|
Form
<br />(Rev, October 2018)
<br />Deortrnent of the Treasury
<br />Internal Revenue Service
<br />Request for Taxpayer
<br />identification Number and Certification
<br />b. Go to www.irs.gov/FormW9 for instructions and the latest information.
<br />Name (as shown on your income fax return) Name is required on ells tno. do not leave this Iine blank
<br />Starfire 5oorts
<br />2 Business name/disregarded entity name, if different from above
<br />a) 3 Check appropriate box for federal fax classification of the person whose name is entered on line 1. Check only one of the
<br />following seven boxes.
<br />re
<br />o.
<br />0
<br />0.
<br />4.15
<br />L. z
<br />12
<br />c 2
<br />u
<br />g D Other (see Instructions)
<br />u, 5 Address (number, street, and apt. or suite no.) See instauctrons,
<br />_
<br />14800 Starfire Way
<br />6City, state, and ZIP code
<br />Tukwila, WA 98108
<br />7 Lis t account number(s) hero (optional)
<br />C Corporation Lil S Corporation E Partnership El Trust/estate
<br />Taxpayer Identification Number (TIN
<br />Enter your TIN In the appropriate box, [he TIN provided must match the name given on line 1 to avoid
<br />backup withholding. For individuals, this Is generally your social security number (SSN). However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the instructions tor Part V, later, For other
<br />entities, It is your employer identification number (EIN). If you do not have a number, see How to get a
<br />TIN, later,
<br />Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and
<br />Number To Give the Requester for guidelines on whose number to enter.
<br />LJ Individual/sole proprietor or
<br />single -member LLC
<br />El Limited liability company. Enter the tax classification )CC corporation, S=S corporation, P=Partnership)
<br />Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check
<br />LLC if the LLC is classified as a single -member LLC that ts disregarded from the owner unless the owner of the LLC
<br />another LLC that is not disregarded from the owner for U.S„ federal tax purposes Otherwise, a single -member LLC that
<br />is disregarded from the owner should check the appropriate box for the fax classification of its owner
<br />Give Form to the
<br />requester. Do not
<br />send to the IRS.
<br />4 Exemptions (codes apply only to
<br />certain entities, not individuals; see
<br />instructions on page 3):
<br />Exempt payee code (if any)
<br />Exemption from FATCA reporting
<br />code (if any)
<br />(ApplMs lo'acCaltinh's mairialre.1 ourside Ow )
<br />Requesters name and address (optional)
<br />Part II
<br />Certification
<br />Social security number
<br />- -
<br />or
<br />player Identification number
<br />47 01 8 8 7 8 1
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form is my correct taxpayer identification number (or I am wailing for a number to be issued to rne); and
<br />2. 1 arn not subject to backup withholding because: (a) I arn exempt from backup withholding., or (b) I have not been notified by the Internal Revenue
<br />Service (IRS) that lam subject to backup withlioldtng as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am
<br />no longer subject to backup withhotding; and
<br />3. I am a U.S. citizen or other U.S. person (defined below); and
<br />,I. The FATCA code(s) entered on this form (If any) indicating that I am exempt from FATCA reporting is correct,
<br />Certification instructions, You rnust cross out item 2 above if you nave been notified by the IRS that you are currently subject ro backup withholding because
<br />you have tailed to report all interest and dividends on your fax return. For real estate transactiors, itern 2 does not apply. For mortgage interest paid,
<br />acquisition or abandonment of secured properly, cancellation of debt, contributions to an individual retirement arrangement (HA), and generally, payments
<br />other than interest and dividends„ you are not required to sign the certification, but you must provide your correct TIN. See the YnsCruclrons for Part It, later.
<br />•
<br />Sign
<br />Here
<br />Signature of
<br />U.S. person
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted,
<br />Future developments. For the latest information about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go to www.hrsgov/FormW9,
<br />Purpose of Form
<br />An indtvidual or entity ((lorin W-9 requester) who, is required to lita.art
<br />information return with the IRS must Obtain your correct taxpayer
<br />identification number (TIN) which may be your social security number
<br />(SSN), Individual taxpayer identification number (ITIN), adoption
<br />taxpayer identification number (ATIN), or employer identification number
<br />(EIN), to report on an information return the amount paid to you, or other
<br />amount reportable on an information return, Examples of Information
<br />returns include, but are not limited io, the following.
<br />• Form 1099-INT (interest earned or paid)
<br />()a Lte
<br />• Form 1099-DIV (dividends, including those from stocks or mutual
<br />funds)
<br />• Form 1099-MISC (various types of income, prizes, awards, or gross
<br />proceeds)
<br />• Form 1099-8 (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />• Form 1099-S (proceeds from real estate transactions)
<br />• Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage interest), 1098-€ tstudent loan interest),
<br />1098-T (tuition)
<br />• Form 1099-C (canceled debt)
<br />• Form 1099-A (acquisition or abandonment of secured property)
<br />Use Form W-9 only if you are a U.S. person (including a resident
<br />alien), to provide your correct TIN.
<br />you do not natum Form W-9 to the requester with a TIN, you might
<br />be subject to backup withholding, See What is backup withholding,
<br />later
<br />Cat, No, 10231X
<br />Forrn W-9 (Rev. 10-2018)
<br />6
<br />
|