|
Jun 18 2008 3:40PM GP Data, LLC (51S 683-6324 P.1
<br />Form ° Request for Taxpayer Give form to the
<br />(Rev. Odober
<br />ra"of" 2007 identification Number and Certiflcation
<br />OMM01 nem Revenue service rimer. °o"
<br />Tresarry send to the IRS.
<br />rtomal
<br />N
<br />C~
<br />O
<br />o~
<br />r1i
<br />Name (as shown on your
<br />GPRDATA ILC
<br />o.rnlcaa I,C IM, 11 RrRerem VOM aOM
<br />Check appropriate box: ❑ Indlviduamole proprietor ❑ Corporation ❑ Partnership
<br />® Umtted labiBty company. Etter the tax clessClcailon (D--clfsregatded entity, C=eorpwmtien, P=partnership) ► ❑ Exempt
<br />Payee
<br />F1 Other tries inatmationsl 0-
<br />Address (number, street, and apt. or suite no.)
<br />2560 EDGEWATER DRIVE
<br />Ctly, state, and ZIP code
<br />EUGENE, OR 97401
<br />Usl account number(s) here (optional)
<br />tax rerurrq
<br />Requester's name and address (opilonal)
<br />Enter your TIN In the appropriate box. The TIN provided must match the name given on Line 1 to avoids saeumtr number
<br />backup withholding, For individuals, this Is your social security number (SSN). However, for a resident
<br />alien. sole proprietor, or disnaganded entity, see the Part I instructions on page 3. For other entitles, it Is
<br />your employer Identification number (EIN). If you do not have a number, see How to grit a 771Y on page 3. or
<br />Note,. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer klerrtreosauon number
<br />number to enter. 513 0531@06
<br />Under penalties of perjury, 1 certify that:
<br />1. T1na number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be issued to me), and
<br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup wtthheiding, or (b) I have not been notified by the Internal
<br />Revenue Service QRS) that I am subject to backup withholding as a result of a failure t
<br />t
<br />ll
<br />notified me that 1 am no longer subject to backup withholding, and
<br />o repor
<br />a
<br />interest or dividends, or (c) the IRS has
<br />3. [am a U.S. citizen or other U.S. person (defined below).
<br />Certification Instructions. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup
<br />withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions
<br />[ten 2 d
<br />t
<br />,
<br />oes no
<br />apply.
<br />For mortgage Interest pad, acquisition or abandonment of secured property, cancellation of debt, contributions to an individtual retirement
<br />arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Carttficatlon
<br />but
<br />t
<br />provide your correct 11N. 8"a insti tic" a o e 4.
<br />,
<br />you mus
<br />Sign suture or
<br />Here tl.s.
<br />We ► / Q
<br />General Instructions
<br />Detifnition of a U.S. person, For federal tax purposes, you are
<br />Section references are to the Internal Revenue Code unless
<br />considered a U. S. person If you are:
<br />otherwise noted.
<br />• An Individual who is a U.S. citizen or U.S. resident alien,
<br />Purpose of Form
<br />* A partnership, corporation, company, or association created or
<br />organized In the United Stales or under the laws;of the United
<br />A person who is required to file an Information return with the
<br />States,
<br />IRS must obtain your correct taxpayer Identification number MN)
<br />to report, for example, Income paid to you
<br />real estate
<br />a An estate (other then a foreign estate), or
<br />,
<br />transactions, mortgage Interest you pad, acquisition or
<br />0 A domestic trust (as defined In Regulations section
<br />501.7701-7)
<br />abandonment of secured property, cancellation of debt, or
<br />.
<br />contribuflons you made to an IRA
<br />.
<br />Special rules for partnerships. Partnerships that conduct a
<br />Use Form W-9 only if you we a U.S. person (including a
<br />trade or business In the United States are generally required to
<br />resident alien), to provide your correct TIN to the person
<br />requesting It (the requester) and, when applicable
<br />to:
<br />fro m such busilness, Further In mcerrtain crtases where a Fiorm W-9
<br />,
<br />1, Certify that the TIN you are giving is correct (or you are
<br />has not been received, a partnership Is required to presume that
<br />a partner is a foreign person, and pay the withholding tax
<br />waiting for a number to be Issued),
<br />.
<br />Therefore, If you are a U.S. person that is a partner In a
<br />2. ~erttfy that you are not subject to backup withholding, or
<br />partnership conducting a trade or business In the United States,
<br />3. Claim exemption from backup withholding If you are a U.S.
<br />exempt payee
<br />If applicable
<br />ou are
<br />l
<br />tl
<br />I
<br />f
<br />status and Form W-9 to the avoid withholding on ou share oflipartnership
<br />.
<br />, y
<br />a
<br />so cer
<br />y
<br />i
<br />ng that as a
<br />U
<br />S
<br />person
<br />your allocable sh
<br />f
<br />Income.
<br />.
<br />.
<br />,
<br />are o
<br />any partnership Income from
<br />a U.S. trade or business Is not subject to the withholding tax on
<br />The
<br />person who gives Form
<br />to
<br />the partnership for
<br />foreign partners' share of effectively connected Income,
<br />U.S. ta
<br />purposes
<br />of
<br />tus
<br />establishing its . sta and evading withholding
<br />Note. !far nester gives
<br />eq g you a form other than Form W-9 to
<br />request your TiN, you must use the requester's form If it is
<br />on Its allocable share of W Income from the partnership
<br />conducting a trade or business In the United States Is in the
<br />substantially similar to this Form W-9.
<br />following cases:
<br />• The U.S. owner at a disregarded entity and not the entity,
<br />Cat. No. 10231X Form W-19 (Rev, 10-2007)
<br />
|