Signature of Sample Clauses

Signature of. Tenderer……………………………………….. Date……………………………… STAMP

Signature of. Tenderer……………………………………….. STAMP

Signature of. General Instructions

Signature of. SIGNED by in the presence of: Signature of witness Name of witness (block letters) Address of witness Occupation of witness ) ) ) ) ) ) ) ) ) ) ) ) ) )

Signature of. Here . u.s. person ► Date ► Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as leg1slat1on enacted after we release 1t) ,s at xxx.xxx.xxx/xx0. An 1nd1v1dual or entity {Form W-9 requester) who Is required to file an information return with the IRS must obtain your correct taxpayer 1dent1ficat1on number (TIN) which may be your social secunty number {SSN), 1nd1v1dual taxpayer 1dent1f1callon number {ITIN), adoption taxpayer 1dent1f1cat1on number (ATIN), or employer 1dent1f1cat1on number (EIN), to report on an 1nformat,on return the amount paid to you, or other amount reportable on an 1nformat1on return. Examples of 1nformat1on returns include, but are not limited to, the following: • Form 1099-INT (interest earned or paid) • Form 1099-DIV (d1v1dends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, pnzes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S {proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transaci,ons) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tu1t1on) • Form 1099-C (canceled debt) • Form 1099-A (acqu1Sttion or abandonment of secured property) Use Form W-9 only 1f you are a U.S. person (1nclud1ng a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subJect to backup withholding. See What 1s backup withholding? on page 2. By signing the filled-out form, you:

Signature of. TENDERER

Signature of. Execution page

Signature of. Applicant (Full name)

Signature of. Print name .......................................................................

Signature of. U.S. person a Date a Section references are to the Internal Revenue Code unless otherwise noted. Future developments. The IRS has created a page on XXX.xxx for information about Form W-9, at xxx.xxx.xxx/x0. Information about any future developments affecting Form W-9 (such as legislation enacted after we release it) will be posted on that page. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), Certify that you are not subject to backup withholding, or Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners’ share of effectively connected income, and Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct.