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    <title>Form W-9 (Rev. March 2024) - MedcomW9.pdf</title>

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          <div id="viewer" class="pdfViewer" style="--scale-factor: 1.6666666666666665;"><div class="page" data-page-number="1" role="region" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" aria-label="Page 1" data-loaded="true"><div class="canvasWrapper"><canvas role="presentation" style="width: 1020px; height: 1320px;" width="1020" height="1320"></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"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*47.77px); 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)*47.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*56.23px); top: calc(var(--scale-factor)*34.74px); font-size: calc(var(--scale-factor)*24.00px); font-family: sans-serif; transform: scaleX(0.856372);" role="presentation" dir="ltr">W-9</span><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*57.19px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.892226);" role="presentation" dir="ltr">(Rev. March 2024)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*239.22px); top: calc(var(--scale-factor)*37.87px); 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)*52.86px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*67.23px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.858163);" 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)*75.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.85729);" role="presentation" dir="ltr">Internal Revenue Service</span><span style="left: calc(var(--scale-factor)*111.32px); top: calc(var(--scale-factor)*75.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*172.01px); top: calc(var(--scale-factor)*71.71px); 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)*192.89px); top: calc(var(--scale-factor)*71.71px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*195.12px); top: calc(var(--scale-factor)*71.71px); 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)*277.21px); top: calc(var(--scale-factor)*71.71px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*279.44px); top: calc(var(--scale-factor)*71.71px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*496.60px); top: calc(var(--scale-factor)*45.30px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.935893);" role="presentation" dir="ltr">Give form to the</span><br role="presentation"><span style="left: calc(var(--scale-factor)*496.60px); top: calc(var(--scale-factor)*56.10px); 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)*496.60px); top: calc(var(--scale-factor)*66.90px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*86.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.947508);" role="presentation" dir="ltr">Before you begin.</span><span style="left: calc(var(--scale-factor)*103.11px); top: calc(var(--scale-factor)*86.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*105.34px); top: calc(var(--scale-factor)*86.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.90015);" role="presentation" dir="ltr">For guidance related to the purpose of Form W-9, see</span><span style="left: calc(var(--scale-factor)*297.97px); top: calc(var(--scale-factor)*86.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*300.19px); top: calc(var(--scale-factor)*86.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.920314);" role="presentation" dir="ltr">Purpose of Form</span><span style="left: calc(var(--scale-factor)*360.04px); top: calc(var(--scale-factor)*86.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.921546);" role="presentation" dir="ltr">, below.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.58px); top: calc(var(--scale-factor)*246.60px); 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)*46.18px); top: calc(var(--scale-factor)*289.34px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg) scaleX(0.923324);" role="presentation" dir="ltr">See</span><span style="left: calc(var(--scale-factor)*46.18px); top: calc(var(--scale-factor)*275.56px); 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)*46.18px); top: calc(var(--scale-factor)*273.34px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: rotate(-90deg) scaleX(0.971563);" dir="ltr" aria-owns="pdfjs_internal_id_178R">Specific Instructions</span><span style="left: calc(var(--scale-factor)*46.18px); top: calc(var(--scale-factor)*194.96px); 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)*46.18px); top: calc(var(--scale-factor)*192.74px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*98.63px); 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)*98.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*73.28px); top: calc(var(--scale-factor)*98.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.880554);" role="presentation" dir="ltr">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</span><br role="presentation"><span style="left: calc(var(--scale-factor)*73.60px); top: calc(var(--scale-factor)*107.03px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.863108);" dir="ltr" aria-owns="pdfjs_internal_id_171R">entity’s name on line 2.)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*158.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.904);" role="presentation" dir="ltr">3a</span><span style="left: calc(var(--scale-factor)*69.51px); top: calc(var(--scale-factor)*158.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*73.40px); top: calc(var(--scale-factor)*158.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.884715);" role="presentation" dir="ltr">Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check</span><br role="presentation"><span style="left: calc(var(--scale-factor)*73.60px); top: calc(var(--scale-factor)*167.03px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.875355);" role="presentation" dir="ltr">only</span><span style="left: calc(var(--scale-factor)*86.56px); top: calc(var(--scale-factor)*167.03px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*88.51px); top: calc(var(--scale-factor)*167.03px); 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)*100.95px); top: calc(var(--scale-factor)*167.03px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*102.90px); top: calc(var(--scale-factor)*167.03px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.891993);" role="presentation" dir="ltr">of the following seven boxes.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*86.60px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.885137);" role="presentation" dir="ltr">Individual/sole proprietor</span><span style="left: calc(var(--scale-factor)*164.38px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_174R"> </span><span style="left: calc(var(--scale-factor)*193.60px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.906976);" role="presentation" dir="ltr">C corporation</span><span style="left: calc(var(--scale-factor)*236.64px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_175R"> </span><span style="left: calc(var(--scale-factor)*265.60px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.904446);" role="presentation" dir="ltr">S corporation</span><span style="left: calc(var(--scale-factor)*308.12px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_176R"> </span><span style="left: calc(var(--scale-factor)*337.60px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.898874);" role="presentation" dir="ltr">Partnership</span><span style="left: calc(var(--scale-factor)*373.51px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_177R"> </span><span style="left: calc(var(--scale-factor)*402.40px); top: calc(var(--scale-factor)*181.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.905146);" role="presentation" dir="ltr">Trust/estate</span><br role="presentation"><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.888762);" role="presentation" dir="ltr">LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership)</span><span style="left: calc(var(--scale-factor)*358.54px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*372.00px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*373.95px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*384.00px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*385.94px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*396.00px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*397.94px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*407.99px); top: calc(var(--scale-factor)*195.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_180R">.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*205.01px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.935221);" role="presentation" dir="ltr">Note:</span><span style="left: calc(var(--scale-factor)*104.11px); top: calc(var(--scale-factor)*205.01px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*106.04px); top: calc(var(--scale-factor)*205.01px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.881009);" role="presentation" dir="ltr">Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax</span><br role="presentation"><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*212.76px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.881618);" role="presentation" dir="ltr">classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate</span><br role="presentation"><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*220.50px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.880882);" role="presentation" dir="ltr">box for the tax classification of its owner.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*231.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.870473);" dir="ltr" aria-owns="pdfjs_internal_id_182R">Other (see instructions)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*247.83px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.916835);" role="presentation" dir="ltr">3b</span><span style="left: calc(var(--scale-factor)*69.77px); top: calc(var(--scale-factor)*247.83px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*72.69px); top: calc(var(--scale-factor)*247.83px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.893325);" role="presentation" dir="ltr">If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification,</span><br role="presentation"><span style="left: calc(var(--scale-factor)*73.60px); top: calc(var(--scale-factor)*256.23px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.912967);" role="presentation" dir="ltr">and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check</span><br role="presentation"><span style="left: calc(var(--scale-factor)*73.63px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.883023);" role="presentation" dir="ltr">this box if you have any foreign partners, owners, or beneficiaries. See instructions</span><span style="left: calc(var(--scale-factor)*331.35px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*336.03px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*337.98px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*348.03px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*349.98px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*360.03px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*361.97px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*372.03px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*373.97px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*384.02px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*385.97px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*396.02px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*397.97px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*408.02px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*409.97px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*420.02px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><span style="left: calc(var(--scale-factor)*421.96px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*432.02px); top: calc(var(--scale-factor)*264.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_184R">.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*457.60px); top: calc(var(--scale-factor)*159.63px); 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)*461.49px); top: calc(var(--scale-factor)*159.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*465.38px); top: calc(var(--scale-factor)*159.63px); 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)*465.60px); top: calc(var(--scale-factor)*168.03px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.870286);" role="presentation" dir="ltr">certain entities, not individuals;</span><br role="presentation"><span style="left: calc(var(--scale-factor)*465.60px); top: calc(var(--scale-factor)*176.43px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.881233);" dir="ltr" aria-owns="pdfjs_internal_id_173R">see instructions on page 3):</span><br role="presentation"><span style="left: calc(var(--scale-factor)*457.60px); top: calc(var(--scale-factor)*194.13px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.850189);" dir="ltr" aria-owns="pdfjs_internal_id_181R">Exempt payee code (if any)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*457.60px); top: calc(var(--scale-factor)*212.23px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.909171);" role="presentation" dir="ltr">Exemption from Foreign Account Tax</span><br role="presentation"><span style="left: calc(var(--scale-factor)*457.60px); top: calc(var(--scale-factor)*220.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.913415);" dir="ltr" aria-owns="pdfjs_internal_id_179R">Compliance Act (FATCA) reporting</span><br role="presentation"><span style="left: calc(var(--scale-factor)*458.05px); top: calc(var(--scale-factor)*229.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.86127);" dir="ltr" aria-owns="pdfjs_internal_id_183R">code (if any)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*464.88px); top: calc(var(--scale-factor)*252.23px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.881676);" role="presentation" dir="ltr">(Applies to accounts maintained</span><br role="presentation"><span style="left: calc(var(--scale-factor)*473.44px); top: calc(var(--scale-factor)*260.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.878028);" role="presentation" dir="ltr">outside the United States.)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*392.80px); top: calc(var(--scale-factor)*278.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.886947);" dir="ltr" aria-owns="pdfjs_internal_id_185R">Requester’s name and address (optional)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*326.63px); 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)*65.49px); top: calc(var(--scale-factor)*326.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*73.28px); top: calc(var(--scale-factor)*326.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.871996);" dir="ltr" aria-owns="pdfjs_internal_id_188R">List account number(s) here (optional)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*41.23px); top: calc(var(--scale-factor)*349.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.987631);" role="presentation" dir="ltr">Part I</span><span style="left: calc(var(--scale-factor)*66.78px); top: calc(var(--scale-factor)*349.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*349.47px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*365.18px); 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)*374.78px); 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)*384.38px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883718);" dir="ltr" aria-owns="pdfjs_internal_id_232R pdfjs_internal_id_256R pdfjs_internal_id_257R">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)*393.98px); 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)*393.98px); 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)*393.98px); 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)*403.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.940999);" role="presentation" dir="ltr">TIN</span><span style="left: calc(var(--scale-factor)*48.44px); top: calc(var(--scale-factor)*403.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.876686);" role="presentation" dir="ltr">, later.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*419.84px); 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)*419.84px); 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)*419.84px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883199);" role="presentation" dir="ltr">If the account is in more than one name, see the instructions for line 1. See also</span><span style="left: calc(var(--scale-factor)*342.74px); top: calc(var(--scale-factor)*419.84px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*344.97px); top: calc(var(--scale-factor)*419.84px); 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)*429.44px); 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)*429.44px); 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)*429.44px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.887339);" dir="ltr" aria-owns="pdfjs_internal_id_970R pdfjs_internal_id_972R pdfjs_internal_id_973R pdfjs_internal_id_974R pdfjs_internal_id_975R pdfjs_internal_id_976R pdfjs_internal_id_977R pdfjs_internal_id_978R pdfjs_internal_id_979R pdfjs_internal_id_1301R">for guidelines on whose number to enter.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*421.60px); top: calc(var(--scale-factor)*361.63px); 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><br role="presentation"><span style="left: 83.21%; top: 48.05%; font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_260R pdfjs_internal_id_261R pdfjs_internal_id_262R pdfjs_internal_id_263R">–</span><span style="left: 76.15%; top: 48.05%; font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" dir="ltr" aria-owns="pdfjs_internal_id_258R pdfjs_internal_id_259R">–</span><span class="markedContent"><br role="presentation"><span style="left: calc(var(--scale-factor)*417.60px); top: calc(var(--scale-factor)*397.52px); font-size: calc(var(--scale-factor)*9.00px); font-family: sans-serif; transform: scaleX(0.977199);" role="presentation" dir="ltr">or</span><br role="presentation"><span style="left: calc(var(--scale-factor)*421.60px); top: calc(var(--scale-factor)*409.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.943077);" role="presentation" dir="ltr">Employer identification number</span><br role="presentation"><span style="left: calc(var(--scale-factor)*39.75px); top: calc(var(--scale-factor)*445.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.988897);" role="presentation" dir="ltr">Part II</span><span style="left: calc(var(--scale-factor)*68.25px); top: calc(var(--scale-factor)*445.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*86.40px); top: calc(var(--scale-factor)*445.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.961331);" role="presentation" dir="ltr">Certification</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*459.58px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*471.58px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*482.38px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.882544);" 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)*491.98px); 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)*501.58px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*513.58px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*525.58px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*538.28px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.920167);" role="presentation" dir="ltr">Certification instructions.</span><span style="left: calc(var(--scale-factor)*128.70px); top: calc(var(--scale-factor)*538.28px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*130.83px); top: calc(var(--scale-factor)*538.28px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.855049);" 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)*507.11px); top: calc(var(--scale-factor)*538.28px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*509.24px); top: calc(var(--scale-factor)*538.28px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.848426);" role="presentation" dir="ltr">withholding</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*547.88px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.848457);" role="presentation" dir="ltr">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="left: calc(var(--scale-factor)*479.82px); top: calc(var(--scale-factor)*547.88px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*481.95px); top: calc(var(--scale-factor)*547.88px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.850533);" 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)*557.48px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.848859);" 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)*413.97px); top: calc(var(--scale-factor)*557.48px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*416.10px); top: calc(var(--scale-factor)*557.48px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.838576);" 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)*567.08px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.844023);" 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)*352.25px); top: calc(var(--scale-factor)*567.08px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*354.37px); top: calc(var(--scale-factor)*567.08px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.856021);" role="presentation" dir="ltr">provide your correct TIN. See the instructions for Part II, later.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*578.72px); 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)*588.72px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.960776);" role="presentation" dir="ltr">Here</span><span style="left: calc(var(--scale-factor)*58.78px); top: calc(var(--scale-factor)*588.72px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*76.00px); top: calc(var(--scale-factor)*582.23px); 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)*76.00px); top: calc(var(--scale-factor)*590.63px); 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)*114.77px); top: calc(var(--scale-factor)*590.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*385.60px); top: calc(var(--scale-factor)*590.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.937097);" dir="ltr" aria-owns="pdfjs_internal_id_1339R">Date</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*609.26px); font-size: calc(var(--scale-factor)*14.00px); font-family: sans-serif; transform: scaleX(0.955941);" role="presentation" dir="ltr">General Instructions</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*627.58px); 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)*636.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.890172);" role="presentation" dir="ltr">noted.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*648.58px); 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)*648.58px); 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)*657.58px); 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)*666.58px); 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)*666.58px); 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)*666.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.916702);" role="presentation" dir="ltr">www.irs.gov/FormW9</span><span style="left: calc(var(--scale-factor)*228.74px); top: calc(var(--scale-factor)*666.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr">.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*681.37px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.95306);" role="presentation" dir="ltr">What’s New</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*697.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.886793);" role="presentation" dir="ltr">Line 3a has been modified to clarify how a disregarded entity completes</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*706.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.890088);" role="presentation" dir="ltr">this line. An LLC that is a disregarded entity should check the</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*715.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.887805);" role="presentation" dir="ltr">appropriate box for the tax classification of its owner. Otherwise, it</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*724.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.893162);" role="presentation" dir="ltr">should check the “LLC” box and enter its appropriate tax classification.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*324.80px); top: calc(var(--scale-factor)*609.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.888814);" role="presentation" dir="ltr">New line 3b has been added to this form. A flow-through entity is</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*618.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.878794);" role="presentation" dir="ltr">required to complete this line to indicate that it has direct or indirect</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*627.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.890005);" role="presentation" dir="ltr">foreign partners, owners, or beneficiaries when it provides the Form W-9</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*636.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.881961);" role="presentation" dir="ltr">to another flow-through entity in which it has an ownership interest. This</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*645.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.882132);" role="presentation" dir="ltr">change is intended to provide a flow-through entity with information</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*654.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.881723);" role="presentation" dir="ltr">regarding the status of its indirect foreign partners, owners, or</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*663.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.881862);" role="presentation" dir="ltr">beneficiaries, so that it can satisfy any applicable reporting</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*672.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.880605);" role="presentation" dir="ltr">requirements. For example, a partnership that has any indirect foreign</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*681.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.903117);" role="presentation" dir="ltr">partners may be required to complete Schedules K-2 and K-3. See the</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*690.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.905096);" role="presentation" dir="ltr">Partnership Instructions for Schedules K-2 and K-3 (Form 1065).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*705.37px); font-size: calc(var(--scale-factor)*12.00px); font-family: sans-serif; transform: scaleX(0.981673);" role="presentation" dir="ltr">Purpose of Form</span><br role="presentation"><span style="left: calc(var(--scale-factor)*316.80px); top: calc(var(--scale-factor)*721.58px); 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)*316.80px); top: calc(var(--scale-factor)*730.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.881263);" role="presentation" dir="ltr">information return with the IRS is giving you this form because they</span><br role="presentation"><span style="left: calc(var(--scale-factor)*237.00px); top: calc(var(--scale-factor)*748.63px); 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 style="left: calc(var(--scale-factor)*288.61px); top: calc(var(--scale-factor)*748.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*494.95px); top: calc(var(--scale-factor)*748.77px); 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)*511.28px); top: calc(var(--scale-factor)*748.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*513.23px); top: calc(var(--scale-factor)*746.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif; transform: scaleX(0.979856);" role="presentation" dir="ltr">W-9</span><span style="left: calc(var(--scale-factor)*532.30px); top: calc(var(--scale-factor)*746.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*534.25px); top: calc(var(--scale-factor)*748.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.884452);" role="presentation" dir="ltr">(Rev. 3-2024)</span><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*134.25px); 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)*134.25px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*73.28px); top: calc(var(--scale-factor)*134.25px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.883098);" dir="ltr" aria-owns="pdfjs_internal_id_172R">Business name/disregarded entity name, if different from above.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*61.60px); top: calc(var(--scale-factor)*278.25px); 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)*278.25px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*73.28px); top: calc(var(--scale-factor)*278.25px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.883561);" role="presentation" dir="ltr">Address (number, street, and apt. or suite no.). See instructions.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*62.26px); top: calc(var(--scale-factor)*302.63px); 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)*66.16px); top: calc(var(--scale-factor)*302.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*73.94px); top: calc(var(--scale-factor)*302.63px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.901325);" dir="ltr" aria-owns="pdfjs_internal_id_186R pdfjs_internal_id_187R">City, state, and ZIP code</span></span><br role="presentation"><span style="left: 21.04%; top: 73.29%; font-size: calc(var(--scale-factor)*20.00px); font-family: sans-serif; transform: scaleX(0.752387);" role="presentation" dir="ltr">Missy Brown</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="171R" style="left: 9.569%; top: 14.2087%; width: 84.5131%; height: 2.42434%; z-index: 0;" class="textWidgetAnnotation"><input type="text" value="Medcom Cost Containment Services, Inc." data-element-id="171R" disabled="" name="Name of entityindividual" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_171R"></section><section data-annotation-id="172R" style="left: 9.5494%; top: 17.6179%; width: 84.5523%; height: 2.04554%; z-index: 1;" class="textWidgetAnnotation"><input type="text" value="dba Medcom Benefit Solutions" data-element-id="172R" disabled="" name="Business name" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_172R"></section><section data-annotation-id="173R" style="left: 11.8828%; top: 22.7242%; width: 1.39221%; height: 1.0758%; z-index: 2;" class="buttonWidgetAnnotation checkBox"><input data-element-id="173R" aria-required="false" type="checkbox" name="Individualsole proprietor" exportvalue="On" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_173R"></section><section data-annotation-id="174R" style="left: 29.3737%; top: 22.7242%; width: 1.39221%; height: 1.0758%; z-index: 3;" class="buttonWidgetAnnotation checkBox"><input data-element-id="174R" aria-required="false" type="checkbox" name="C corporation" exportvalue="On" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_174R"></section><section data-annotation-id="175R" style="left: 41.1389%; top: 22.7242%; width: 1.39221%; height: 1.0758%; z-index: 4;" class="buttonWidgetAnnotation checkBox"><input data-element-id="175R" aria-required="false" type="checkbox" name="S corporation" exportvalue="On" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_175R"></section><section data-annotation-id="176R" style="left: 52.904%; top: 22.7242%; width: 1.39221%; height: 1.0758%; z-index: 5;" class="buttonWidgetAnnotation checkBox"><input data-element-id="176R" aria-required="false" type="checkbox" name="Partnership" exportvalue="On" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_176R"></section><section data-annotation-id="177R" style="left: 63.4927%; top: 22.7242%; width: 1.39221%; height: 1.0758%; z-index: 6;" class="buttonWidgetAnnotation checkBox"><input data-element-id="177R" aria-required="false" type="checkbox" name="Trustestate" exportvalue="On" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_177R"></section><section data-annotation-id="178R" style="left: 11.8828%; top: 24.3909%; width: 1.41182%; height: 1.09095%; z-index: 7;" class="buttonWidgetAnnotation checkBox"><input data-element-id="178R" aria-required="false" type="checkbox" name="LLC Enter the tax classification C  C corporation S  S corporation P  Partnership" exportvalue="On" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_178R"></section><section data-annotation-id="180R" style="left: 68.1988%; top: 24.0272%; width: 4.80411%; height: 1.57582%; z-index: 9;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="180R" name="undefined" tabindex="1000" aria-required="false" style="font-size: calc(7.8px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_180R"></section><section data-annotation-id="181R" style="left: 88.7878%; top: 24.1485%; width: 5.39237%; height: 1.57582%; z-index: 10;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="181R" name="Exempt payee code if any" tabindex="1000" aria-required="false" style="font-size: calc(7.8px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_181R"></section><section data-annotation-id="179R" style="left: 11.8828%; top: 29.0123%; width: 1.41182%; height: 1.0758%; z-index: 8;" class="buttonWidgetAnnotation checkBox"><input data-element-id="179R" aria-required="false" type="checkbox" name="Other see instructions" exportvalue="On" tabindex="1000" style="background-color: transparent;" id="pdfjs_internal_id_179R"></section><section data-annotation-id="182R" style="left: 26.4912%; top: 28.6941%; width: 46.5116%; height: 1.57582%; z-index: 11;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="182R" name="Other tax classification" tabindex="1000" aria-required="false" style="font-size: calc(7.8px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_182R"></section><section data-annotation-id="183R" style="left: 81.7679%; top: 28.6941%; width: 12.4123%; height: 1.57582%; z-index: 12;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="183R" name="Compliance Act FATCA reporting" tabindex="1000" aria-required="false" style="font-size: calc(7.8px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_183R"></section><section data-annotation-id="184R" style="left: 72.0617%; top: 33.2549%; width: 1.19613%; height: 0.939432%; z-index: 13;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="184R" name="undefined_2" tabindex="1000" aria-required="false" style="font-size: calc(4px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_184R"></section><section data-annotation-id="185R" style="left: 9.5494%; top: 35.8004%; width: 53.8649%; height: 2.04554%; z-index: 14;" class="textWidgetAnnotation"><input type="text" value="1061 Riverside Avenue" data-element-id="185R" disabled="" name="Address" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_185R"></section><section data-annotation-id="186R" style="left: 9.5494%; top: 38.8915%; width: 53.8649%; height: 1.98493%; z-index: 15;" class="textWidgetAnnotation"><input type="text" value="Jacksonville, FL 32204" data-element-id="186R" disabled="" name="City state and ZIP code" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_186R"></section><section data-annotation-id="187R" style="left: 63.7672%; top: 35.9368%; width: 30.2365%; height: 4.93959%; z-index: 16;" class="textWidgetAnnotation"><textarea data-element-id="187R" name="Requesters name and address" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_187R"></textarea></section><section data-annotation-id="188R" style="left: 9.5494%; top: 41.9219%; width: 84.5523%; height: 1.96978%; z-index: 17;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="188R" name="Account numbers" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_188R"></section><section data-annotation-id="232R" style="left: 68.2435%; top: 46.9826%; width: 2.46186%; height: 3.09672%; z-index: 18;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="232R" name="SSN" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_232R"></section><section data-annotation-id="256R" style="left: 70.524%; top: 46.9826%; width: 2.46186%; height: 3.09672%; z-index: 19;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="256R" name="SSN2" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_256R"></section><section data-annotation-id="257R" style="left: 72.8047%; top: 46.9826%; width: 2.4617%; height: 3.09672%; z-index: 20;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="257R" name="SSN3" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_257R"></section><section data-annotation-id="258R" style="left: 77.6996%; top: 46.9826%; width: 2.4617%; height: 3.09672%; z-index: 21;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="258R" name="SSN4" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_258R"></section><section data-annotation-id="259R" style="left: 79.9801%; top: 46.9826%; width: 2.46186%; height: 3.09672%; z-index: 22;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="259R" name="SSN 5" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_259R"></section><section data-annotation-id="260R" style="left: 84.7117%; top: 46.9826%; width: 2.46186%; height: 3.09672%; z-index: 23;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="260R" name="SSN 6" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_260R"></section><section data-annotation-id="261R" style="left: 87.0467%; top: 46.9826%; width: 2.4617%; height: 3.09672%; z-index: 24;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="261R" name="SSN 7" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_261R"></section><section data-annotation-id="262R" style="left: 89.3816%; top: 46.9826%; width: 2.46186%; height: 3.09672%; z-index: 25;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="262R" name="SSN 8" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_262R"></section><section data-annotation-id="263R" style="left: 91.7167%; top: 46.9826%; width: 2.4617%; height: 3.09672%; z-index: 26;" class="textWidgetAnnotation"><input type="text" value="" data-element-id="263R" name="SSN9" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_263R"></section><section data-annotation-id="970R" style="left: 68.1863%; top: 52.9991%; width: 2.46186%; height: 3.09684%; z-index: 27;" class="textWidgetAnnotation"><input type="text" value="5" data-element-id="970R" disabled="" name="EIN.0" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_970R"></section><section data-annotation-id="972R" style="left: 70.5992%; top: 52.9991%; width: 2.46186%; height: 3.09684%; z-index: 28;" class="textWidgetAnnotation"><input type="text" value="9" data-element-id="972R" disabled="" name="EIN.1" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_972R"></section><section data-annotation-id="1301R" style="border-width: 0px; border-style: solid; left: 73.0671%; top: 53.0481%; width: 2.1241%; height: 3.02032%; z-index: 36;" class="textWidgetAnnotation"><input type="text" value="-" data-element-id="1301R" disabled="" name="Date Field0" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_1301R"></section><section data-annotation-id="973R" style="left: 75.2999%; top: 52.9991%; width: 2.4617%; height: 3.09684%; z-index: 29;" class="textWidgetAnnotation"><input type="text" value="2" data-element-id="973R" disabled="" name="EIN.2" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_973R"></section><section data-annotation-id="974R" style="left: 77.631%; top: 52.9991%; width: 2.46186%; height: 3.09684%; z-index: 30;" class="textWidgetAnnotation"><input type="text" value="3" data-element-id="974R" disabled="" name="EIN.3" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_974R"></section><section data-annotation-id="975R" style="left: 79.9621%; top: 52.9991%; width: 2.46186%; height: 3.09684%; z-index: 31;" class="textWidgetAnnotation"><input type="text" value="1" data-element-id="975R" disabled="" name="EIN.4" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_975R"></section><section data-annotation-id="976R" style="left: 82.3279%; top: 52.9218%; width: 2.46399%; height: 3.08598%; z-index: 32;" class="textWidgetAnnotation"><input type="text" value="6" data-element-id="976R" disabled="" name="EIN.5" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_976R"></section><section data-annotation-id="977R" style="left: 84.6246%; top: 52.9991%; width: 2.46186%; height: 3.09684%; z-index: 33;" class="textWidgetAnnotation"><input type="text" value="8" data-element-id="977R" disabled="" name="EIN.6" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_977R"></section><section data-annotation-id="978R" style="left: 86.9559%; top: 52.9991%; width: 2.4617%; height: 3.09684%; z-index: 34;" class="textWidgetAnnotation"><input type="text" value="6" data-element-id="978R" disabled="" name="EIN.7" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_978R"></section><section data-annotation-id="979R" style="left: 89.287%; top: 52.9991%; width: 2.46186%; height: 3.09684%; z-index: 35;" class="textWidgetAnnotation"><input type="text" value="6" data-element-id="979R" disabled="" name="EIN.8" tabindex="1000" aria-required="false" maxlength="1" style="font-size: calc(12px * var(--scale-factor)); color: rgb(0, 0, 0); text-align: center; background-color: transparent;" id="pdfjs_internal_id_979R"></section><section data-annotation-id="1339R" style="border-width: 0px; border-style: solid; left: 66.2057%; top: 73.6098%; width: 17.2428%; height: 2.07357%; z-index: 37;" class="textWidgetAnnotation"><input type="text" value="04/15/2024" data-element-id="1339R" disabled="" name="Today" tabindex="1000" aria-required="false" style="font-size: calc(9px * var(--scale-factor)); color: rgb(0, 0, 0); background-color: transparent;" id="pdfjs_internal_id_1339R"></section></div><div class="annotationEditorLayer" tabindex="0" style="pointer-events: none; width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" data-main-rotation="0" hidden=""></div></div><div class="page" data-page-number="2" role="region" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" aria-label="Page 2" data-loaded="true"><div class="canvasWrapper"><canvas role="presentation" style="width: 1020px; height: 1320px;" width="1020" height="1320"></canvas></div><div class="textLayer" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" data-main-rotation="0" hidden=""><span class="markedContent"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*38.19px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.905257);" role="presentation" dir="ltr">Form W-9 (Rev. 3-2024)</span><span style="left: calc(var(--scale-factor)*111.08px); top: calc(var(--scale-factor)*38.19px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*552.42px); top: calc(var(--scale-factor)*38.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif; transform: scaleX(0.947642);" role="presentation" dir="ltr">Page</span><span style="left: calc(var(--scale-factor)*568.49px); top: calc(var(--scale-factor)*38.77px); font-size: calc(var(--scale-factor)*7.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*570.44px); top: calc(var(--scale-factor)*36.47px); font-size: calc(var(--scale-factor)*10.00px); font-family: sans-serif;" role="presentation" dir="ltr">2</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*57.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.878929);" role="presentation" dir="ltr">must obtain your correct taxpayer identification number (TIN), which</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*66.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.880414);" role="presentation" dir="ltr">may be your social security number (SSN), individual taxpayer</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*75.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.875326);" role="presentation" dir="ltr">identification number (ITIN), adoption taxpayer identification number</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*84.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.878544);" role="presentation" dir="ltr">(ATIN), or employer identification number (EIN), to report on an</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*93.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.876808);" role="presentation" dir="ltr">information return the amount paid to you, or other amount reportable</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*102.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.880335);" role="presentation" dir="ltr">on an information return. Examples of information returns include, but</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*111.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.875076);" role="presentation" dir="ltr">are not limited to, the following.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*123.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883614);" role="presentation" dir="ltr">• Form 1099-INT (interest earned or paid).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*135.58px); 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)*36.00px); top: calc(var(--scale-factor)*144.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.872049);" role="presentation" dir="ltr">funds).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*156.58px); 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)*36.00px); top: calc(var(--scale-factor)*165.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.898129);" role="presentation" dir="ltr">proceeds).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*177.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.89586);" role="presentation" dir="ltr">• Form 1099-NEC (nonemployee compensation).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*189.58px); 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)*36.00px); top: calc(var(--scale-factor)*198.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.887044);" role="presentation" dir="ltr">transactions by brokers).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*210.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.888537);" role="presentation" dir="ltr">• Form 1099-S (proceeds from real estate transactions).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*222.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.886574);" role="presentation" dir="ltr">• Form 1099-K (merchant card and third-party network transactions).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*234.58px); 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)*36.00px); top: calc(var(--scale-factor)*243.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.876051);" role="presentation" dir="ltr">and 1098-T (tuition).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*255.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.894352);" role="presentation" dir="ltr">• Form 1099-C (canceled debt).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*267.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.889381);" role="presentation" dir="ltr">• Form 1099-A (acquisition or abandonment of secured property).</span><br role="presentation"><span style="left: calc(var(--scale-factor)*44.00px); top: calc(var(--scale-factor)*279.58px); 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)*36.00px); top: calc(var(--scale-factor)*288.58px); 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><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*300.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.953516);" role="presentation" dir="ltr">Caution:</span><span style="left: calc(var(--scale-factor)*68.00px); top: calc(var(--scale-factor)*300.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*70.22px); top: calc(var(--scale-factor)*300.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.889689);" role="presentation" dir="ltr">If you don’t return Form W-9 to the requester with a TIN, you</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*309.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.893917);" role="presentation" dir="ltr">might be subject to backup withholding. See</span><span style="left: calc(var(--scale-factor)*195.60px); top: calc(var(--scale-factor)*309.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif;" role="presentation" dir="ltr"> </span><span style="left: calc(var(--scale-factor)*197.82px); top: calc(var(--scale-factor)*309.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.893029);" role="presentation" dir="ltr">What is backup</span><br role="presentation"><span style="left: calc(var(--scale-factor)*36.00px); top: calc(var(--scale-factor)*318.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.883949);" role="presentation" dir="ltr">withholding</span><span style="left: calc(var(--scale-factor)*77.19px); top: calc(var(--scale-factor)*318.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.876686);" role="presentation" dir="ltr">, later.</span><br role="presentation"><span style="left: calc(var(--scale-factor)*43.00px); top: calc(var(--scale-factor)*330.58px); font-size: calc(var(--scale-factor)*8.00px); font-family: sans-serif; transform: scaleX(0.946795);" role="presentation" dir="ltr">By signing the filled-out form</span></span></div></div><div class="page" data-page-number="3" role="region" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" aria-label="Page 3"></div><div class="page" data-page-number="4" role="region" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" aria-label="Page 4"></div><div class="page" data-page-number="5" role="region" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" aria-label="Page 5"></div><div class="page" data-page-number="6" role="region" style="width: calc(var(--scale-factor) * 611.976px); height: calc(var(--scale-factor) * 791.968px);" aria-label="Page 6"></div></div>
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          <div class="row">
            <span id="keywordsLabel" data-l10n-id="document_properties_keywords">Keywords:</span>
            <p id="keywordsField" aria-labelledby="keywordsLabel">-</p>
          </div>
          <div class="row">
            <span id="creationDateLabel" data-l10n-id="document_properties_creation_date">Creation Date:</span>
            <p id="creationDateField" aria-labelledby="creationDateLabel">-</p>
          </div>
          <div class="row">
            <span id="modificationDateLabel" data-l10n-id="document_properties_modification_date">Modification Date:</span>
            <p id="modificationDateField" aria-labelledby="modificationDateLabel">-</p>
          </div>
          <div class="row">
            <span id="creatorLabel" data-l10n-id="document_properties_creator">Creator:</span>
            <p id="creatorField" aria-labelledby="creatorLabel">-</p>
          </div>
          <div class="separator"></div>
          <div class="row">
            <span id="producerLabel" data-l10n-id="document_properties_producer">PDF Producer:</span>
            <p id="producerField" aria-labelledby="producerLabel">-</p>
          </div>
          <div class="row">
            <span id="versionLabel" data-l10n-id="document_properties_version">PDF Version:</span>
            <p id="versionField" aria-labelledby="versionLabel">-</p>
          </div>
          <div class="row">
            <span id="pageCountLabel" data-l10n-id="document_properties_page_count">Page Count:</span>
            <p id="pageCountField" aria-labelledby="pageCountLabel">-</p>
          </div>
          <div class="row">
            <span id="pageSizeLabel" data-l10n-id="document_properties_page_size">Page Size:</span>
            <p id="pageSizeField" aria-labelledby="pageSizeLabel">-</p>
          </div>
          <div class="separator"></div>
          <div class="row">
            <span id="linearizedLabel" data-l10n-id="document_properties_linearized">Fast Web View:</span>
            <p id="linearizedField" aria-labelledby="linearizedLabel">-</p>
          </div>
          <div class="buttonRow">
            <button id="documentPropertiesClose" class="dialogButton"><span data-l10n-id="document_properties_close">Close</span></button>
          </div>
        </dialog>
      </div>  <!-- dialogContainer -->

    </div> <!-- outerContainer -->
    <div id="printContainer"></div>

  

</body></html>

                             

Screenshot: