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Oct.11. 2010 7:50AM
<br />ROGER LANGELIERS CONSTRUCTION
<br />Fanr - 9
<br />Request for Taxpayer
<br />Give form to the
<br />In".odoba2007)
<br />Identification Number and Certification
<br />requester, Do not
<br />„t �rr� w:
<br />Bond to the IRS.
<br />Name (ea shown an your Ircoot W relwra
<br />a
<br />ROGER LANGELIERS CONSTRUCTION CO.
<br />VW1 name, d dalerml. tram ebm
<br />op.
<br />swoprtnto boa: 0 IndrMd drede prapiatar 0 Cwparaeon 0 Padm ohlp
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<br />r ChWA
<br />U wmted reorty canyram/. Enter the tae dessr000n to.aioree+raed witty, c-oomorabm P. pxtnaroh0l ►
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<br />Adams (lumopr, streo6 hid not. or sale no.)
<br />floquaelar'e nano arlid eddrs+s (aptlaml)
<br />7145 NW PROGNESS CT
<br />Oily, slate, and 21P 000e
<br />HILLSOORO OR 97124
<br />List xwYM nw hoe loptbnee
<br />12MM Talcpayer Identification Number (TIN)
<br />Entarydur TN v11ho approprlalo boa. The TIN provided must match the mama glean on Line 1 to avoid SxIN ssaalry number 1
<br />backup withholding. For Individuals, this In your social cdr:udty ntvaboe ISSN). HowewN, for a mefdent i
<br />allan, sole proprietor, or dfereoerded entity, see the Pan I InalrWIom on page 3. For other entlaes, 11 Is
<br />Your ompayer WaniificaWn number (ITN). If you do not haVO a number, see Now to gat a 71N on page 3. or
<br />Nola, If the aecaunl Is In more ItW one name, ate the than on pace 4 for guidelines on whose sinpleyer Idmanoatan number
<br />number to enter. 93 i 1177454
<br />No. 06:9 P. F
<br />Under penaltiaa of perluy, I wrUry that.
<br />1. The number shown on Uds form IS my correct Lwpayar klanllacaeah nymher (or I em Waning for a number to be Issued to me), and
<br />2. 1 am not sWptot to bactnup withholding because: (a) I am umpt if= backup withholding, or (b) 1 have not loan tlothlad by the Inlamwl
<br />Revenue Service 6R51 Irian I am subject to backup wllhWaIng as a Mai-it of a failure to report all Intoreal or divldends, or (o) file IRS has
<br />notified me that f am no longer subject to backup wilhholrstg, and
<br />S. I am a U.S. chizen or other U.S. person (defined below).
<br />Ceri lcallon lnalruclione. YOU must moss out Item 2 above If you have been nolMed by the IRS that you am currently subject to backup
<br />with bacauea you have failed to report all Interest and drManda on your tax return. For real estate transactions, hem 2 does not apply.
<br />For moripege Interesl paid, acquisition or abandonment of 6eoured property, cancellation of debt, contiltwllons to an Individual rotkamanl
<br />arrangement (IRA), and generally, pay"tas other then klloresl and dividends, you are half required to sign the CatWiic tun, but you must
<br />provide your correct TIN. Sae the inp(ruotjoW on rune d.
<br />SIHn i ang-Wro of
<br />General Instructions
<br />Section references am to the Internal Revenue Code Untess
<br />olbwWlae noted.
<br />Purpose of Form
<br />A person Who is required to fife an Information return wflh the
<br />IRS must obletn your ouraot taxpayer IdonWlmilon number (TIN
<br />to report, for example, Inoorne Palo to you, real estate
<br />transactions, mortgage Interest you pakf, acqulsttlon m
<br />abandonmenl of secured property, cancellalich of deb], or
<br />contribullone you made to an IRA.
<br />Use Form W9 only If you are l U.S, periron Qncluding e
<br />resident alien), to provide your can, of YIN to the person
<br />requesting It (the requester) and, when applloable, to:
<br />1. Cadpy That the TIN you are QIving le correct (m you non
<br />waiting for a number to be, Iateu 1
<br />2. Certify that YOU are Oct sUbiOCt 10 backup wfthhoidtng, or
<br />3. Claim exemption from backup withholding if you are a U.S.
<br />mempl payee. if applicable . y ou are 0160 CONHyinpG that as a
<br />U.S person, your tdl000bto share of any pannorshlp income from
<br />o U.S. trade or business Is not subject to the withholding hex on
<br />foreign partners' share of effectively connected Income.
<br />Note. If a requester gIvea you a form other than Form W-�B to
<br />request your TIN, you must use the rsqueeler'e form If It Is
<br />substanllall/ stroller to ill For m W -g.
<br />Dalai. U 2Z
<br />oetlnldon of a U.S, person. For federal lax purposes, you are
<br />oonsidered a U.S. person If you are.
<br />An bndMdual who is a U.S. citizen or U.S. resident alien,
<br />e A partnership, corporation, company, or association created or
<br />organized In the Unified Slates or Under the laws or the Untied
<br />Stales,
<br />a An estate (other than a foreign estate), or
<br />a A domesllo trust (as defined In Regulations section
<br />901.7701 -7).
<br />Special rules for ppartnerships. Partnerships that conduct a
<br />trade or business In the United States ens generally requlmd to
<br />Pay a withholding tax on any foreign partners' share of Income
<br />from such business. Further, In Certain cases where a Form W-9
<br />has not been necelved, a patlnemhip Is required to presume that
<br />ter la a foreign person, and pay the wl1111401ding tax.
<br />Ire. If you am a U,S, person that Is a Partner In a
<br />'ahlp Conducllrq a trade or business In the United Slates,
<br />s Form W -9 to the porinerahip 10 estebileh your U.S.
<br />and avoid withholding on your share of partnership
<br />The parson who gives F-onn W -9 to the parnership for
<br />put calls oses of eaiabltstdl�y Ila U.S, status and eVdding withholding
<br />on Ito s sham o! not Income from the artnarahip
<br />conducting a trade or business In the United Estee Is In the
<br />following Cases:
<br />e The U.S, owner of a disregarded enllty and not the entity,
<br />4N) No. ta23tx Form
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