| Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the W-9 Part I instructions on page 3 (link below). For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN in the W-9 Part I instructions on page 3 (link below). |
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Social security number * : |
| Note: If the account is in more than one name, see the chart on page 4 of the W-9 Part II instructions (link below) for guidelines on whose number to enter. |
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Employer identification number * :
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| Under penalties of perjury, I certify that: |
| 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 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 no longer subject to backup withholding, and |
| 3. I am a U.S. person (including a U.S. resident alien). |
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Check here if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.
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| ! If you check the above option, AVOP is required to withhold 28% of your earnings to be paid to the IRS. Learn More |