EX-99.6 12 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
EMPLOYER number
of—		         For this type of account:    Give the EMPLOYER
IDENTIFICATION
number of—

1.

 

    An individual’s
account		   

The individual

 

The actual owner of the account or, if combined funds, the first individual on the account (1)

 

       7.    A valid trust, estate or pension trust   

The legal entity (Do not furnish the identifying number of the person representative or trustee unless the legal entity itself is not designated in the account title.) (5)

The corporation

2.

 

    Two or more individuals (joint account)               
3.    Custodian account of a minor (Uniform Gift to Minors Act)    The minor (2)            
4.    Account in the name of guardian or committee for a designated ward, minor or incompetent person    The ward, minor or incompetent person (3)       8.    Corporate account or LLC electing corporate status    The corporation

5.

   

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

    The grantor-trustee (1)       9.    Religious, charitable, or educational organization account    The organization
            10.    Partnership or multi-member LLC    The partnership
  

b.     So-called trust account that is not a legal or valid trust under state law

    The actual owner (1)       11.    Association, club or other tax-exempt organization    The organization
            12.    A broker or registered nominee    The broker or nominee
6.    Sole proprietorship or single-owner LLC account    The owner (4)       13.    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.
(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. You may use either your social security number or employer identification number (if you have one).
(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.