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lang="en-US"><span><span role="group" lang="en-US"><span aria-owns="page890R_mcid58"></span></span></span></span><span role="listitem" lang="en-US"><span><span role="group" lang="en-US"><span aria-owns="page890R_mcid59"></span></span></span></span><span role="listitem" lang="en-US"><span><span role="group" lang="en-US"><span aria-owns="page890R_mcid60"></span></span></span></span><span role="listitem" lang="en-US"><span><span role="group" lang="en-US"><span aria-owns="page890R_mcid61"></span></span></span></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid62"></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid63"></span></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid64"></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid65"></span></span><span role="group" lang="en-US"><span role="group" lang="en-US"><span aria-owns="page890R_mcid18"></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid19"></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid20"></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid21"></span></span><span role="group" lang="en-US"><span aria-owns="page890R_mcid22"></span></span></span></span></span></span></span></canvas></div><div class="textLayer" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" data-main-rotation="0"><span class="markedContent" id="page890R_mcid0"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*48.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.926191);" role="presentation" dir="ltr">Form</span><span style="left: calc(var(--scale-factor)*52.34px); top: calc(var(--scale-factor)*48.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*60.12px); top: calc(var(--scale-factor)*35.74px); font-size: calc(var(--scale-factor)*24.00px); font-family: sans-serif; transform: scaleX(0.856372);" role="presentation" dir="ltr">W-9</span></span><span class="markedContent" id="page890R_mcid1"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*59.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.888607);" role="presentation" dir="ltr">(Rev. October 2018)</span></span><span class="markedContent" id="page890R_mcid2"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*67.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.813928);" role="presentation" dir="ltr">Department of the Treasury</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*74.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.813099);" role="presentation" dir="ltr">Internal Revenue Service</span></span><span class="markedContent" id="page890R_mcid3"><br role="presentation"><span style="left: calc(var(--scale-factor)*239.22px); top: calc(var(--scale-factor)*36.87px); font-size: calc(var(--scale-factor)*14.00px); font-family: sans-serif; transform: scaleX(0.901336);" role="presentation" dir="ltr">Request for Taxpayer</span><br role="presentation"><span style="left: calc(var(--scale-factor)*184.06px); top: calc(var(--scale-factor)*51.86px); font-size: calc(var(--scale-factor)*14.00px); font-family: sans-serif; transform: scaleX(0.893039);" role="presentation" dir="ltr">Identification Number and Certification</span></span><span class="markedContent" id="page890R_mcid4"><br role="presentation"><span style="left: calc(var(--scale-factor)*167.89px); top: calc(var(--scale-factor)*73.78px); font-size: calc(var(--scale-factor)*6.00px); font-family: monospace;" role="presentation" dir="ltr">▶</span><span style="left: calc(var(--scale-factor)*173.89px); top: calc(var(--scale-factor)*73.78px); font-size: calc(var(--scale-factor)*6.00px); font-family: monospace;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*176.12px); top: calc(var(--scale-factor)*73.74px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.964358);" role="presentation" dir="ltr">Go to</span><span style="left: calc(var(--scale-factor)*197.01px); top: calc(var(--scale-factor)*73.74px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*199.23px); top: calc(var(--scale-factor)*73.74px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.975244);" role="presentation" dir="ltr">www.irs.gov/FormW9</span><span style="left: calc(var(--scale-factor)*281.33px); top: calc(var(--scale-factor)*73.74px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*283.55px); top: calc(var(--scale-factor)*73.74px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.944915);" role="presentation" dir="ltr">for instructions and the latest information.</span></span><span class="markedContent" id="page890R_mcid5"><br role="presentation"><span style="left: calc(var(--scale-factor)*495.60px); top: calc(var(--scale-factor)*44.30px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.945949);" role="presentation" dir="ltr">Give Form to the</span><br role="presentation"><span style="left: calc(var(--scale-factor)*495.60px); top: calc(var(--scale-factor)*55.10px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.957068);" role="presentation" dir="ltr">requester. Do not</span><br role="presentation"><span style="left: calc(var(--scale-factor)*495.60px); top: calc(var(--scale-factor)*65.90px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.953497);" role="presentation" dir="ltr">send to the IRS.</span></span><span class="markedContent" id="page890R_mcid6"><br role="presentation"><span style="left: calc(var(--scale-factor)*37.58px); top: calc(var(--scale-factor)*222.59px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg) scaleX(0.944728);" role="presentation" dir="ltr">Print or type.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*47.18px); top: calc(var(--scale-factor)*265.32px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg) scaleX(0.923324);" dir="ltr" aria-owns="pdfjs_internal_id_952R">See</span><span style="left: calc(var(--scale-factor)*47.18px); top: calc(var(--scale-factor)*251.55px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg);" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*47.18px); top: calc(var(--scale-factor)*249.32px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg) scaleX(0.971167);" role="presentation" dir="ltr">Specific Instructions</span><span style="left: calc(var(--scale-factor)*47.18px); top: calc(var(--scale-factor)*170.98px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg);" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*47.18px); top: calc(var(--scale-factor)*168.75px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg) scaleX(0.893036);" role="presentation" dir="ltr">on page 3.</span></span><span class="markedContent" id="page890R_mcid7"><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*85.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">1</span><span style="left: calc(var(--scale-factor)*65.49px); top: calc(var(--scale-factor)*85.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*69.38px); top: calc(var(--scale-factor)*85.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.878997);" dir="ltr" aria-owns="pdfjs_internal_id_938R">Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.</span></span><span class="markedContent" id="page890R_mcid8"><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*109.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">2</span><span style="left: calc(var(--scale-factor)*65.49px); top: calc(var(--scale-factor)*109.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*69.38px); top: calc(var(--scale-factor)*109.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.883201);" dir="ltr" aria-owns="pdfjs_internal_id_939R">Business name/disregarded entity name, if different from above</span></span><span class="markedContent" id="page890R_mcid9"><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*135.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">3</span><span style="left: calc(var(--scale-factor)*65.49px); top: calc(var(--scale-factor)*135.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*69.38px); top: calc(var(--scale-factor)*135.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.889237);" role="presentation" dir="ltr">Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only</span><span style="left: calc(var(--scale-factor)*414.24px); top: calc(var(--scale-factor)*135.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*416.18px); top: calc(var(--scale-factor)*135.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.95518);" role="presentation" dir="ltr">one</span><span style="left: calc(var(--scale-factor)*428.62px); top: calc(var(--scale-factor)*135.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*430.57px); top: calc(var(--scale-factor)*135.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.873633);" role="presentation" dir="ltr">of the</span><br role="presentation"><span style="left: calc(var(--scale-factor)*69.60px); top: calc(var(--scale-factor)*143.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.897269);" role="presentation" dir="ltr">following seven boxes.</span></span><span class="markedContent" id="page890R_mcid10"><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*161.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.884968);" role="presentation" dir="ltr">Individual/sole proprietor or</span><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*169.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.910547);" role="presentation" dir="ltr">single-member LLC</span></span><span class="markedContent" id="page890R_mcid11"><br role="presentation"><span style="left: calc(var(--scale-factor)*193.29px); top: calc(var(--scale-factor)*160.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.91423);" role="presentation" dir="ltr">C Corporation</span></span><span class="markedContent" id="page890R_mcid12"><span style="left: calc(var(--scale-factor)*237.62px); top: calc(var(--scale-factor)*160.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_943R"> </span><span style="left: calc(var(--scale-factor)*264.00px); top: calc(var(--scale-factor)*160.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.911821);" role="presentation" dir="ltr">S Corporation</span></span><span class="markedContent" id="page890R_mcid13"><span style="left: calc(var(--scale-factor)*307.81px); top: calc(var(--scale-factor)*160.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*337.20px); top: calc(var(--scale-factor)*160.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.898874);" role="presentation" dir="ltr">Partnership</span></span><span class="markedContent" id="page890R_mcid14"><span style="left: calc(var(--scale-factor)*373.11px); top: calc(var(--scale-factor)*160.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*408.00px); top: calc(var(--scale-factor)*160.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.905146);" role="presentation" dir="ltr">Trust/estate</span></span><span class="markedContent" id="page890R_mcid15"><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*184.92px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.885566);" role="presentation" dir="ltr">Limited liability company. Enter the tax classification (C=C corporation, S=S corporation,</span><span style="left: calc(var(--scale-factor)*355.83px); top: calc(var(--scale-factor)*184.92px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*357.77px); top: calc(var(--scale-factor)*184.92px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.880406);" role="presentation" dir="ltr">P=Partnership)</span><span style="left: calc(var(--scale-factor)*404.23px); top: calc(var(--scale-factor)*184.92px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*406.18px); top: calc(var(--scale-factor)*184.95px); font-size: calc(var(--scale-factor)*5.00px); font-family: monospace;" role="presentation" dir="ltr">▶</span></span><span class="markedContent" id="page890R_mcid16"><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*195.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.944667);" role="presentation" dir="ltr">Note:</span><span style="left: calc(var(--scale-factor)*97.10px); top: calc(var(--scale-factor)*195.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*99.04px); top: calc(var(--scale-factor)*195.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.893294);" role="presentation" dir="ltr">Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check</span><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*203.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.899289);" role="presentation" dir="ltr">LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is</span><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*211.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.895601);" role="presentation" dir="ltr">another LLC that is</span><span style="left: calc(var(--scale-factor)*138.85px); top: calc(var(--scale-factor)*211.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*140.80px); top: calc(var(--scale-factor)*211.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.949608);" role="presentation" dir="ltr">not</span><span style="left: calc(var(--scale-factor)*151.69px); top: calc(var(--scale-factor)*211.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*153.63px); top: calc(var(--scale-factor)*211.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.891921);" role="presentation" dir="ltr">disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that</span><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*219.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.889591);" role="presentation" dir="ltr">is disregarded from the owner should check the appropriate box for the tax classification of its owner.</span></span><span class="markedContent" id="page890R_mcid17"><br role="presentation"><span style="left: calc(var(--scale-factor)*79.20px); top: calc(var(--scale-factor)*231.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.870473);" role="presentation" dir="ltr">Other (see instructions)</span><span style="left: calc(var(--scale-factor)*151.54px); top: calc(var(--scale-factor)*231.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*153.49px); top: calc(var(--scale-factor)*231.66px); font-size: calc(var(--scale-factor)*5.00px); font-family: monospace;" role="presentation" dir="ltr">▶</span></span><span class="markedContent" id="page890R_mcid18"><br role="presentation"><span style="left: calc(var(--scale-factor)*458.30px); top: calc(var(--scale-factor)*135.35px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">4</span><span style="left: calc(var(--scale-factor)*462.19px); top: calc(var(--scale-factor)*135.35px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*466.09px); top: calc(var(--scale-factor)*135.35px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.892652);" role="presentation" dir="ltr">Exemptions (codes apply only to</span><br role="presentation"><span style="left: calc(var(--scale-factor)*458.30px); top: calc(var(--scale-factor)*143.35px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.873034);" role="presentation" dir="ltr">certain entities, not individuals; see</span><br role="presentation"><span style="left: calc(var(--scale-factor)*458.30px); top: calc(var(--scale-factor)*151.35px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.879004);" role="presentation" dir="ltr">instructions on page 3):</span></span><span class="markedContent" id="page890R_mcid19"><br role="presentation"><span style="left: calc(var(--scale-factor)*457.89px); top: calc(var(--scale-factor)*171.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.850189);" role="presentation" dir="ltr">Exempt payee code (if any)</span></span><span class="markedContent" id="page890R_mcid20"><br role="presentation"><span style="left: calc(var(--scale-factor)*457.89px); top: calc(var(--scale-factor)*196.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.915039);" role="presentation" dir="ltr">Exemption from FATCA reporting</span></span><span class="markedContent" id="page890R_mcid21"><br role="presentation"><span style="left: calc(var(--scale-factor)*458.83px); top: calc(var(--scale-factor)*207.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.86127);" role="presentation" dir="ltr">code (if any)</span></span><span class="markedContent" id="page890R_mcid22"><br role="presentation"><span style="left: calc(var(--scale-factor)*457.89px); top: calc(var(--scale-factor)*231.28px); font-size: calc(var(--scale-factor)*5.00px); font-family: sans-serif; transform: scaleX(0.884879);" role="presentation" dir="ltr">(Applies to accounts maintained outside the U.S.)</span></span><span class="markedContent" id="page890R_mcid23"><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*241.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">5</span><span style="left: calc(var(--scale-factor)*65.49px); top: calc(var(--scale-factor)*241.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*69.38px); top: calc(var(--scale-factor)*241.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.88367);" role="presentation" dir="ltr">Address (number, street, and apt. or suite no.) See instructions.</span></span><span class="markedContent" id="page890R_mcid24"><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*265.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">6</span><span style="left: calc(var(--scale-factor)*65.49px); top: calc(var(--scale-factor)*265.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*69.38px); top: calc(var(--scale-factor)*265.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.901325);" dir="ltr" aria-owns="pdfjs_internal_id_953R">City, state, and ZIP code</span></span><span class="markedContent" id="page890R_mcid25"><br role="presentation"><span style="left: calc(var(--scale-factor)*392.80px); top: calc(var(--scale-factor)*241.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.886947);" role="presentation" dir="ltr">Requester’s name and address (optional)</span></span><span class="markedContent" id="page890R_mcid26"><br role="presentation"><span style="left: calc(var(--scale-factor)*60.60px); top: calc(var(--scale-factor)*289.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">7</span><span style="left: calc(var(--scale-factor)*64.49px); top: calc(var(--scale-factor)*289.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*68.38px); top: calc(var(--scale-factor)*289.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.871996);" role="presentation" dir="ltr">List account number(s) here (optional)</span></span><span class="markedContent" id="page890R_mcid27"><br role="presentation"><span style="left: calc(var(--scale-factor)*41.23px); top: calc(var(--scale-factor)*313.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.987631);" role="presentation" dir="ltr">Part I</span></span><span class="markedContent" id="page890R_mcid28"><span style="left: calc(var(--scale-factor)*66.78px); top: calc(var(--scale-factor)*313.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*91.00px); top: calc(var(--scale-factor)*313.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.947619);" role="presentation" dir="ltr">Taxpayer Identification Number (TIN)</span></span><span class="markedContent" id="page890R_mcid29"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*326.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.885611);" role="presentation" dir="ltr">Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*335.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.887027);" role="presentation" dir="ltr">backup withholding. For individuals, this is generally your social security number (SSN). However, for a</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*344.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883718);" role="presentation" dir="ltr">resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*353.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.875623);" role="presentation" dir="ltr">entities, it is your employer identification number (EIN). If you do not have a number, see</span><span style="left: calc(var(--scale-factor)*350.30px); top: calc(var(--scale-factor)*353.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*352.51px); top: calc(var(--scale-factor)*353.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.895443);" role="presentation" dir="ltr">How to get a</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*362.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.930457);" role="presentation" dir="ltr">TIN,</span><span style="left: calc(var(--scale-factor)*50.66px); top: calc(var(--scale-factor)*362.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*52.89px); top: calc(var(--scale-factor)*362.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.876961);" role="presentation" dir="ltr">later.</span></span><span class="markedContent" id="page890R_mcid30"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*374.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.945791);" role="presentation" dir="ltr">Note:</span><span style="left: calc(var(--scale-factor)*56.45px); top: calc(var(--scale-factor)*374.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*58.67px); top: calc(var(--scale-factor)*374.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883212);" role="presentation" dir="ltr">If the account is in more than one name, see the instructions for line 1. Also see</span><span style="left: calc(var(--scale-factor)*342.45px); top: calc(var(--scale-factor)*374.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*344.67px); top: calc(var(--scale-factor)*374.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.886006);" role="presentation" dir="ltr">What Name and</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*383.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.902561);" role="presentation" dir="ltr">Number To Give the Requester</span><span style="left: calc(var(--scale-factor)*146.67px); top: calc(var(--scale-factor)*383.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*148.90px); top: calc(var(--scale-factor)*383.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.887339);" dir="ltr" aria-owns="pdfjs_internal_id_959R">for guidelines on whose number to enter.</span></span><span class="markedContent" id="page890R_mcid31"><br role="presentation"><span style="left: calc(var(--scale-factor)*421.60px); top: calc(var(--scale-factor)*325.64px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.951006);" role="presentation" dir="ltr">Social security number</span></span><span class="markedContent" id="page890R_mcid32"><br role="presentation"><span style="left: calc(var(--scale-factor)*468.37px); top: calc(var(--scale-factor)*344.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr">–</span></span><span class="markedContent" id="page890R_mcid33"><span style="left: calc(var(--scale-factor)*472.37px); top: calc(var(--scale-factor)*344.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*511.57px); top: calc(var(--scale-factor)*344.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr">–</span></span><span class="markedContent" id="page890R_mcid34"><br role="presentation"><span style="left: calc(var(--scale-factor)*417.60px); top: calc(var(--scale-factor)*362.53px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.977199);" role="presentation" dir="ltr">or</span></span><span class="markedContent" id="page890R_mcid35"><br role="presentation"><span style="left: calc(var(--scale-factor)*421.60px); top: calc(var(--scale-factor)*373.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.943077);" role="presentation" dir="ltr">Employer identification number</span></span><span class="markedContent" id="page890R_mcid36"><br role="presentation"><span style="left: calc(var(--scale-factor)*453.97px); top: calc(var(--scale-factor)*392.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_960R">–</span></span><span class="markedContent" id="page890R_mcid37"><br role="presentation"><span style="left: calc(var(--scale-factor)*39.75px); top: calc(var(--scale-factor)*409.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.988897);" role="presentation" dir="ltr">Part II</span></span><span class="markedContent" id="page890R_mcid38"><span style="left: calc(var(--scale-factor)*68.25px); top: calc(var(--scale-factor)*409.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*91.00px); top: calc(var(--scale-factor)*409.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.961331);" role="presentation" dir="ltr">Certification</span></span><span class="markedContent" id="page890R_mcid39"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*422.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.873708);" role="presentation" dir="ltr">Under penalties of perjury, I certify that:</span></span><span class="markedContent" id="page890R_mcid40"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*434.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.880265);" role="presentation" dir="ltr">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</span></span><span class="markedContent" id="page890R_mcid41"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*444.33px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.882292);" role="presentation" dir="ltr">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</span><br role="presentation"><span style="left: calc(var(--scale-factor)*45.00px); top: calc(var(--scale-factor)*453.33px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.881036);" role="presentation" dir="ltr">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</span><br role="presentation"><span style="left: calc(var(--scale-factor)*45.00px); top: calc(var(--scale-factor)*462.33px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.892622);" role="presentation" dir="ltr">no longer subject to backup withholding; and</span></span><span class="markedContent" id="page890R_mcid42"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*475.21px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.889342);" role="presentation" dir="ltr">3. I am a U.S. citizen or other U.S. person (defined below); and</span></span><span class="markedContent" id="page890R_mcid43"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*487.22px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.895181);" role="presentation" dir="ltr">4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.</span></span><span class="markedContent" id="page890R_mcid44"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*499.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.910582);" role="presentation" dir="ltr">Certification instructions.</span><span style="left: calc(var(--scale-factor)*127.73px); top: calc(var(--scale-factor)*499.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*129.84px); top: calc(var(--scale-factor)*499.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.846143);" role="presentation" dir="ltr">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="left: calc(var(--scale-factor)*502.21px); top: calc(var(--scale-factor)*499.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*504.31px); top: calc(var(--scale-factor)*499.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.848605);" role="presentation" dir="ltr">withholding because</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*508.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.838092);" role="presentation" dir="ltr">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="left: calc(var(--scale-factor)*444.23px); top: calc(var(--scale-factor)*508.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*446.33px); top: calc(var(--scale-factor)*508.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.841674);" role="presentation" dir="ltr">For mortgage interest paid,</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*517.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.840016);" role="presentation" dir="ltr">acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement</span><span style="left: calc(var(--scale-factor)*410.03px); top: calc(var(--scale-factor)*517.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*412.14px); top: calc(var(--scale-factor)*517.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.829813);" role="presentation" dir="ltr">arrangement (IRA), and generally, payments</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*526.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.835231);" role="presentation" dir="ltr">other than interest and dividends, you are not required to sign the certification, but you must</span><span style="left: calc(var(--scale-factor)*348.95px); top: calc(var(--scale-factor)*526.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*351.06px); top: calc(var(--scale-factor)*526.46px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.847104);" role="presentation" dir="ltr">provide your correct TIN. See the instructions for Part II, later.</span></span><span class="markedContent" id="page890R_mcid45"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*541.48px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.967461);" role="presentation" dir="ltr">Sign</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*551.48px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.960776);" role="presentation" dir="ltr">Here</span></span><span class="markedContent" id="page890R_mcid46"><span style="left: calc(var(--scale-factor)*58.78px); top: calc(var(--scale-factor)*551.48px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*78.00px); top: calc(var(--scale-factor)*545.95px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.951274);" role="presentation" dir="ltr">Signature of</span><br role="presentation"><span style="left: calc(var(--scale-factor)*78.00px); top: calc(var(--scale-factor)*554.64px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.962587);" role="presentation" dir="ltr">U.S. person</span><span style="left: calc(var(--scale-factor)*116.77px); top: calc(var(--scale-factor)*554.64px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*118.72px); top: calc(var(--scale-factor)*554.67px); font-size: calc(var(--scale-factor)*5.00px); font-family: monospace;" role="presentation" dir="ltr">▶</span></span><span class="markedContent" id="page890R_mcid47"><span style="left: calc(var(--scale-factor)*123.72px); top: calc(var(--scale-factor)*554.67px); font-size: calc(var(--scale-factor)*5.00px); font-family: monospace;" dir="ltr" aria-owns="pdfjs_internal_id_1172R"> </span><span style="left: calc(var(--scale-factor)*387.60px); top: calc(var(--scale-factor)*554.64px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.937097);" role="presentation" dir="ltr">Date</span><span style="left: calc(var(--scale-factor)*403.29px); top: calc(var(--scale-factor)*554.64px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*405.23px); top: calc(var(--scale-factor)*554.67px); font-size: calc(var(--scale-factor)*5.00px); font-family: monospace;" dir="ltr" aria-owns="pdfjs_internal_id_1158R">▶</span></span><span class="markedContent" id="page890R_mcid48"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*571.26px); font-size: calc(var(--scale-factor)*14.00px); font-family: sans-serif; transform: scaleX(0.955941);" role="presentation" dir="ltr">General Instructions</span></span><span class="markedContent" id="page890R_mcid49"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*589.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.890191);" role="presentation" dir="ltr">Section references are to the Internal Revenue Code unless otherwise</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*598.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.890172);" role="presentation" dir="ltr">noted.</span></span><span class="markedContent" id="page890R_mcid50"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*610.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.9506);" role="presentation" dir="ltr">Future developments</span><span style="left: calc(var(--scale-factor)*116.74px); top: calc(var(--scale-factor)*610.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.882683);" role="presentation" dir="ltr">. For the latest information about developments</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*619.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.892397);" role="presentation" dir="ltr">related to Form W-9 and its instructions, such as legislation enacted</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*628.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.882604);" role="presentation" dir="ltr">after they were published, go to</span><span style="left: calc(var(--scale-factor)*149.34px); top: calc(var(--scale-factor)*628.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*151.57px); top: calc(var(--scale-factor)*628.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.915498);" role="presentation" dir="ltr">www.irs.gov/FormW9.</span></span><span class="markedContent" id="page890R_mcid51"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*643.37px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.981673);" role="presentation" dir="ltr">Purpose of Form</span></span><span class="markedContent" id="page890R_mcid52"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*659.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.8809);" role="presentation" dir="ltr">An individual or entity (Form W-9 requester) who is required to file an</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*668.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.880931);" role="presentation" dir="ltr">information return with the IRS must obtain your correct taxpayer</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*677.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.879512);" role="presentation" dir="ltr">identification number (TIN) which may be your social security number</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*686.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.877542);" role="presentation" dir="ltr">(SSN), individual taxpayer identification number (ITIN), adoption</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*695.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.87621);" role="presentation" dir="ltr">taxpayer identification number (ATIN), or employer identification number</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*704.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.876351);" role="presentation" dir="ltr">(EIN), to report on an information return the amount paid to you, or other</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*713.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.8799);" role="presentation" dir="ltr">amount reportable on an information return. Examples of information</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*722.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.877454);" role="presentation" dir="ltr">returns include, but are not limited to, the following.</span></span><span class="markedContent" id="page890R_mcid53"><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*734.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883737);" role="presentation" dir="ltr">• Form 1099-INT (interest earned or paid)</span></span><span class="markedContent" id="page890R_mcid54"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*571.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.890205);" role="presentation" dir="ltr">• Form 1099-DIV (dividends, including those from stocks or mutual</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*580.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.871694);" role="presentation" dir="ltr">funds)</span></span><span class="markedContent" id="page890R_mcid55"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*592.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.90126);" role="presentation" dir="ltr">• Form 1099-MISC (various types of income, prizes, awards, or gross</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*601.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.899572);" role="presentation" dir="ltr">proceeds)</span></span><span class="markedContent" id="page890R_mcid56"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*613.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.888606);" role="presentation" dir="ltr">• Form 1099-B (stock or mutual fund sales and certain other</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*622.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.887343);" role="presentation" dir="ltr">transactions by brokers)</span></span><span class="markedContent" id="page890R_mcid57"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*634.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.888685);" role="presentation" dir="ltr">• Form 1099-S (proceeds from real estate transactions)</span></span><span class="markedContent" id="page890R_mcid58"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*646.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.884575);" role="presentation" dir="ltr">• Form 1099-K (merchant card and third party network transactions)</span></span><span class="markedContent" id="page890R_mcid59"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*658.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.873299);" role="presentation" dir="ltr">• Form 1098 (home mortgage interest), 1098-E (student loan interest),</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*667.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.871189);" role="presentation" dir="ltr">1098-T (tuition)</span></span><span class="markedContent" id="page890R_mcid60"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*679.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.894735);" role="presentation" dir="ltr">• Form 1099-C (canceled debt)</span></span><span class="markedContent" id="page890R_mcid61"><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*691.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.871725);" role="presentation" dir="ltr">• Form 1099-A (acquisition or abandonment of secured property)</span></span><span class="markedContent" id="page890R_mcid62"><br role="presentation"><span style="left: calc(var(--scale-factor)*324.80px); top: calc(var(--scale-factor)*703.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.896212);" role="presentation" dir="ltr">Use Form W-9 only if you are a U.S. person (including a resident</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*712.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.884596);" role="presentation" dir="ltr">alien), to provide your correct TIN.</span></span><span class="markedContent" id="page890R_mcid63"><br role="presentation"><span style="left: calc(var(--scale-factor)*324.80px); top: calc(var(--scale-factor)*724.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.886142);" role="presentation" dir="ltr">If you do not return Form W-9 to the requester with a TIN, you might</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*733.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.894722);" role="presentation" dir="ltr">be subject to backup withholding. See</span><span style="left: calc(var(--scale-factor)*453.42px); top: calc(var(--scale-factor)*733.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*455.65px); top: calc(var(--scale-factor)*733.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.905147);" role="presentation" dir="ltr">What is backup</span><span style="left: calc(var(--scale-factor)*511.22px); top: calc(var(--scale-factor)*733.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*513.45px); top: calc(var(--scale-factor)*733.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883354);" role="presentation" dir="ltr">withholding,</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*742.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.869857);" role="presentation" dir="ltr">later.</span></span><span class="markedContent" id="page890R_mcid64"><br role="presentation"><span style="left: calc(var(--scale-factor)*233.40px); top: calc(var(--scale-factor)*760.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.89993);" role="presentation" dir="ltr">Cat. No. 10231X</span></span><span class="markedContent" id="page890R_mcid65"><span style="left: calc(var(--scale-factor)*285.01px); top: calc(var(--scale-factor)*760.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*491.06px); top: calc(var(--scale-factor)*759.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.926191);" role="presentation" dir="ltr">Form</span><span style="left: calc(var(--scale-factor)*507.40px); top: calc(var(--scale-factor)*759.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*509.34px); top: calc(var(--scale-factor)*757.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.979959);" role="presentation" dir="ltr">W-9</span><span style="left: calc(var(--scale-factor)*528.41px); top: calc(var(--scale-factor)*757.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*530.36px); top: calc(var(--scale-factor)*759.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.883433);" role="presentation" dir="ltr">(Rev. 10-2018)</span></span><div class="endOfContent"></div></div><div class="annotationLayer" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" data-main-rotation="0"><section data-annotation-id="938R" style="left: 9.73894%; top: 11.869%; width: 84.3824%; height: 1.76787%; z-index: 0;" class="textWidgetAnnotation"><input type="text" value="Medical Cost Containment Services, Inc." style="overflow-x: hidden; font-size: calc(8.9px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: left; background-color: transparent;" data-element-id="938R" disabled="" name="topmostSubform[0].Page1[0].f1_1[0]" tabindex="1000" aria-required="false" id="pdfjs_internal_id_938R"></section><section data-annotation-id="939R" style="left: 9.73894%; top: 14.8996%; width: 84.3824%; height: 1.76787%; z-index: 1;" class="textWidgetAnnotation"><input type="text" value="dba Medcom Benefit Solutions" style="overflow-x: hidden; font-size: calc(8.9px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: left; background-color: transparent;" data-element-id="939R" disabled="" name="topmostSubform[0].Page1[0].f1_2[0]" tabindex="1000" aria-required="false" id="pdfjs_internal_id_939R"></section><section data-annotation-id="943R" style="left: 41.1781%; top: 19.95%; width: 1.30724%; height: 1.01014%; z-index: 2;" class="buttonWidgetAnnotation checkBox"><input data-element-id="943R" disabled="" aria-required="false" type="checkbox" name="topmostSubform[0].Page1[0].FederalClassification[0].c1_1[2]" checked="true" exportvalue="3" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_943R"></section><section data-annotation-id="952R" style="left: 9.57554%; top: 31.5671%; width: 53.9564%; height: 1.76787%; z-index: 3;" class="textWidgetAnnotation"><input type="text" value="1061 Riverside Avenue" style="overflow-x: hidden; 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