EX-99.6 13 dex996.htm FORM W-9 Form W-9

 

EXHIBIT 99.6

 

GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION

NUMBER ON SUBSTITUTE FORM W-9

 

Guidelines for Determining the Proper Identification Number to Give the Payer.—Social Security numbers have nine digits separated by two hyphens: i.e. 000-00-0000. Employer identification numbers have nine digits separated by only one hyphen: i.e.

00-0000000. The table below will help determine the number to give the payer.

 

For this type of account:


  

Give the

SOCIAL

SECURITY

number of —


  

For this type of account:


  

Give the

EMPLOYER

IDENTIFICATION

number of —


1.

  

An individual’s account

  

The individual

  

9.

  

A valid trust, estate or pension trust

  

The legal entity

(Do not furnish the identifying number of the personal representative or trustee unless the legal
entity itself is not

designated in the account title.) (5)

2.

  

Two or more individuals (joint account)

  

The actual owner of the account or, if combined funds, any one of the individuals (1)

            

3.

  

Husband and wife (joint account)

  

The actual owner of the account or, if joint funds, either person (1)

  

10.

  

  Corporate account

  

The corporation

4.

  

Custodian account of a minor (Uniform Gift to Minors Act)

  

The minor (2)

  

11.

  

Religious, charitable, or educational organization account

  

The organization

5.

  

Adult and minor (joint account)

  

The adult or, if the minor is the only contributor, the minor (1)

  

12.

  

Partnership account held in the name of the business

  

The partnership

6.

  

Account in the name of guardian or committee for a designated ward, minor or incompetent person

  

The ward, minor or incompetent person (3)

  

13.

  

Association, club or other tax-exempt organization

  

The organization

7.

   a.      The usual revocable
         savings trust account
         (grantor is also trustee)
  

The grantor-trustee (1)

  

14.

  

A broker or registered nominee

  

The broker or nominee

    

b.      So-called trust account

         that is not a legal or

         valid trust under state

         law

  

The actual owner (1)

  

15.

  

Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments

  

The public entity

8.          Sole proprietorship account   

The Owner (4)

          

 

(1)   List first and circle the name of the person whose number you furnish.
(2)   Circle the minor’s name and furnish the minor’s social security number.
(3)   Circle the ward’s, minor’s or incompetent person’s name and furnish such person’s social security number.
(4)   Show the name of the owner.
(5)   List first and circle the name of the legal trust, estate or pension trust.

 

Note: If no name is circled when there is more than one name, the number will be considered to be that of the first name listed.