured property).</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="UseFormW-9[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Form1099-A[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><?templateDesigner expand 1?><assist role="UL"
/></subform
><draw name="UseFormW-9" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. </text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYouDo[0]"
/></traversal
></draw
><draw name="IfYouDo" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Caution:<span style="font-weight:normal"
> If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>What is backup withholding</span
><span style="font-weight:normal"
>, later.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><margin leftInset="0mm" topInset="0mm" rightInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="BySigning[0]"
/></traversal
></draw
><draw name="BySigning" w="3.6in" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;text-decoration:none;letter-spacing:0in"
>By signing the filled-out form<span style="font-weight:normal"
>, you:<span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="7pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="NumberedList1[0]"
/></traversal
></draw
><subform y="5.997mm" w="91.44mm" layout="tb" name="NumberedList1" locale="en_US"
><subform w="91.44mm" layout="tb" name="Number1" locale="en_US"
><draw name="One.Certify" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued);</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="One\.Certify[0]"
/><traverse ref="Number2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="7.408mm" w="91.44mm" layout="tb" name="Number2" locale="en_US"
><draw name="Two.Certify" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>2. Certify that you are not subject to backup withholding; or</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Two\.Certify[0]"
/><traverse ref="Number3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="11.642mm" w="91.44mm" layout="tb" name="Number3" locale="en_US"
><draw name="Three.Claim" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>3. Claim exemption from backup withholding if you are a U.S. exempt payee; and</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Three\.Claim[0]"
/><traverse ref="Number4[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" name="Number4" locale="en_US"
><draw name="Four.Certify" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><margin leftInset="0mm" topInset="0mm" rightInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Number5[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Four\.Certify[0]"
/><traverse ref="Number5[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="28.575mm" w="91.44mm" layout="tb" name="Number5" locale="en_US"
><draw name="Five.Certify" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See<span style="font-style:italic"
> What Is FATCA Reporting</span
>, later, for further information.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Note[0]"
/></traversal
><margin leftInset="0mm" topInset="0mm" rightInset="0mm" bottomInset="0mm"
/></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Five\.Certify[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Number1[0]"
/><traverse ref="Note[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><draw name="Note" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Note:<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If you are a U.S. person and a requester gives you a form other than Form W-9 to</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>request your TIN, you must use the requester’s form if it is</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>substantially similar to this Form W-9.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><margin leftInset="0mm" topInset="0mm" rightInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="DenfinitionOf[0]"
/></traversal
></draw
><draw name="DenfinitionOf" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Definition of a U.S. person.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>For federal tax purposes, you are</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>considered a U.S. person if you are:</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="BulletedList2[0]"
/></traversal
><margin leftInset="0mm" topInset="0mm" rightInset="0mm" bottomInset="0mm"
/></draw
><subform y="63.147mm" w="91.44mm" layout="tb" locale="en_US" name="BulletedList2"
><subform w="91.44mm" layout="tb" locale="en_US" name="Bullet1"
><draw name="Individual" w="3.6in" minH="2.117mm" locale="en_US"
><value
><text
>• An individual who is a U.S. citizen or U.S. resident alien;</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Individual[0]"
/><traverse ref="Bullet2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="4.233mm" w="91.44mm" layout="tb" locale="en_US" name="Bullet2"
><draw name="Partnership" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>• A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Partnership[0]"
/><traverse ref="Bullet3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="11.642mm" w="91.44mm" layout="tb" locale="en_US" name="Bullet3"
><draw name="Estate" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>• An estate (other than a foreign estate); or</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Estate[0]"
/><traverse ref="Bullet4[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="15.875mm" w="91.44mm" layout="tb" locale="en_US" name="Bullet4"
><draw name="Domestic" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>• A domestic trust (as defined in Regulations section 301.7701-7).</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="EstablishingUS[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Domestic[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Bullet1[0]"
/><traverse ref="EstablishingUS[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><draw name="EstablishingUS" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding.<span style="font-weight:normal"
> Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441–1474). Under those rules, if a Form W-9 or other certification of non-foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="InTheCases[0]"
/></traversal
></draw
><draw name="InTheCases" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>The following persons must provide Form W-9 to the payor for purposes of establishing its non-foreign status.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="BulletedList3[0]"
/></traversal
></draw
><subform w="91.44mm" layout="tb" name="BulletedList3" locale="en_US"
><subform w="91.44mm" layout="tb" name="Bullet1" locale="en_US"
><draw name="InCaseDisregarded" w="3.6in" locale="en_US" minH="2.117mm"
><value
><text
>• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="InCaseDisregarded[0]"
/><traverse ref="Bullet2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="7.408mm" w="91.44mm" layout="tb" name="Bullet2" locale="en_US"
><draw name="InCaseGrantor" w="3.6in" locale="en_US" minH="2.117mm"
><value
><text
>• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="InCaseGrantor[0]"
/><traverse ref="Bullet3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="17.992mm" w="91.44mm" layout="tb" name="Bullet3" locale="en_US"
><draw name="InCaseUSTrust" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>• In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="SeePub515[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="InCaseUSTrust[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Bullet1[0]"
/><traverse ref="SeePub515[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><draw name="SeePub515" w="3.6in" locale="en_US" minH="2.117mm"
><value
><text
>See Pub. 515 for more information on providing a Form W-9 or a certification of non-foreign status to avoid withholding.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Col2[0]"
/></traversal
></draw
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="IdentificationNumber[0]"
/><traverse ref="Col2[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform x="111.76mm" y="16.933mm" w="91.44mm" name="Col2" layout="tb" locale="en_US"
><draw name="Chapter3" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Foreign person.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub.</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>515). If you are a qualified foreign pension fund under Regulations section 1.897(l)-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non-foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non-foreign status).</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="10pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NonresidentAlien[0]"
/></traversal
></draw
><draw name="NonresidentAlien" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Nonresident alien who becomes a resident alien.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Generally,</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>only a nonresident alien individual may use the terms of a tax</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>treaty to reduce or eliminate U.S. tax on certain types of income.</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>However, most tax treaties contain a provision known as a</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>saving clause. Exceptions specified in the saving clause may</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>permit an exemption from tax to continue for certain types of</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>income even after the payee has otherwise become a U.S.</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>resident alien for tax purposes.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYouAreUS[0]"
/></traversal
></draw
><draw name="IfYouAreUS" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NumberedList2[0]"
/></traversal
></draw
><subform w="91.44mm" layout="tb" name="NumberedList2" locale="en_US"
><subform w="91.44mm" layout="tb" name="Number1" locale="en_US"
><draw name="One.TreatyCountry" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="One\.TreatyCountry[0]"
/><traverse ref="Number2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="6.703mm" w="91.44mm" layout="tb" name="Number2" locale="en_US"
><draw name="Two.TreatyArticle" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>2. The treaty article addressing the income.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Two\.TreatyArticle[0]"
/><traverse ref="Number3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="10.583mm" w="91.44mm" layout="tb" name="Number3" locale="en_US"
><draw name="Three.ArticleNumber" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Three\.ArticleNumber[0]"
/><traverse ref="Number4[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="17.286mm" w="91.44mm" layout="tb" name="Number4" locale="en_US"
><draw name="Four.Type" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>4. The type and amount of income that qualifies for the exemption from tax.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number5[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Four\.Type[0]"
/><traverse ref="Number5[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="23.989mm" w="91.44mm" layout="tb" name="Number5" locale="en_US"
><draw name="Five.SufficientFacts" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Example[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Five\.SufficientFacts[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Number1[0]"
/><traverse ref="Example[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><draw name="Example" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Example.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>Article 20 of the U.S.-China income tax treaty allows</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>an exemption from tax for scholarship income received by a</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>Chinese student temporarily present in the United States. Under</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>U.S. law, this student will become a resident alien for tax</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>purposes if their stay in the United States exceeds 5</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>calendar years. However, paragraph 2 of the first Protocol to the</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>U.S.-China treaty (dated April 30, 1984) allows the provisions of</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>Article 20 to continue to apply even after the Chinese student</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>becomes a resident alien of the United States. A Chinese</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>student who qualifies for this exception (under paragraph 2 of</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>the first Protocol) and is relying on this exception to claim an</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>exemption from tax on their scholarship or fellowship</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>income would attach to Form W-9 a statement that includes the</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:normal"
>information described above to support that exemption.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font weight="bold" posture="italic" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYouAreNonresident[0]"
/></traversal
></draw
><draw name="IfYouAreNonresident" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="BackupWithholding[0]"
/></traversal
></draw
><draw name="BackupWithholding" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Backup Withholding</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="6pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="WhatIsBackup[0]"
/></traversal
></draw
><draw name="WhatIsBackup" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>What is backup withholding?<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Persons making certain payments</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>to you must under certain conditions withhold and pay to the</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>IRS 24% of such payments. This is called “backup withholding.”</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Payments that may be subject to backup withholding include, but are not limited to,</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>interest, tax-exempt interest, dividends, broker and barter</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third-party network transactions, and</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>certain payments from fishing boat operators. Real estate</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>transactions are not subject to backup withholding.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="YouWillNotBe[0]"
/></traversal
></draw
><draw name="YouWillNotBe" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" fontHorizontalScale="98.5%"
/><traversal
><traverse ref="PaymentsYouReceive[0]"
/></traversal
></draw
><draw name="PaymentsYouReceive" w="3.6in" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold"
>Payments you receive will be subject to backup withholding if:<span style="xfa-spacerun:yes"
> </span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="0pt" spaceAbove="3pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="NumberedList3[0]"
/></traversal
></draw
><subform y="100.542mm" w="91.44mm" layout="tb" locale="en_US" name="NumberedList3"
><subform w="91.44mm" layout="tb" locale="en_US" name="Number1"
><draw name="One.YouDo" w="91.44mm" locale="en_US" minH="2.117mm"
><font typeface="Myriad Pro" size="8pt"
/><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';text-decoration:none;letter-spacing:0in"
>1. You do not furnish your TIN to the requester;</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Number2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="One\.YouDo[0]"
/><traverse ref="Number2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="4.233mm" w="91.44mm" layout="tb" locale="en_US" name="Number2"
><draw name="Two.YouDo" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>2. You do not certify your TIN when required (see the instructions for Part II for details);</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Two\.YouDo[0]"
/><traverse ref="Number3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="11.642mm" w="91.44mm" layout="tb" locale="en_US" name="Number3"
><draw name="Three.IRSTells" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>3. The IRS tells the requester that you furnished an incorrect TIN;</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" textIndent="8pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Three\.IRSTells[0]"
/><traverse ref="Number4[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="15.875mm" w="91.44mm" layout="tb" locale="en_US" name="Number4"
><draw name="Four.IRSTells" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number5[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Four\.IRSTells[0]"
/><traverse ref="Number5[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="26.458mm" w="91.44mm" layout="tb" locale="en_US" name="Number5"
><draw name="Five.YouDoNot" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under<span style="xfa-spacerun:yes"
> </span
>“<span style="font-style:italic"
>By signing the filled-out form</span
>” above (for reportable interest and dividend accounts opened after 1983 only).</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Five\.YouDoNot[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Number1[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="Chapter3[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Pg2Header[0]"
/></traversal
><?templateDesigner expand 0?></subform
><subform name="Page3" w="215.9mm" h="10.999597in" locale="en_US"
><breakBefore targetType="pageArea" target="PageArea1" startNew="1"
/><bind match="none"
/><subform x="12.7mm" y="12.7mm" w="190.5mm" h="4.233mm" name="Pg3Header" locale="en_US"
><draw name="FormNo" w="180.34mm" minH="4.233mm" locale="en_US"
><value
><text
>Form W-9 (Rev. 3-2024)</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Page[0]"
/></traversal
></draw
><draw name="Page" x="180.34mm" w="10.16mm" h="4.233mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Page<span style="xfa-spacerun:yes"
> </span
><span style="font-size:10pt;font-weight:bold"
>3<span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="middle" hAlign="right"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Col1[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="FormNo[0]"
/><traverse ref="Col1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform w="91.44mm" x="12.7mm" y="16.933mm" name="Col1" layout="tb" locale="en_US"
><draw name="CertainPayees" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Certain payees and payments are exempt from backup withholding. See<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>Exempt payee code</span
>, later, and the separate Instructions for the Requester of Form W-9 for more information.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="10pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="SeeAlso[0]"
/></traversal
></draw
><draw name="SeeAlso" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>See also<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding</span
>, earlier.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="WhatIsFATCA[0]"
/></traversal
></draw
><draw name="WhatIsFATCA" w="91.44mm" locale="en_US" minH="2.117mm"
><font typeface="Myriad Pro" size="12pt"
/><para spaceAbove="8pt" lineHeight="13pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';font-weight:bold;letter-spacing:0in"
>What Is FATCA Reporting?</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><assist role="H3"
/><traversal
><traverse ref="TheForeignAccount[0]"
/></traversal
></draw
><draw w="91.44mm" name="TheForeignAccount" locale="en_US" minH="2.117mm"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para spaceAbove="8pt" lineHeight="9pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-top:3pt;letter-spacing:0in"
>The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>Exemption from FATCA reporting code</span
>, later, and the Instructions for the Requester of Form W-9 for more information.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="UpdateYourInfomation[0]"
/></traversal
></draw
><draw name="UpdateYourInfomation" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Updating Your Information</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="6pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="YouMustProvide[0]"
/></traversal
></draw
><draw name="YouMustProvide" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you are no longer tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Penalties[0]"
/></traversal
></draw
><draw name="Penalties" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Penalties</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="6pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="FailureToFurnish[0]"
/></traversal
></draw
><draw name="FailureToFurnish" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Failure to furnish TIN.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If you fail to furnish your correct TIN to a</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>requester, you are subject to a penalty of $50 for each such</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>failure unless your failure is due to reasonable cause and not to</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>willful neglect.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="CivilPenalty[0]"
/></traversal
></draw
><draw name="CivilPenalty" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Civil penalty for false information with respect to withholding.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If you make a false statement with no reasonable</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>basis that results in no backup withholding, you are subject to a</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>$500 penalty.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="CriminalPenalty[0]"
/></traversal
></draw
><draw name="CriminalPenalty" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Criminal penalty for falsifying information.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Willfully falsifying</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>certifications or affirmations may subject you to criminal</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>penalties including fines and/or imprisonment.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="MisuseOfTINs[0]"
/></traversal
></draw
><draw name="MisuseOfTINs" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Misuse of TINs.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If the requester discloses or uses TINs in</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>violation of federal law, the requester may be subject to civil and</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>criminal penalties.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="SpecificInstructions[0]"
/></traversal
></draw
><draw name="SpecificInstructions" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Specific Instructions</text
></value
><ui
><textEdit
/></ui
><para lineHeight="15pt" spaceAbove="8pt"
/><font weight="bold" size="14pt" typeface="HelveticaNeueLT Std"
/><assist role="H2"
/><traversal
><traverse ref="Line1[0]"
/></traversal
></draw
><draw name="Line1" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Line 1</text
></value
><ui
><textEdit
/></ui
><para lineHeight="11pt" spaceAbove="5pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="YouMustEnter[0]"
/></traversal
></draw
><draw name="YouMustEnter" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>You must enter one of the following on this line;<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:bold"
>do not</span
> leave this line blank.<span style="font-style:italic"
><span style="xfa-spacerun:yes"
> </span
></span
>The name should match the name on your tax return.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfThisFormW-9[0]"
/></traversal
></draw
><draw name="IfThisFormW-9" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="BulletedList1[0]"
/></traversal
></draw
><subform y="61.383mm" w="91.44mm" layout="tb" name="BulletedList1" locale="en_US"
><subform w="91.431mm" layout="tb" name="Bullet1" locale="en_US"
><draw w="91.431mm" minH="2.117mm" name="Individual" locale="en_US"
><font typeface="Myriad Pro" baselineShift="0pt" size="8pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-top:3pt;font-family:'HelveticaNeueLT Std';letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:bold;text-decoration:none"
>Individual.<span style="xfa-spacerun:yes"
> </span
></span
><span style="text-decoration:none"
>Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.<span style="xfa-spacerun:yes"
>  </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><para textIndent="0pt" lineHeight="9pt" spaceAbove="0pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><traversal
><traverse ref="Note[0]"
/></traversal
></draw
><draw w="91.431mm" minH="2.117mm" name="Note" locale="en_US"
><font typeface="Myriad Pro" size="8pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-top:3pt;font-family:'HelveticaNeueLT Std';font-weight:bold;letter-spacing:0in"
>Note for ITIN applicant:<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040 you filed with your application.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Bullet2[0]"
/></traversal
><para lineHeight="9pt"
/></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Individual[0]"
/><traverse ref="Bullet2[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="27.517mm" w="91.44mm" layout="tb" name="Bullet2" locale="en_US"
><draw name="SoleProprietor" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;text-decoration:none;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:bold"
>Sole proprietor.<span style="xfa-spacerun:yes"
> </span
></span
>Enter your individual name as shown on your Form 1040 on line 1. Enter your<span style="font-weight:bold"
><span style="xfa-spacerun:yes"
> </span
></span
>business, trade, or “doing business as” (DBA) name on line 2.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="SoleProprietor[0]"
/><traverse ref="Bullet3[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="38.1mm" w="91.44mm" layout="tb" name="Bullet3" locale="en_US"
><draw name="Partnership" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:bold"
>Partnership, C corporation, S corporation, or LLC, other than a disregarded entity.</span
> Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name on line 2.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Partnership[0]"
/><traverse ref="Bullet4[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform w="91.44mm" layout="tb" y="53.622mm" name="Bullet4" locale="en_US"
><draw name="OtherEntities" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;text-decoration:none;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:bold"
>Other entities.<span style="xfa-spacerun:yes"
> </span
></span
>Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Bullet5[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="OtherEntities[0]"
/><traverse ref="Bullet5[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="67.381mm" w="91.44mm" layout="tb" name="Bullet5" locale="en_US"
><draw name="DisregardedEntity" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:bold"
>Disregarded entity.<span style="xfa-spacerun:yes"
> </span
></span
>In general, a business entity that has a single owner, including an LLC, and is not a corporation, is<span style="xfa-spacerun:yes"
> </span
><span style="letter-spacing:0em"
>disregarded</span
> as an entity separate from its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner’s name on line 1. The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Col2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="DisregardedEntity[0]"
/></traversal
><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Bullet1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="CertainPayees[0]"
/><traverse ref="Col2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform x="111.76mm" y="16.933mm" w="91.44mm" name="Col2" layout="tb" locale="en_US"
><draw name="DisregardedEntity" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;letter-spacing:0in"
>example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner’s name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9.<span style="xfa-spacerun:yes"
>  </span
>This is the case even if the foreign person has a U.S. TIN.<span style="xfa-spacerun:yes"
> </span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="10pt" textIndent="0pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Line2[0]"
/></traversal
></draw
><draw name="Line2" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Line 2</text
></value
><ui
><textEdit
/></ui
><para lineHeight="11pt" spaceAbove="5pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="IfYouHaveBusiness[0]"
/></traversal
></draw
><draw name="IfYouHaveBusiness" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Line3a[0]"
/></traversal
></draw
><draw name="Line3a" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Line 3a</text
></value
><ui
><textEdit
/></ui
><para lineHeight="11pt" spaceAbove="5pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="CheckAppropriateBox[0]"
/></traversal
></draw
><draw name="CheckAppropriateBox" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt" spaceBelow="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Table[0]"
/></traversal
></draw
><subform name="Table" layout="table" columnWidths="45.72mm 45.72mm " locale="en_US"
><keep intact="contentArea"
/><assist role="Table"
/><?templateDesigner rowpattern first:1, next:1, firstcolor:f0f0f0, nextcolor:ffffff, apply:0?><subform name="Header" layout="row" locale="en_US" y="0mm"
><assist role="TH"
/><draw name="IFEntity" h="8.467mm" locale="en_US"
><value
><text
>IF the entity/individual on line 1 is a(n) . . .</text
></value
><ui
><textEdit
/></ui
><para spaceAbove="4pt" lineHeight="9pt" marginLeft="4pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge thickness="0.3528mm"
/><edge presence="hidden"
/><edge
/><edge
/><corner thickness="0.353mm"
/><corner
/><corner
/><corner
/></border
><traversal
><traverse ref="THENCheck[0]"
/></traversal
></draw
><draw name="THENCheck" h="8.467mm" locale="en_US"
><value
><text
>THEN check the box for . . .</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="4pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge thickness="0.3528mm"
/><edge
/><edge
/><edge
/><corner thickness="0.353mm"
/><corner
/><corner
/><corner
/></border
><traversal
><traverse ref="BodyRow1[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="IFEntity[0]"
/><traverse ref="BodyRow1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow1" layout="row" locale="en_US" y="0mm"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="Corporation1" h="4.233mm" locale="en_US"
><value
><text
>•  Corporation</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="2pt" marginRight="0pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="Corporation2[0]"
/></traversal
></draw
><draw name="Corporation2" h="4.233mm" locale="en_US"
><value
><text
>Corporation.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" marginLeft="4pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="BodyRow2[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="Corporation1[0]"
/><traverse ref="BodyRow2[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow2" layout="row" locale="en_US" y="0mm"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="Individual" h="8.467mm" locale="en_US" y="0mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-top:3pt;text-decoration:none;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
>  </span
>Individual or</p
><p style="margin-top:3pt;text-decoration:none;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
>  </span
>Sole proprietorship</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para spaceAbove="2pt" lineHeight="9pt" spaceBelow="0pt" textIndent="0pt" marginLeft="2pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="IndividualSole[0]"
/></traversal
></draw
><draw name="IndividualSole" h="8.467mm" locale="en_US" y="0mm"
><value
><text
>Individual/sole proprietor.</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="BodyRow3[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="Individual[0]"
/><traverse ref="BodyRow3[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow3" layout="row" locale="en_US" y="0mm"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="LLCTreated" h="21.167mm" locale="en_US"
><value
><text
>•  LLC classified as a partnership
for U.S. federal tax purposes or •  LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="2pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="LimitedLiability[0]"
/></traversal
></draw
><draw name="LimitedLiability" h="21.167mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Limited liability company and<br
/>enter the appropriate tax classification:<span style="xfa-spacerun:yes"
> </span
></p
><p style="margin-top:2pt;text-decoration:none;letter-spacing:0in"
>P = Partnership,<br
/>C = C corporation, or<br
/>S = S corporation.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="BodyRow4[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="LLCTreated[0]"
/><traverse ref="BodyRow4[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow4" layout="row" locale="en_US" y="0mm"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="Partnership1" h="4.233mm" locale="en_US"
><value
><text
>•  Partnership</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="2pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.1764mm"
/><edge
/><corner
/><corner
/><corner thickness="0.176mm"
/><corner
/></border
><traversal
><traverse ref="Partnership2[0]"
/></traversal
></draw
><draw name="Partnership2" h="4.233mm" locale="en_US"
><value
><text
>Partnership.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge
/><edge thickness="0.1764mm"
/><edge
/><corner
/><corner
/><corner thickness="0.176mm"
/><corner
/></border
><traversal
><traverse ref="BodyRow5[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="Partnership1[0]"
/><traverse ref="BodyRow5[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow5" layout="row" locale="en_US" y="0mm"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="Trust" h="4.233mm" locale="en_US"
><value
><text
>•  Trust/estate</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="2pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="TrustEstate[0]"
/></traversal
></draw
><draw name="TrustEstate" h="4.233mm" locale="en_US"
><value
><text
>Trust/estate.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge
/><edge thickness="0.3528mm"
/><edge
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Line3b[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="Trust[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Header[0]"
/><traverse ref="Line3b[0]"
/></traversal
><?templateDesigner expand 1?></subform
><draw name="Line3b" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>Line 3b</text
></value
><ui
><textEdit
/></ui
><para lineHeight="11pt" spaceAbove="7pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="CheckThisBoxIf[0]"
/></traversal
></draw
><draw name="CheckThisBoxIf" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NotePartnership[0]"
/></traversal
></draw
><draw name="NotePartnership" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;text-decoration:none;letter-spacing:0in"
>Note:<span style="font-weight:normal"
> A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="CheckThisBoxIf[1]"
/></traversal
></draw
><draw name="CheckThisBoxIf" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Line4Exemptions[0]"
/></traversal
></draw
><draw name="Line4Exemptions" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Line 4 Exemptions</text
></value
><ui
><textEdit
/></ui
><para lineHeight="11pt" spaceAbove="5pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="IfYouAreExempt[0]"
/></traversal
></draw
><draw name="IfYouAreExempt" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="ExemptPayeeCode[0]"
/></traversal
></draw
><draw name="ExemptPayeeCode" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Exempt payee code.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="8pt" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="BulletedList2[0]"
/></traversal
></draw
><subform y="100.189mm" w="91.44mm" layout="tb" locale="en_US" name="BulletedList2"
><subform w="91.44mm" layout="tb" locale="en_US" name="Bullet1"
><draw name="GenerallyIndividuals" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>•  Generally, individuals (including sole proprietors) are not exempt from backup withholding.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="GenerallyIndividuals[0]"
/><traverse ref="Bullet2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="7.408mm" w="91.44mm" layout="tb" locale="en_US" name="Bullet2"
><draw name="ExceptAsProvided" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>•  Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="ExceptAsProvided[0]"
/><traverse ref="Bullet3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="14.817mm" w="91.44mm" layout="tb" locale="en_US" name="Bullet3"
><draw name="Corporations" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>•  Corporations are not exempt from backup withholding for payments made in settlement of payment card or third-party network transactions.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Corporations[0]"
/><traverse ref="Bullet4[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="22.225mm" w="91.44mm" layout="tb" locale="en_US" name="Bullet4"
><draw name="CorporationsNot" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>•  Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="FollowingCodes[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="CorporationsNot[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Bullet1[0]"
/><traverse ref="FollowingCodes[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><draw name="FollowingCodes" w="3.6in" minH="2.117mm" locale="en_US"
><value
><text
>The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="One[0]"
/></traversal
></draw
><draw name="One" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2).</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/></draw
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="DisregardedEntity[0]"
/></traversal
><margin topInset="0mm"
/><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Pg3Header[0]"
/></traversal
><?templateDesigner expand 0?></subform
><subform w="215.891mm" h="791.968pt" name="Page4" locale="en_US"
><breakBefore targetType="pageArea" startNew="1"
/><subform w="190.5mm" h="4.233mm" name="Pg4Header" y="12.7mm" x="12.7mm" locale="en_US"
><draw name="FormNo" w="180.34mm" minH="4.233mm" locale="en_US"
><value
><text
>Form W-9 (Rev. 3-2024)</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Page[0]"
/></traversal
></draw
><draw name="Page" x="180.34mm" w="10.16mm" h="4.233mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Page<span style="xfa-spacerun:yes"
> </span
><span style="font-size:10pt;font-weight:bold"
>4<span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="middle" hAlign="right"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Col1[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="FormNo[0]"
/><traverse ref="Col1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform w="91.44mm" x="12.7mm" y="16.933mm" name="Col1" layout="tb" locale="en_US"
><draw name="Two" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>2—The United States or any of its agencies or instrumentalities.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="10pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Three[0]"
/></traversal
></draw
><draw name="Three" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>3—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Four[0]"
/></traversal
></draw
><draw name="Four" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>4—A foreign government or any of its political subdivisions, agencies, or instrumentalities.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Five[0]"
/></traversal
></draw
><draw name="Five" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>5—A corporation.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Six[0]"
/></traversal
></draw
><draw name="Six" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or territory.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Seven[0]"
/></traversal
></draw
><draw name="Seven" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>7—A futures commission merchant registered with the Commodity Futures Trading Commission.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Eight[0]"
/></traversal
></draw
><draw name="Eight" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>8—A real estate investment trust.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Nine[0]"
/></traversal
></draw
><draw name="Nine" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>9—An entity registered at all times during the tax year under the Investment Company Act of 1940.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="5pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Ten[0]"
/></traversal
></draw
><draw name="Ten" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>10—A common trust fund operated by a bank under section 584(a).</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Eleven[0]"
/></traversal
></draw
><draw name="Eleven" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>11—A financial institution as defined under section 581.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Twelve[0]"
/></traversal
></draw
><draw name="Twelve" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>12—A middleman known in the investment community as a nominee or custodian.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Thirteen[0]"
/></traversal
></draw
><draw name="Thirteen" w="3.6in" locale="en_US" minH="2.117mm"
><value
><text
>13—A trust exempt from tax under section 664 or described in section 4947.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="TheFollowingChart[0]"
/></traversal
></draw
><draw name="TheFollowingChart" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="1pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Table[0]"
/></traversal
></draw
><subform name="Table" layout="table" columnWidths="45.72mm 45.72mm " locale="en_US"
><keep intact="contentArea"
/><assist role="Table"
/><?templateDesigner rowpattern first:1, next:1, firstcolor:f0f0f0, nextcolor:ffffff, apply:0?><subform name="Header" layout="row" locale="en_US"
><assist role="TH"
/><draw name="IFPayment" h="8.467mm" locale="en_US"
><value
><text
>IF the payment is for . . .</text
></value
><ui
><textEdit
/></ui
><para spaceAbove="4pt" lineHeight="9pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge thickness="0.3528mm"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner thickness="0.353mm"
/><corner
/><corner
/><corner presence="hidden"
/></border
><traversal
><traverse ref="THENPayment[0]"
/></traversal
></draw
><draw name="THENPayment" h="8.467mm" locale="en_US"
><value
><text
>THEN the payment is exempt for . . .</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="4pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge thickness="0.3528mm"
/><edge presence="hidden"
/><edge
/><edge
/><corner thickness="0.353mm"
/><corner
/><corner
/><corner
/></border
><traversal
><traverse ref="BodyRow1[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="IFPayment[0]"
/><traverse ref="BodyRow1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow1" layout="row" locale="en_US"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="InterestDividend" h="7.408mm" locale="en_US" y="0mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-left:2pt;letter-spacing:0in;hyphenate:none"
>•<span style="xfa-spacerun:yes"
>  </span
>Interest and dividend payments</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><traversal
><traverse ref="AllExemptPayees[0]"
/></traversal
></draw
><draw name="AllExemptPayees" h="7.408mm" locale="en_US" y="0mm"
><value
><text
>All exempt payees except
for 7.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" marginLeft="4pt"
><hyphenation use="designer__defaultHyphenation.para.hyphenation"
/></para
><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="BodyRow2[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="InterestDividend[0]"
/><traverse ref="BodyRow2[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow2" layout="row" locale="en_US"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="BrokerTransactions" h="23.283mm" locale="en_US" y="0mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-left:2pt;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
>  </span
>Broker transactions</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para spaceAbove="3pt" lineHeight="9pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><traversal
><traverse ref="ExemptPayees[0]"
/></traversal
></draw
><draw name="ExemptPayees" h="23.283mm" locale="en_US" y="0mm"
><value
><text
>Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="BodyRow3[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="BrokerTransactions[0]"
/><traverse ref="BodyRow3[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow3" layout="row" locale="en_US"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="BarterExchange" h="7.408mm" locale="en_US" y="0mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-left:2pt;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
>  </span
>Barter exchange transactions and patronage dividends</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><traversal
><traverse ref="ExemptPayees[0]"
/></traversal
></draw
><draw name="ExemptPayees" h="7.408mm" locale="en_US" y="0mm"
><value
><text
>Exempt payees 1 through 4.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="BodyRow4[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="BarterExchange[0]"
/><traverse ref="BodyRow4[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow4" layout="row" locale="en_US"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="PaymentsOver" h="11.289mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-left:2pt;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
>  </span
>Payments over $600 required to be reported and direct sales over $5,000<span style="vertical-align:4pt;font-size:5pt"
>1</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.1764mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.176mm"
/><corner
/></border
><traversal
><traverse ref="GenerallyExempt[0]"
/></traversal
></draw
><draw name="GenerallyExempt" h="11.289mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Generally, exempt payees<br
/>1 through 5.<span style="vertical-align:4pt;font-size:5pt"
>2</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.1764mm"
/><edge
/><corner
/><corner
/><corner thickness="0.176mm"
/><corner
/></border
><traversal
><traverse ref="BodyRow5[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="PaymentsOver[0]"
/><traverse ref="BodyRow5[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform name="BodyRow5" layout="row" locale="en_US"
><assist role="TR"
/><border
><edge presence="hidden"
/></border
><draw name="PaymentsMade" h="10.583mm" locale="en_US" y="0mm" w="45.722mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-left:2pt;letter-spacing:0in"
>•<span style="xfa-spacerun:yes"
>  </span
>Payments made in settlement of payment card or third-party<br
/>network transactions</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="ExemptPayees[0]"
/></traversal
></draw
><draw name="ExemptPayees" h="10.583mm" locale="en_US" y="0mm" w="45.722mm"
><value
><text
>Exempt payees 1 through 4.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" marginLeft="4pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="One\.SeeForm[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="PaymentsMade[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Header[0]"
/><traverse ref="One\.SeeForm[0]"
/></traversal
><?templateDesigner expand 1?></subform
><draw name="One.SeeForm" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="vertical-align:3pt;font-size:6pt;letter-spacing:0in"
>1<span style="vertical-align:baseline;font-size:8pt;xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="vertical-align:baseline;font-size:8pt"
>See Form 1099-MISC, Miscellaneous Information, and its instructions.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para spaceAbove="3pt" lineHeight="9pt" marginLeft="0pt" spaceBelow="0pt" textIndent="-4pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Two\.However[0]"
/></traversal
></draw
><draw name="Two.However" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="vertical-align:3pt;font-size:6pt;text-decoration:none;letter-spacing:0in"
>2<span style="vertical-align:baseline;font-size:8pt;xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="vertical-align:baseline;font-size:8pt"
>However, the following payments made to a corporation and<span style="xfa-spacerun:yes"
> </span
></span
></p
><p style="margin-top:1pt;text-decoration:none;letter-spacing:0in"
>reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para textIndent="0pt" spaceAbove="3pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="9pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="ExemptionFromFATCA[0]"
/></traversal
></draw
><draw w="91.44mm" name="ExemptionFromFATCA" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" lineHeight="9pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold;letter-spacing:0in"
>Exemption from FATCA reporting code.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) entered on the line for a FATCA exemption code.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="A[0]"
/></traversal
></draw
><draw name="A" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37).</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="B[0]"
/></traversal
></draw
><draw name="B" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para spaceAbove="3pt" lineHeight="9pt" textIndent="8pt"
/><value
><text
>B—The United States or any of its agencies or instrumentalities.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="C[0]"
/></traversal
></draw
><draw name="C" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>C—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="D[0]"
/></traversal
></draw
><draw name="D" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i).</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="E[0]"
/></traversal
></draw
><draw w="91.44mm" name="E" minH="2.117mm" locale="en_US"
><font typeface="HelveticaNeueLT Std" size="8pt" fontHorizontalScale="99.9%"
/><value
><text
>E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i).</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><traversal
><traverse ref="Col2[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="Two[0]"
/><traverse ref="Col2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform x="111.76mm" y="16.933mm" w="91.44mm" name="Col2" layout="tb" locale="en_US"
><draw w="3.6in" name="F" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="10pt" lineHeight="9pt"
/><value
><text
>F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="G[0]"
/></traversal
></draw
><draw name="G" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>G—A real estate investment trust.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="H[0]"
/></traversal
></draw
><draw w="91.44mm" name="H" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="I[0]"
/></traversal
></draw
><draw name="I" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>I—A common trust fund as defined in section 584(a).</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="J[0]"
/></traversal
></draw
><draw name="J" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>J—A bank as defined in section 581.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="K[0]"
/></traversal
></draw
><draw name="K" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>K—A broker.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="L[0]"
/></traversal
></draw
><draw w="91.44mm" name="L" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>L—A trust exempt from tax under section 664 or described in section 4947(a)(1).</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="M[0]"
/></traversal
></draw
><draw name="M" w="91.44mm" minH="2.117mm" locale="en_US"
><font size="8pt" typeface="HelveticaNeueLT Std"
/><para textIndent="8pt" spaceAbove="3pt" lineHeight="9pt"
/><value
><text
>M—A tax-exempt trust under a section 403(b) plan or section 457(g) plan.</text
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><traversal
><traverse ref="Note[0]"
/></traversal
></draw
><draw w="91.44mm" name="Note" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:bold"
>Note:<span style="font-weight:normal"
> You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><font size="8pt" typeface="HelveticaNeueLT Std"
/><margin leftInset="0mm" rightInset="0mm" topInset="0mm" bottomInset="0mm"
/><para spaceAbove="3pt" lineHeight="9pt"
/><traversal
><traverse ref="Line5[0]"
/></traversal
></draw
><draw name="Line5" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Line 5</text
></value
><ui
><textEdit
/></ui
><para lineHeight="11pt" spaceAbove="5pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="EnterYourAddress[0]"
/></traversal
></draw
><draw name="EnterYourAddress" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, enter “NEW” at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Line6[0]"
/></traversal
></draw
><draw name="Line6" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Line 6</text
></value
><ui
><textEdit
/></ui
><para lineHeight="11pt" spaceAbove="5pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><assist role="H4"
/><traversal
><traverse ref="EnterYourCity[0]"
/></traversal
></draw
><draw name="EnterYourCity" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Enter your city, state, and ZIP code.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="PartITaxpayer[0]"
/></traversal
></draw
><draw name="PartITaxpayer" w="3.6in" minH="2.117mm" locale="en_US"
><value
><text
>Part I. Taxpayer Identification Number (TIN)</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="6pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="EnterYourTIN[0]"
/></traversal
></draw
><draw name="EnterYourTIN" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>Enter your TIN in the appropriate box.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If you are a resident</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>alien and you do not have, and are not eligible to get, an SSN,</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>your TIN is your IRS ITIN. Enter it in the entry space for the Social security number. If you do not</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>have an ITIN, see</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:italic"
>How to get a TIN<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal"
>below.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYouAreSole[0]"
/></traversal
></draw
><draw name="IfYouAreSole" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. </text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYouAreSingle[0]"
/></traversal
></draw
><draw name="IfYouAreSingle" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). If the LLC is classified as a corporation or partnership, enter the entity’s EIN.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NoteSee[0]"
/></traversal
></draw
><draw name="NoteSee" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Note:<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>See<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>What Name and Number To Give the Requester</span
><span style="font-weight:normal"
>, later, for further clarification of name</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>and TIN combinations.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="HowToGetTIN[0]"
/></traversal
></draw
><draw name="HowToGetTIN" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>How to get a TIN.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If you do not have a TIN, apply for one</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>immediately. To apply for an SSN, get Form SS-5, Application</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>for a Social Security Card, from your local SSA office or get this form online at<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>www.SSA.gov</span
><span style="font-weight:normal"
>. You</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>may also get this form by calling 800-772-1213. Use Form</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>W-7, Application for IRS Individual Taxpayer Identification</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Number, to apply for an ITIN, or Form SS-4, Application for</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Employer Identification Number, to apply for an EIN. You can</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>apply for an EIN online by accessing the IRS website at</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal;font-style:italic"
>www.irs.gov/EIN</span
><span style="font-weight:normal"
>. Go to<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>www.irs.gov/Forms<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal"
>to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>www.irs.gov/OrderForms<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal"
>to place an order and have Form W-7 and/or Form SS-4 mailed to you within 15 business days.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYouAreAsked[0]"
/></traversal
></draw
><draw name="IfYouAreAsked" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and enter “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NoteEntering[0]"
/></traversal
></draw
><draw name="NoteEntering" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Note:<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Entering “Applied For” means that you have already</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>applied for a TIN or that you intend to apply for one soon. See also<span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:normal;font-style:italic"
>Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding</span
><span style="font-weight:normal"
>, earlier, for when you may instead be subject to withholding under chapter 3 or 4 of the Code.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Caution[0]"
/></traversal
></draw
><draw name="Caution" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Caution:<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>A disregarded U.S. entity that has a foreign owner</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>must use the appropriate Form W-8.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/></draw
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="F[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Pg4Header[0]"
/></traversal
><?templateDesigner expand 0?></subform
><subform name="Page5" w="215.9mm" h="10.999597in" locale="en_US"
><breakBefore targetType="pageArea" target="PageArea1" startNew="1"
/><bind match="none"
/><subform w="190.5mm" h="4.233mm" name="Pg5Header" y="12.7mm" x="12.7mm" locale="en_US"
><draw name="FormNo" w="180.34mm" minH="4.233mm" locale="en_US"
><value
><text
>Form W-9 (Rev. 3-2024)</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Page5[0]"
/></traversal
></draw
><draw name="Page5" x="180.34mm" w="10.16mm" h="4.233mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Page<span style="xfa-spacerun:yes"
> </span
><span style="font-size:10pt;font-weight:bold"
>5<span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="middle" hAlign="right"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Col1[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="FormNo[0]"
/><traverse ref="Col1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform x="12.7mm" y="16.933mm" w="91.44mm" name="Col1" layout="tb" locale="en_US"
><draw name="PartIICertification" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Part II. Certification</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="10pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="ToEstablish[0]"
/></traversal
></draw
><draw name="ToEstablish" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="ForJointAccount[0]"
/></traversal
></draw
><draw name="ForJointAccount" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>Exempt</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>payee code</span
>, earlier.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="SignatureRequirements[0]"
/></traversal
></draw
><draw name="SignatureRequirements" w="3.6in" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Signature requirements.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>Complete the certification as indicated</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>in items 1 through 5 below.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NumberedList[0]"
/></traversal
></draw
><subform w="91.44mm" layout="tb" name="NumberedList" locale="en_US"
><subform w="91.44mm" layout="tb" name="Number1" locale="en_US"
><draw name="One.Interest" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>You must give your correct TIN, but you do not</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>have to sign the certification.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="One\.Interest[0]"
/><traverse ref="Number2[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="15.522mm" w="91.44mm" layout="tb" name="Number2" locale="en_US"
><draw name="Two.Interest" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>You must sign the certification or backup</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>withholding will apply. If you are subject to backup withholding</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>and you are merely providing your correct TIN to the requester,</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>you must cross out item 2 in the certification before signing the</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>form.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Two\.Interest[0]"
/><traverse ref="Number3[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="35.631mm" w="91.44mm" layout="tb" name="Number3" locale="en_US"
><draw name="Three.RealEstate" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>3. Real estate transactions.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>You must sign the certification.</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>You may cross out item 2 of the certification.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number4[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Three\.RealEstate[0]"
/><traverse ref="Number4[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="43.039mm" w="91.44mm" layout="tb" name="Number4" locale="en_US"
><draw name="Four.Other" locale="en_US" w="3.6in" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>4. Other payments.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>You must give your correct TIN, but you</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>do not have to sign the certification unless you have been</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>notified that you have previously given an incorrect TIN. “Other</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>payments” include payments made in the course of the</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>requester’s trade or business for rents, royalties, goods (other</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>than bills for merchandise), medical and health care services</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>(including payments to corporations), payments to a</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>nonemployee for services, payments made in settlement of payment card and third-party network transactions, payments to certain fishing boat crew</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>members and fishermen, and gross proceeds paid to attorneys</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>(including payments to corporations).<span style="xfa-spacerun:yes"
>  </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Number5[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Four\.Other[0]"
/><traverse ref="Number5[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform y="75.85mm" w="91.44mm" layout="tb" name="Number5" locale="en_US"
><draw name="Five.Mortage" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions.<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>You must give your</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>correct TIN, but you do not have to sign the certification.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" spaceBelow="0pt" textIndent="8pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="WhatName[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="Five\.Mortage[0]"
/></traversal
><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Number1[0]"
/><traverse ref="WhatName[0]"
/></traversal
><?templateDesigner expand 1?></subform
><draw name="WhatName" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>What Name and Number To Give the Requester</text
></value
><ui
><textEdit
/></ui
><para spaceAbove="6pt" lineHeight="13pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt" fontHorizontalScale="95.5%"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge presence="hidden"
/><corner presence="hidden"
/><corner
/><corner thickness="0.265mm"
/><corner
/></border
><assist role="H3"
/><traversal
><traverse ref="Table_SSN[0]"
/></traversal
><margin bottomInset="0mm"
/></draw
><subform y="123.825mm" layout="table" columnWidths="48.26mm 43.18mm" name="Table_SSN" locale="en_US"
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="Header[0]"
/></traversal
><subform name="Header" layout="row" locale="en_US"
><assist role="TH"
/><traversal
><traverse operation="first" ref="ForTypeAccountSSN[0]"
/><traverse ref="Row1[0]"
/></traversal
><draw name="ForTypeAccountSSN" h="0.166653in" locale="en_US"
><value
><text
>For this type of account:</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="center" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="9pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner
/></border
><traversal
><traverse ref="GiveNameSSN[0]"
/></traversal
><margin topInset="0mm"
/></draw
><draw name="GiveNameSSN" h="0.166653in" locale="en_US"
><value
><text
>Give name and SSN of:</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="center" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="9pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><edge
/><corner
/></border
><traversal
><traverse ref="Row1[0]"
/></traversal
></draw
><?templateDesigner expand 1?></subform
><subform name="Row1" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="One[0]"
/><traverse ref="Row2[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="One" h="3.881mm" locale="en_US" y="0mm" w="48.262mm"
><value
><text
>1. Individual</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" spaceAbove="0pt" lineHeight="8pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Individual[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="Individual" h="3.881mm" locale="en_US" y="0mm" w="43.182mm"
><value
><text
>The individual</text
></value
><ui
><textEdit
/></ui
><para marginLeft="6pt" spaceAbove="0pt" lineHeight="8pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row2[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row2" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Two[0]"
/><traverse ref="Row3[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Two" h="9.878mm" locale="en_US" y="0mm"
><value
><text
>2. Two or more individuals (joint account) other than an account maintained by an FFI</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" textIndent="-9pt" lineHeight="8pt" spaceBelow="0pt" spaceAbove="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="ActualOwner[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="ActualOwner" h="9.878mm" locale="en_US" y="0mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>The actual owner of the account or, if combined funds, the first individual on the account<span style="vertical-align:2pt;font-size:5pt"
>1</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" spaceAbove="0pt" marginLeft="6pt" textIndent="0pt" spaceBelow="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row3[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row3" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Three[0]"
/><traverse ref="Row4[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Three" h="7.056mm" locale="en_US" y="0mm"
><value
><text
>3. Two or more U.S. persons     (joint account maintained by an FFI)</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" textIndent="-9pt" spaceAbove="0pt" lineHeight="8pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="EachHolder[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="EachHolder" h="7.056mm" locale="en_US" y="0mm"
><value
><text
>Each holder of the account </text
></value
><ui
><textEdit
/></ui
><para marginLeft="6pt" spaceAbove="0pt" lineHeight="8pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row4[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform layout="row" name="Row4" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Four[0]"
/><traverse ref="Row5a[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Four" locale="en_US" h="7.056mm"
><font typeface="Myriad Pro"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-family:'HelveticaNeueLT Std';font-size:7pt"
>4. Custodial account of a minor<br
/>(Uniform Gift to Minors Act)</p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="1.0583mm" bottomInset="0mm"
/><para spaceAbove="0pt" textIndent="-8pt" marginLeft="4pt" lineHeight="8pt" marginRight="4pt"
/><traversal
><traverse ref="Minor[0]"
/></traversal
></draw
><draw name="Minor" locale="en_US" h="7.056mm"
><font typeface="Myriad Pro"
/><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-left:6pt;font-family:'HelveticaNeueLT Std';font-size:7pt;text-decoration:none;letter-spacing:0in"
>The minor<span style="vertical-align:2pt;font-size:5pt"
>2</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><margin leftInset="0mm" rightInset="0mm" topInset="0.7056mm" bottomInset="0mm"
/><traversal
><traverse ref="Row5a[0]"
/></traversal
><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><para spaceAbove="0pt" lineHeight="8pt"
/></draw
><?templateDesigner expand 1?></subform
><subform layout="row" name="Row5a" locale="en_US"
><traversal
><traverse operation="first" ref="Five\.a[0]"
/><traverse ref="Row5b[0]"
/></traversal
><assist role="TR"
/><draw name="Five.a" h="7.056mm" locale="en_US"
><value
><text
>5. a. The usual revocable savings trust (grantor is also trustee)</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" textIndent="-8pt" lineHeight="8pt" spaceAbove="0pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="GrantorTrustee[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="GrantorTrustee" h="7.056mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>The grantor-trustee<span style="vertical-align:2pt;font-size:5pt"
>1</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" spaceAbove="0pt" marginLeft="6pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row5b[0]"
/></traversal
><margin topInset="0.7056mm"
/></draw
><?templateDesigner expand 1?></subform
><subform layout="row" name="Row5b" locale="en_US"
><traversal
><traverse operation="first" ref="Five\.b[0]"
/><traverse ref="Row6[0]"
/></traversal
><assist role="TR"
/><draw name="Five.b" h="6.703mm" locale="en_US"
><value
><text
>b. So-called trust account that is not 
a legal or valid trust under state law</text
></value
><ui
><textEdit
/></ui
><para marginLeft="12pt" textIndent="0pt" lineHeight="8pt" spaceAbove="0pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><margin topInset="0.882mm"
/><traversal
><traverse ref="ActualOwner[0]"
/></traversal
></draw
><draw name="ActualOwner" h="6.703mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>The actual owner<span style="vertical-align:4pt;font-size:5pt"
>1</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row6[0]"
/></traversal
><margin topInset="0mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row6" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Six[0]"
/><traverse ref="Row7[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Six" h="7.056mm" locale="en_US" y="0mm"
><value
><text
>6. Sole proprietorship or disregarded entity owned by an individual</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" lineHeight="8pt" textIndent="-8pt" spaceAbove="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Owner[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="Owner" h="7.056mm" locale="en_US" y="0mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>The owner<span style="vertical-align:2pt;font-size:5pt"
>3</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row7[0]"
/></traversal
><margin topInset="0.7056mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row7" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Seven[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Seven" locale="en_US" h="10.583mm"
><value
><text
>7. Grantor trust filing under Optional Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))**</text
></value
><ui
><textEdit
/></ui
><para marginLeft="4pt" lineHeight="8pt" textIndent="-8pt" spaceAbove="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Granter[0]"
/></traversal
><margin topInset="1.0583mm" bottomInset="1.0583mm"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.265mm"
/><corner
/></border
></draw
><draw name="Granter" h="10.583mm" locale="en_US"
><value
><text
>The grantor*</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge
/><corner
/><corner
/><corner thickness="0.265mm"
/><corner
/></border
><traversal
><traverse ref="Col2[0]"
/></traversal
><margin topInset="1.0583mm" bottomInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><?templateDesigner expand 1?></subform
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="PartIICertification[0]"
/><traverse ref="Col2[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Pg5Header[0]"
/></traversal
><subform x="111.76mm" y="16.933mm" w="91.44mm" name="Col2" layout="tb" locale="en_US"
><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="Table_EIN[0]"
/></traversal
><subform name="Table_EIN" layout="table" locale="en_US" columnWidths="48.26mm 43.18mm "
><assist role="Table"
/><keep intact="contentArea"
/><traversal
><traverse operation="first" ref="Header[0]"
/><traverse ref="One\.ListFirst[0]"
/></traversal
><?templateDesigner rowpattern first:1, next:1, firstcolor:f0f0f0, nextcolor:ffffff, apply:0?><subform name="Header" layout="row" locale="en_US"
><assist role="TH"
/><traversal
><traverse operation="first" ref="ForTypeAccountEIN[0]"
/><traverse ref="Row1[0]"
/></traversal
><draw name="ForTypeAccountEIN" h="0.166653in" locale="en_US"
><value
><text
>For this type of account:</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="center" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="9pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge thickness="0.2646mm"
/><edge presence="hidden"
/><edge
/><edge presence="hidden"
/><corner thickness="0.265mm"
/><corner
/><corner
/><corner
/></border
><traversal
><traverse ref="GiveNameEIN[0]"
/></traversal
></draw
><draw name="GiveNameEIN" h="0.166653in" locale="en_US"
><value
><text
>Give name and EIN of:</text
></value
><ui
><textEdit
/></ui
><para vAlign="bottom" hAlign="center" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="9pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge thickness="0.2646mm"
/><edge presence="hidden"
/><edge
/><edge
/><corner thickness="0.265mm"
/><corner
/><corner
/><corner
/></border
><traversal
><traverse ref="Row1[0]"
/></traversal
></draw
><?templateDesigner expand 1?></subform
><subform name="Row1" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Eight[0]"
/><traverse ref="Row2[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Eight" h="7.056mm" locale="en_US"
><value
><text
>8. Disregarded entity not owned by an individual</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="4pt" spaceAbove="0pt" textIndent="-8pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Owner[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="Owner" h="7.056mm" locale="en_US"
><value
><text
>The owner</text
></value
><ui
><textEdit
/></ui
><para marginLeft="6pt" spaceAbove="0pt" lineHeight="8pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row2[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row2" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Nine[0]"
/><traverse ref="Row3[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Nine" h="3.881mm" locale="en_US"
><value
><text
>9. A valid trust, estate, or pension trust</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="4pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="-9pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="LegalEntity[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="LegalEntity" h="3.881mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Legal entity<span style="vertical-align:2pt;font-size:5pt"
>4</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row3[0]"
/></traversal
><margin topInset="0.7056mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row3" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Ten[0]"
/><traverse ref="Row4[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Ten" h="7.056mm" locale="en_US"
><value
><text
>10. Corporation or LLC electing corporate status on Form 8832 or Form 2553</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="0pt" textIndent="-12pt" spaceAbove="0pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Corporation[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="Corporation" h="7.056mm" locale="en_US"
><value
><text
>The corporation</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row4[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row4" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Eleven[0]"
/><traverse ref="Row5[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Eleven" h="9.878mm" locale="en_US" y="0mm"
><value
><text
>11. Association, club, religious, charitable, educational, or other tax-exempt organization</text
></value
><ui
><textEdit
/></ui
><para marginLeft="0pt" textIndent="-12pt" lineHeight="8pt" spaceAbove="0pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm" presence="hidden"
/><edge presence="hidden"
/><corner
/><corner thickness="0.265mm"
/><corner presence="hidden"
/><corner thickness="0.265mm"
/></border
><traversal
><traverse ref="Organization[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="Organization" h="9.878mm" locale="en_US" y="0mm"
><value
><text
>The organization</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row5[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row5" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Twelve[0]"
/><traverse ref="Row6[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Twelve" h="3.881mm" locale="en_US"
><value
><text
>12. Partnership or multi-member LLC</text
></value
><ui
><textEdit
/></ui
><para marginLeft="0pt" lineHeight="8pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="-15pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Partnership[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="Partnership" h="3.881mm" locale="en_US"
><value
><text
>The partnership</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row6[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row6" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Thirteen[0]"
/><traverse ref="Row7[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Thirteen" h="3.881mm" locale="en_US" w="48.26mm"
><value
><text
>13. A broker or registered nominee</text
></value
><ui
><textEdit
/></ui
><para marginLeft="0pt" lineHeight="8pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="-15pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Broker[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="Broker" h="3.881mm" locale="en_US" w="43.18mm"
><value
><text
>The broker or nominee</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge
/><corner
/></border
><traversal
><traverse ref="Row7[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row7" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Fourteen[0]"
/><traverse ref="Row8[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><margin topInset="0mm"
/><draw name="Fourteen" h="18.344mm" locale="en_US" y="0mm"
><value
><text
>14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments</text
></value
><ui
><textEdit
/></ui
><para marginLeft="1pt" textIndent="-12pt" lineHeight="8pt" spaceAbove="0pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm" presence="hidden"
/><edge presence="hidden"
/><corner
/><corner thickness="0.265mm"
/><corner presence="hidden"
/><corner thickness="0.265mm"
/></border
><traversal
><traverse ref="PublicEntity[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><draw name="PublicEntity" h="18.344mm" locale="en_US" y="0mm"
><value
><text
>The public entity</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm" presence="hidden"
/><edge
/><corner
/><corner thickness="0.265mm"
/><corner presence="hidden"
/><corner thickness="0.265mm"
/></border
><traversal
><traverse ref="Row8[0]"
/></traversal
><margin topInset="1.0583mm"
/></draw
><?templateDesigner expand 1?></subform
><subform name="Row8" layout="row" locale="en_US"
><assist role="TR"
/><traversal
><traverse operation="first" ref="Fifteen[0]"
/></traversal
><border
><edge presence="hidden"
/></border
><draw name="Fifteen" locale="en_US" h="13.406mm" y="0mm"
><value
><text
>15. Grantor trust filing Form 1041 or under the Optional Filing Method 2, requiring Form 1099 (see Regulations section 1.671-4(b)(2)(i)(B))**</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="1pt" textIndent="-12pt" spaceAbove="0pt" spaceBelow="0pt" marginRight="4pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.265mm"
/><corner
/></border
><traversal
><traverse ref="Trust[0]"
/></traversal
><margin topInset="1.0583mm" bottomInset="1.0583mm"
/></draw
><draw name="Trust" h="13.406mm" locale="en_US" y="0mm"
><value
><text
>The trust</text
></value
><ui
><textEdit
/></ui
><para lineHeight="8pt" marginLeft="6pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" marginRight="0pt"
/><font size="7pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.2646mm"
/><edge
/><corner
/><corner thickness="0.265mm"
/></border
><margin topInset="1.0583mm" bottomInset="1.0583mm"
/><traversal
><traverse ref="One\.ListFirst[0]"
/></traversal
></draw
><?templateDesigner expand 1?></subform
><margin topInset="3.5278mm"
/><?templateDesigner expand 1?></subform
><draw name="One.ListFirst" w="3.6in" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-top:3pt;vertical-align:3pt;font-size:5pt;letter-spacing:0in"
>1<span style="vertical-align:baseline;font-size:8pt;xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="vertical-align:baseline;font-size:8pt"
>List first and circle the name of the person whose number you furnish.<span style="xfa-spacerun:yes"
> </span
></span
></p
><p style="margin-top:1pt;letter-spacing:0in"
>If only one person on a joint account has an SSN, that person’s number must be furnished.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para textIndent="0pt" spaceAbove="6pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt" lineHeight="9pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Two\.CircleMinors[0]"
/></traversal
></draw
><draw name="Two.CircleMinors" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="vertical-align:3pt;font-size:5pt;text-decoration:none;letter-spacing:0in"
>2<span style="vertical-align:baseline;font-size:8pt;xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="vertical-align:baseline;font-size:8pt"
>Circle the minor’s name and furnish the minor’s SSN.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><para spaceAbove="3pt" lineHeight="9pt"
/><traversal
><traverse ref="Three\.YouMust[0]"
/></traversal
></draw
><draw name="Three.YouMust" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-indent:0pt;vertical-align:3pt;font-size:5pt;text-decoration:none;letter-spacing:0in"
>3<span style="vertical-align:baseline;font-size:8pt;xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="vertical-align:baseline;font-size:8pt"
>You must show your individual name on line 1, and enter your business or DBA name, if any, on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para textIndent="-4pt" spaceAbove="3pt" lineHeight="9pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="Four\.ListFirst[0]"
/></traversal
></draw
><draw name="Four.ListFirst" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="margin-top:3pt;vertical-align:3pt;font-size:5pt;text-decoration:none;letter-spacing:0in"
>4<span style="vertical-align:baseline;font-size:8pt;xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="vertical-align:baseline;font-size:8pt"
>List first and circle the name of the trust, estate, or pension trust. (Do<span style="xfa-spacerun:yes"
> </span
></span
></p
><p style="margin-top:1pt;text-decoration:none;letter-spacing:0in"
>not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.)<span style="xfa-spacerun:yes"
> </span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para textIndent="0pt" spaceAbove="8pt" lineHeight="9pt" spaceBelow="0pt" marginLeft="0pt" marginRight="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" baselineShift="0pt"
/><traversal
><traverse ref="NoteGrantor[0]"
/></traversal
></draw
><draw name="NoteGrantor" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;text-decoration:none;letter-spacing:0in"
>*<span style="xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
><span style="font-weight:bold"
>Note:</span
> The grantor must also provide a Form W-9 to the trustee of the trust.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="ForMoreInformation[0]"
/></traversal
></draw
><draw name="ForMoreInformation" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="font-weight:normal;letter-spacing:0in"
>**<span style="xfa-font-horizontal-scale:50%"
><span style="xfa-spacerun:yes"
> </span
></span
>For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="NoteIfNo[0]"
/></traversal
></draw
><draw name="NoteIfNo" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Note:<span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>If no name is circled when more than one name is listed,</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>the number will be considered to be that of the first name listed.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="SecureYourTax[0]"
/></traversal
></draw
><draw name="SecureYourTax" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>Secure Your Tax Records From Identity Theft</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="6pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" fontHorizontalScale="98%" size="12pt"
/><assist role="H3"
/><traversal
><traverse ref="IdentityTheft[0]"
/></traversal
></draw
><draw name="IdentityTheft" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>Identity theft occurs when someone uses your personal information, such as your name, SSN, or other identifying information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="ToReduceYour[0]"
/></traversal
></draw
><draw name="ToReduceYour" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>To reduce your risk:</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="BulletedList[0]"
/></traversal
></draw
><subform w="91.44mm" layout="tb" name="BulletedList" locale="en_US"
><subform w="91.44mm" layout="tb" name="Bullet1" locale="en_US"
><draw name="ProtectYour" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>• Protect your SSN,</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet2[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="ProtectYour[0]"
/><traverse ref="Bullet2[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="4.233mm" w="91.44mm" layout="tb" name="Bullet2" locale="en_US"
><draw name="EnsureYourEmployer" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>• Ensure your employer is protecting your SSN, and</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Bullet3[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="EnsureYourEmployer[0]"
/><traverse ref="Bullet3[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><subform y="8.819mm" w="91.44mm" layout="tb" name="Bullet3" locale="en_US"
><draw name="BeCarefulWhen" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>• Be careful when choosing a tax return preparer.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYourTax[0]"
/></traversal
></draw
><assist role="LI"
/><traversal
><traverse operation="first" ref="BeCarefulWhen[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><assist role="UL"
/><traversal
><traverse operation="first" ref="Bullet1[0]"
/><traverse ref="IfYourTax[0]"
/></traversal
><keep intact="contentArea"
/><?templateDesigner expand 1?></subform
><draw name="IfYourTax" w="3.6in" minH="2.117mm" locale="en_US"
><value
><text
>If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYourTaxRecords[0]"
/></traversal
></draw
><draw name="IfYourTaxRecords" w="3.6in" minH="2.117mm" locale="en_US"
><value
><text
>If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Identity Theft Hotline at 800-908-4490 or submit Form 14039.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="ForMoreInformation[1]"
/></traversal
></draw
><draw name="ForMoreInformation" w="3.6in" minH="2.117mm" locale="en_US"
><value
><text
>For more information, see Pub. 5027, Identity Theft Information for Taxpayers.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/></draw
><?templateDesigner expand 1?></subform
><?templateDesigner expand 0?></subform
><subform w="215.891mm" h="791.968pt" name="Page6" locale="en_US"
><breakBefore targetType="pageArea" startNew="1"
/><subform w="190.5mm" h="4.233mm" name="Pg6Header" y="12.7mm" x="12.7mm" locale="en_US"
><draw name="FormNo" w="180.34mm" minH="4.233mm" locale="en_US"
><value
><text
>Form W-9 (Rev. 3-2024)</text
></value
><ui
><textEdit
/></ui
><para vAlign="middle"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Page[0]"
/></traversal
></draw
><draw name="Page" x="180.34mm" w="10.16mm" h="4.233mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Page<span style="xfa-spacerun:yes"
> </span
><span style="font-size:10pt;font-weight:bold"
>6<span style="xfa-spacerun:yes"
> </span
></span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para vAlign="middle" hAlign="right"
/><font size="7pt" typeface="HelveticaNeueLT Std"
/><border
><edge presence="hidden"
/><edge presence="hidden"
/><edge thickness="0.3528mm"
/><edge presence="hidden"
/><corner
/><corner
/><corner thickness="0.353mm"
/><corner
/></border
><traversal
><traverse ref="Col1[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="FormNo[0]"
/><traverse ref="Col1[0]"
/></traversal
><?templateDesigner expand 1?></subform
><subform x="12.7mm" y="16.933mm" w="91.44mm" name="Col1" locale="en_US" layout="tb"
><draw name="VictimsOfIdentity" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 877-777-4778 or TTY/TDD 800-829-4059.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="10pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="ProtectYourself[0]"
/></traversal
></draw
><draw name="ProtectYourself" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p
>Protect yourself from suspicious emails or phishing schemes.<span style="xfa-spacerun:yes"
>  </span
><span style="font-weight:normal"
>Phishing is the creation and use of email and</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>websites designed to mimic legitimate business emails and</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>websites. The most common act is sending an email to a user</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>falsely claiming to be an established legitimate enterprise in an</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>attempt to scam the user into surrendering private information</span
><span style="xfa-spacerun:yes"
> </span
><span style="font-weight:normal"
>that will be used for identity theft.</span
></p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font weight="bold" size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IRSDoesNotInitiate[0]"
/></traversal
></draw
><draw name="IRSDoesNotInitiate" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="IfYouReceive[0]"
/></traversal
></draw
><traversal
><traverse operation="first" ref="VictimsOfIdentity[0]"
/><traverse ref="Col2[0]"
/></traversal
><draw name="IfYouReceive" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="letter-spacing:0in"
>If you receive an unsolicited email claiming to be from the IRS, forward this message to<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>phishing@irs.gov</span
>. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 800-366-4484. You can forward suspicious emails to the Federal Trade Commission at<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>spam@uce.gov<span style="xfa-spacerun:yes"
> </span
></span
>or report them at<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>www.ftc.gov/complaint</span
>. You can contact the FTC at<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>www.ftc.gov/idtheft<span style="xfa-spacerun:yes"
> </span
></span
>or 877-IDTHEFT (877-438-4338).<span style="xfa-spacerun:yes"
>  </span
>If you have been the victim of identity theft, see<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>www.IdentityTheft.gov</span
> and Pub. 5027.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Visitwww\.irs[0]"
/></traversal
></draw
><draw name="Visitwww.irs" w="3.6in" locale="en_US" minH="2.117mm"
><value
><exData contentType="text/html"
><body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><p style="text-decoration:none;letter-spacing:0in"
>Go to<span style="xfa-spacerun:yes"
> </span
><span style="font-style:italic"
>www.irs.gov/IdentityTheft<span style="xfa-spacerun:yes"
> </span
></span
>to learn more about identity theft and how to reduce your risk.</p
></body
></exData
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt" textIndent="8pt" spaceBelow="0pt"
/><font size="8pt" typeface="HelveticaNeueLT Std"
/><traversal
><traverse ref="Col2[0]"
/></traversal
></draw
><?templateDesigner expand 1?></subform
><subform x="111.76mm" y="16.933mm" w="91.44mm" name="Col2" layout="tb" locale="en_US"
><keep intact="contentArea"
/><draw name="PrivacyActNotice" w="91.44mm" locale="en_US" minH="2.117mm"
><value
><text
>Privacy Act Notice</text
></value
><ui
><textEdit
/></ui
><para lineHeight="13pt" spaceAbove="10pt"
/><font weight="bold" typeface="HelveticaNeueLT Std" size="12pt"
/><border
><edge thickness="0.7056mm" presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><edge presence="hidden"
/><corner thickness="0.706mm" presence="hidden"
/><corner
/><corner
/><corner
/></border
><assist role="H3"
/><traversal
><traverse ref="Section6109[0]"
/></traversal
></draw
><draw name="Section6109" w="91.44mm" minH="2.117mm" locale="en_US"
><value
><text
>Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and territories for use in administering their laws. The information may also be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payors must generally withhold a percentage of taxable interest, dividends, and certain other payments to a payee who does not give a TIN to the payor. Certain penalties may also apply for providing false or fraudulent information.</text
></value
><ui
><textEdit
/></ui
><para lineHeight="9pt" spaceAbove="3pt"
/><font size="8pt" typeface="HelveticaNeueLT Std" fontHorizontalScale="99.25%"
/></draw
><traversal
><traverse operation="first" ref="PrivacyActNotice[0]"
/></traversal
><?templateDesigner expand 1?></subform
><traversal
><traverse operation="first" ref="Pg6Header[0]"
/></traversal
><?templateDesigner expand 0?><field name="HTTPSubmitButton1" y="136.59mm" x="43.18mm" w="28.575mm" h="6mm"
><?templateDesigner isHttpSubmitObject true?><ui
><button highlight="inverted"
/></ui
><font typeface="Myriad Pro"
/><caption
><value
><text
>Submit</text
></value
><para hAlign="center" vAlign="middle"
/></caption
><border hand="right"
><edge stroke="raised"
/><fill
><color value="212,208,200"
/></fill
></border
><bind match="none"
/><event name="event__click" activity="click"
><submit format="urlencoded" textEncoding="UTF-8"
/></event
><event activity="ready" ref="$form" name="event__form_ready"
><script contentType="application/x-javascript"
>

if(xfa.host.name == "Acrobat")
	{
		this.presence = "hidden"	
	}
</script
></event
></field
><field name="Button1" y="170.305mm" x="93.998mm" w="28.575mm" h="6mm"
><ui
><button
/></ui
><font typeface="Myriad Pro"
/><caption
><value
><text
>Button</text
></value
><para vAlign="middle" hAlign="center"
/></caption
><border hand="right"
><edge stroke="raised"
/><fill
><color value="212,208,200"
/></fill
></border
><bind match="none"
/><event activity="ready" ref="$form" name="event__form_ready"
><script contentType="application/x-javascript"
>

if(xfa.host.name != "Acrobat")
	{
		this.presence = "hidden"	
	}
</script
></event
><event activity="click" name="event__click"
><submit format="xml" textEncoding="UTF-8" target="http://localhost:4503/content/TriggerWorkflowOnMobileFormSubmission/HandlePDFSubmission/jcr:content.json"
/></event
></field
></subform
><proto
/><?templateDesigner Hyphenation excludeInitialCap:1, excludeAllCaps:1, wordCharCnt:7, remainCharCnt:3, pushCharCnt:3?><?templateDesigner expand 1?><?renderCache.subset "Adobe Pi Std" 0 0 UTF-16 2 4 004F?><?renderCache.subset "Myriad Pro" 0 0 ISO-8859-1 4 320 92 00010005000600080009000A000B000D000E000F0010001100120013001400150016001700180019001A001B001C001E00220023002400250026002700280029002A002B002C002D002E002F003000310033003400350036003700380039003A003B00420043004400450046004700480049004A004B004C004D004E004F0050005100520053005400550056005700580059005A005B0069006F007400770089 $%’()*,-./0123456789:;=ABCDEFGHIJKLMNOPRSTUVWXYZabcdefghijklmnopqrstuvwxyz“–•”—?><?renderCache.subset "Myriad Pro" 1 0 ISO-8859-1 4 260 69 000100080009000A000D000E000F001000120013001400150016001700180019001A001B002000220023002400250026002700280029002A002D002E002F0030003100330034003500360038003A00420043004400450046004700480049004A004B004C004D004E004F0050005100520053005400550056005700580059005A006F ’(),-./123456789:?ABCDEFGHILMNOPRSTUWYabcdefghijklmnopqrstuvwxy–?><?renderCache.subset "Myriad Pro" 0 1 ISO-8859-1 4 200 50 00010009000A000E000F001000140015001A00210022002300240026002700280029002A002F003000310033003400350036003800420043004400450046004700480049004A004C004D004E004F0050005100520053005400550056005700580059005A ()-./349@ABCEFGHINOPRSTUWabcdefghiklmnopqrstuvwxy?><?renderCache.subset "Myriad Pro" 1 1 ISO-8859-1 4 108 27 0001000F0010001A00260027002A0034003800420044004600470048004A004D004E004F005000510053005400550056005700580059 ./9EFISWacefgilmnoprstuvwx?></subform
><?originalXFAVersion http://www.xfa.org/schema/xfa-template/2.8/?><?templateDesigner Print-PrinterName Adobe PDF?><?templateDesigner Print-Copies 1?><?templateDesigner Print-Collate 1?><?templateDesigner Print-PageRange 1-4?><?templateDesigner Print-ProductionPrint 0?><?templateDesigner Print-DuplexingOption simplex?><?templateDesigner DefaultLanguage JavaScript?><?templateDesigner DefaultRunAt client?><?acrobat JavaScript strictScoping?><?PDFPrintOptions embedViewerPrefs 0?><?PDFPrintOptions embedPrintOnFormOpen 0?><?PDFPrintOptions scalingPrefs 0?><?PDFPrintOptions enforceScalingPrefs 0?><?PDFPrintOptions paperSource 0?><?PDFPrintOptions duplexMode 0?><?templateDesigner DefaultPreviewType interactive?><?templateDesigner DefaultPreviewPagination simplex?><?templateDesigner XDPPreviewFormat 19?><?templateDesigner DefaultCaptionFontSettings face:Myriad Pro;size:10;weight:normal;style:normal?><?templateDesigner DefaultValueFontSettings face:Myriad Pro;size:10;weight:normal;style:normal?><?templateDesigner Grid show:1, snap:1, units:19, color:ff8080, origin:(0,0), interval:(7200,12000), objsnap:0, guidesnap:0, pagecentersnap:-1718868023?><?templateDesigner FormTargetVersion 36?><?templateDesigner Rulers horizontal:1, vertical:1, guidelines:1, crosshairs:0?><?templateDesigner Guidelines v:36000;v:576000;h:756000;h:36000?><?templateDesigner SaveTaggedPDF 0?><?templateDesigner SavePDFWithEmbeddedFonts 0?><?templateDesigner SavePDFWithLog 0?><?templateDesigner Zoom 56?></template
><config xmlns="http://www.xfa.org/schema/xci/3.0/"
><agent name="designer"
><!--  [0..n]  --><destination
>pdf</destination
><pdf
><!--  [0..n]  --><fontInfo
/></pdf
></agent
><present
><!--  [0..n]  --><pdf
><!--  [0..n]  --><tagged
>0</tagged
><fontInfo
><embed
>0</embed
></fontInfo
><version
>1.7</version
><adobeExtensionLevel
>11</adobeExtensionLevel
></pdf
><cache
><macroCache
/></cache
><common
/><xdp
><packets
>*</packets
></xdp
></present
><psMap
><font typeface="HelveticaNeueLT Std" psName="HelveticaNeueLTStd-Roman" weight="normal" posture="normal"
/><font typeface="HelveticaNeueLT Std" psName="HelveticaNeueLTStd-Bd" weight="bold" posture="normal"
/><font typeface="HelveticaNeueLT Std Blk Cn" psName="HelveticaNeueLTStd-BlkCn" weight="normal" posture="normal"
/><font typeface="ITC Franklin Gothic Std Book" psName="ITCFranklinGothicStd-Demi" weight="bold" posture="normal"
/><font typeface="Helvetica LT Std" psName="HelveticaLTStd-Bold" weight="bold" posture="normal"
/><font typeface="Universal Std News w Comm Pi" psName="UniversalStd-NewswithCommPi" weight="normal" posture="normal"
/><font typeface="HelveticaNeueLT Std" psName="HelveticaNeueLTStd-It" weight="normal" posture="italic"
/><font typeface="HelveticaNeueLT Std" psName="HelveticaNeueLTStd-BdIt" weight="bold" posture="italic"
/><font typeface="Helvetica LT Std" psName="HelveticaLTStd-Roman" weight="normal" posture="normal"
/><font typeface="Noto Sans CJK TC Regular" psName="NotoSansCJKtc-Regular" weight="normal" posture="normal"
/><font typeface="Noto Sans CJK TC Bold" psName="NotoSansCJKtc-Bold" weight="normal" posture="normal"
/><font typeface="ITC Zapf Dingbats Std" psName="ZapfDingbatsStd" weight="normal" posture="normal"
/><font typeface="HelveticaNeueLT Std Blk" psName="HelveticaNeueLTStd-Blk" weight="normal" posture="normal"
/></psMap
></config
><xfa:datasets xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/"
><xfa:data xfa:dataNode="dataGroup"
/></xfa:datasets
><localeSet xmlns="http://www.xfa.org/schema/xfa-locale-set/2.7/"
><locale name="en_US" desc="English (United States)"
><calendarSymbols name="gregorian"
><monthNames
><month
>January</month
><month
>February</month
><month
>March</month
><month
>April</month
><month
>May</month
><month
>June</month
><month
>July</month
><month
>August</month
><month
>September</month
><month
>October</month
><month
>November</month
><month
>December</month
></monthNames
><monthNames abbr="1"
><month
>Jan</month
><month
>Feb</month
><month
>Mar</month
><month
>Apr</month
><month
>May</month
><month
>Jun</month
><month
>Jul</month
><month
>Aug</month
><month
>Sep</month
><month
>Oct</month
><month
>Nov</month
><month
>Dec</month
></monthNames
><dayNames
><day
>Sunday</day
><day
>Monday</day
><day
>Tuesday</day
><day
>Wednesday</day
><day
>Thursday</day
><day
>Friday</day
><day
>Saturday</day
></dayNames
><dayNames abbr="1"
><day
>Sun</day
><day
>Mon</day
><day
>Tue</day
><day
>Wed</day
><day
>Thu</day
><day
>Fri</day
><day
>Sat</day
></dayNames
><meridiemNames
><meridiem
>AM</meridiem
><meridiem
>PM</meridiem
></meridiemNames
><eraNames
><era
>BC</era
><era
>AD</era
></eraNames
></calendarSymbols
><datePatterns
><datePattern name="full"
>EEEE, MMMM D, YYYY</datePattern
><datePattern name="long"
>MMMM D, YYYY</datePattern
><datePattern name="med"
>MMM D, YYYY</datePattern
><datePattern name="short"
>M/D/YY</datePattern
></datePatterns
><timePatterns
><timePattern name="full"
>h:MM:SS A Z</timePattern
><timePattern name="long"
>h:MM:SS A Z</timePattern
><timePattern name="med"
>h:MM:SS A</timePattern
><timePattern name="short"
>h:MM A</timePattern
></timePatterns
><dateTimeSymbols
>GyMdkHmsSEDFwWahKzZ</dateTimeSymbols
><numberPatterns
><numberPattern name="numeric"
>z,zz9.zzz</numberPattern
><numberPattern name="currency"
>$z,zz9.99|($z,zz9.99)</numberPattern
><numberPattern name="percent"
>z,zz9%</numberPattern
></numberPatterns
><numberSymbols
><numberSymbol name="decimal"
>.</numberSymbol
><numberSymbol name="grouping"
>,</numberSymbol
><numberSymbol name="percent"
>%</numberSymbol
><numberSymbol name="minus"
>-</numberSymbol
><numberSymbol name="zero"
>0</numberSymbol
></numberSymbols
><currencySymbols
><currencySymbol name="symbol"
>$</currencySymbol
><currencySymbol name="isoname"
>USD</currencySymbol
><currencySymbol name="decimal"
>.</currencySymbol
></currencySymbols
><typefaces
><typeface name="Myriad Pro"
/><typeface name="Minion Pro"
/><typeface name="Courier Std"
/><typeface name="Adobe Pi Std"
/><typeface name="Adobe Hebrew"
/><typeface name="Adobe Arabic"
/><typeface name="Adobe Thai"
/><typeface name="Kozuka Gothic Pro-VI M"
/><typeface name="Kozuka Mincho Pro-VI R"
/><typeface name="Adobe Ming Std L"
/><typeface name="Adobe Song Std L"
/><typeface name="Adobe Myungjo Std M"
/></typefaces
></locale
></localeSet
><x:xmpmeta xmlns:x="adobe:ns:meta/" x:xmptk="Adobe XMP Core 5.6-c015 81.159809, 2016/09/10-01:42:48        "
><rdf:RDF xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#"
>
      <rdf:Description xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:pdf="http://ns.adobe.com/pdf/1.3/" xmlns:pdfuaid="http://www.aiim.org/pdfua/ns/id/" xmlns:pdfx="http://ns.adobe.com/pdfx/1.3/" xmlns:xmp="http://ns.adobe.com/xap/1.0/" xmlns:xmpMM="http://ns.adobe.com/xap/1.0/mm/" rdf:about="" dc:format="application/pdf" pdf:Keywords="Fillable" pdf:Producer="Designer 6.5" pdfuaid:part="1" pdfx:SPDF="1112" xmp:CreatorTool="Designer 6.5" xmp:MetadataDate="2024-08-28T18:06:41Z" xmpMM:DocumentID="uuid:73ed55de-66aa-41dd-b330-13665f615a06" xmpMM:InstanceID="uuid:f4043195-e2c2-4733-8d3c-2a2ec0aeb614"
>
         <dc:subject
>
            <rdf:Bag
>
               <rdf:li
>Fillable</rdf:li
>
            </rdf:Bag
>
         </dc:subject
>
         <dc:description
>
            <rdf:Alt
>
               <rdf:li
>Request for Taxpayer Identification Number and Certification</rdf:li
>
            </rdf:Alt
>
         </dc:description
>
         <dc:creator
>
            <rdf:Seq
>
               <rdf:li
>SE:W:CAR:MP</rdf:li
>
            </rdf:Seq
>
         </dc:creator
>
         <dc:title
>
            <rdf:Alt
>
               <rdf:li
>Form W-9 (Rev. March 2024)</rdf:li
>
            </rdf:Alt
>
         </dc:title
>
      </rdf:Description
>
   </rdf:RDF
></x:xmpmeta
><xfdf xmlns="http://ns.adobe.com/xfdf/" xml:space="preserve"
>
   <annots
/>
</xfdf
></xdp:xdp
>