EX-99.(A)(1)(G) 9 f97601orexv99wxayx1yxgy.htm EXHIBIT (A)(1)(G) exv99wxayx1yxgy
 

Exhibit (a)(1)(G)

GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION

NUMBER ON SUBSTITUTE IRS FORM W-9

      Guidelines for Determining the Proper Identification Number to Give the Payer. Social security numbers (SSNs) have nine digits separated by two hyphens: i.e. 000-00-0000. Employer identification numbers (EINs) 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 name and SSN of:

1.
  Individual   The individual
2.
  Two or more individuals (joint account)   The actual owner of the account or, if combined funds, the first individual on the account(1)
3.
  Custodian account of a minor (Uniform Gift to Minors Act)   The minor(2)
4.
  a. The usual revocable savings trust (grantor is also trustee)   The grantor-trustee(1)
    b. So-called trust account that is not a legal or valid trust under state law   The actual owner(1)
5.
  Sole proprietorship or single-owner LLC   The owner(3)
 

         

For this type of account: Give name and EIN of:

6.
  Sole proprietorship or single-owner LLC   The owner(3)
7.
  A valid trust, estate, or pension trust   Legal entity(4)
8.
  Corporate or LLC electing corporate status on Form 8832   The corporation
9.
  Association, club, religious, charitable, educational, or other tax-exempt organization   The organization
10.
  Partnership or multi-member LLC   The partnership
11.
  A broker or registered nominee   The broker or nominee
12.
  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

(1)  List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.
(2)  Circle the minor’s name and furnish the minor’s SSN.
(3)  You must show your individual name, but you may also enter your business or “DBA” name. You may use either your SSN or EIN (if you have one).
(4)  List first and circle the name of the legal trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title).

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


 

GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION

NUMBER ON SUBSTITUTE IRS FORM W-9
Page 2

Obtaining a Number

If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local Social Security Administration Office. Get Form W-7, Application for IRS Taxpayer Identification Number, to apply for an individual taxpayer identification number or Form SS-4, Application for Employer Identification Number to apply for an EIN. You can get Forms W-7 and SS-4 from the IRS by calling 1-800-TAX-FORM (1-800-829-3676) or from the IRS Web Site at www.irs.gov.

Payees Exempt From Backup Withholding

Payees specifically exempted from backup withholding on payments of interest and dividends and on broker transactions include the following:

  •  A corporation.
 
  •  An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2).
 
  •  The United States or any of its agencies or instrumentalities.
 
  •  A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities.
 
  •  A foreign government, or any of its political subdivisions, agencies or instrumentalities.
 
  •  An international organization or any of its agencies or instrumentalities.
 
  •  A foreign central bank of issue.
 
  •  A dealer in securities or commodities required to register in the United States, the District of Columbia, or a possession of the Unites States.
 
  •  A real estate investment trust.
 
  •  An entity registered at all times during the tax year under the Investment Company Act of 1940.
 
  •  A common trust fund operated by a bank under section 584(a).
 
  •  A financial institution.

Further the following is similarly exempted from backup withholding on broker transactions.

  •  A futures commission merchant registered with the Commodity Futures Trading Commission.

Further the following are similarly exempted from backup withholding on interest and dividend payments.

  •  A middleman known in the investment community as a nominee or custodian.
 
  •  A trust exempt from tax under section 664 or described in section 4947.

Payments of dividends and patronage dividends not generally subject to backup withholding include the following:

  •  Payments to nonresident aliens subject to withholding under section 1441.
 
  •  Payments to partnerships not engaged in a trade or business in the U.S. that have at least one nonresident alien partner.
 
  •  Payments of patronage dividends not paid in money.
 
  •  Payments made by certain foreign organizations.
 
  •  Section 401(k) distributions made by an ESOP.

Payments of interest not generally subject to backup withholding include the following:

  •  Payments of interest on obligations issued by individuals. Note: You may be subject to backup withholding if this interest is $600 or more and is paid in the course of the payer’s trade or business and you have not provided your correct taxpayer identification number to the payer.
 
  •  Payments of tax-exempt interest (including exempt-interest dividends under section 852).
 
  •  Payments described in section 6049(b)(5) to nonresident aliens.
 
  •  Payments on tax-free covenant bonds under section 1451.
 
  •  Payments made by certain foreign organizations.
 
  •  Mortgage or student loan interest paid to you.

EXEMPT PAYEES DESCRIBED ABOVE SHOULD FILE FORM W–9 TO AVOID POSSIBLE ERRONEOUS BACKUP WITHHOLDING. FILE THIS FORM WITH THE PAYER, FURNISH YOUR TAXPAYER IDENTIFICATION NUMBER, WRITE “EXEMPT” ON THE FACE OF THE FORM, AND RETURN IT TO THE PAYER. IF THE PAYMENTS ARE INTEREST, DIVIDENDS, OR PATRONAGE DIVIDENDS, ALSO SIGN AND DATE THE FORM.

Certain payments other than interest, dividends, and patronage dividends that are not subject to information reporting are also not subject to backup withholding. For details, see the regulations under sections 6041, 6041A, 6042, 6045, 6049, 6050A, and 6050N.

Privacy Act Notice — Section 6109 requires most recipients of dividend, interest, or other payments to give taxpayer identification numbers to payers who must report the payments to IRS. The IRS uses the numbers for identification purposes. Payers must be given the numbers whether or not recipients are required to file tax returns. Payers must generally withhold 28% of taxable interest, dividend, and certain other payments to a payee who does not furnish a taxpayer identification number to a payer. Certain penalties may also apply.

Penalties

(1) Penalties for Failure to Furnish Taxpayer Identification Number. — If you fail to furnish your taxpayer identification number to a payer, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

(2) Civil Penalty for False Information With Respect to Withholding. — If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500.

(3) Criminal Penalty for False Information. — Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

FOR ADDITIONAL INFORMATION CONTACT YOUR TAX ADVISOR OR THE INTERNAL REVENUE SERVICE.