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W= 9
<br />Request for Taxpayer
<br />Give Fora to the
<br />Form
<br />[Rev.October2018)
<br />Identification Number and Certification
<br />requester. Do not
<br />Department of the Treasury
<br />send to the IRS.
<br />Internal
<br />Revenue Service
<br />► Go to www.irs.gov/FormW9 for instructions and the latest information.
<br />I Name (as shown on your income tax return), Name is required on this line; do not leave this line blank.
<br />American Engineering Testing, Inc.
<br />2 Business name/disregarded entity name, I different from above
<br />v
<br />3 Check appropriate flex for fedwal tax classification of the person whose name is entered on line 1. Check Only one of the
<br />4 Exemptions (codes apply only to
<br />+
<br />following seven boxes,
<br />certain entities, not Individuals; see
<br />r1
<br />instructions on page 3):
<br />❑ IndivldtaVsole proprietor or ❑ C Corporation ❑ S Corporatlon ❑ Partnership ❑ Trust/estate
<br />C
<br />single member LLC
<br />Exempt payee code fif any)
<br />a
<br />'U
<br />❑ limited liability company. Enter the tax classification (C=■
<br />C corporation, S=S corporation, P=partnership)
<br />`q 2
<br />Note: Check the appropriate box in the line above for the tax classification of the single member owner. Do not check
<br />Exemption from FATCA reporting
<br />LLC if the LLC is classified as a single member LLC that is disregarded from the owner unless the owner of the LLC is
<br />code (if any)
<br />another LLC that Is not disregarded from the owner for U.S. federal tax purposes. otherwise, a single member LLC that
<br />IL
<br />Is disregarded from the owner should check the appropriate box for the tax ciasslfication of its owner-
<br />d❑
<br />Other (see instructlons) ■
<br />r•� f •cmuName� anw rr. rn•u.sJ
<br />5 Address (number, street, and apt. or suite no.) See instructions,
<br />Requester's name and address (optional)
<br />550 Cleveland Ave. N.
<br />6 City, state, and ZIP code
<br />St. Paul, MN 55114
<br />7 Ust account numbers) here (optional)
<br />Taxpayer Identification plumber (TIN)
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
<br />backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, seethe instructions for Part 1, later. For other —E] -71
<br />entitles, It is your employer identification number (EIN). If you do not have a number, see Now to get a
<br />TIN, later. or
<br />Note: If the account is in more than one name, see the instructions for line 1. Also see What Name anon L Employer Identification number I
<br />Number To Give the Requester for guidelines on whose number to enter.
<br />Certification
<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 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 withholding, or (b) I have not been notified by the Internal Revenue
<br />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
<br />no longer subject to backup withholding; and
<br />3. 1 am a U.S. citizen or other U.S. person (defined below); and
<br />4. The FATCA code(s) enteredon this form (if any) indicating that I am exempt from FATCA reporting is correct.
<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 withholding because
<br />you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid.
<br />acquisition or abandonment of secured property, cancellation of de rlbuto an individual retirement arrangement (IRA), and generally, payments
<br />other than interest and dividends, you are not required to skp thetert�tions icn, but you must provide your correct TIN. Seethe instructions for Part 11, later.
<br />Sign
<br />Here
<br />SignatuWe i
<br />U.S.. Person ►
<br />Data ■ !
<br />General Instr ctions
<br />• Form 1099-DrV (dividends, including those from stocks or mutual
<br />funds)
<br />Section references are to the Internal Revenue Code unless otherwise
<br />• Form 1099-MISC (various types of Income, prizes, awards, or gross
<br />noted.
<br />proceeds)
<br />Future developments. For the latest information about developments
<br />. Form 1099-B (stock or mutual fund sales and certain other
<br />related to Form W-9 and Its Instructions, such as legislation enacted
<br />transactions by brokers)
<br />after they were published, go to www.irs.govIFormW9.
<br />• Form 1099-5 (proceeds from real estate transactions)
<br />Purpose of Farm
<br />• Form 1099-K (merchant card and third party network transactions)
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />• Form 1098 (home mortgage Interest), 1098-E (student loan interest),
<br />information return with the IRS must obtain your correct taxpayer
<br />1098-T (tultion)
<br />identification number (TIN) which may be your social security number
<br />• Form 1099-C (canceled debt)
<br />(SSN), individual taxpayer identification number (ITIN), adoption
<br />taxpayer identification number (ATIN), or employer identification number
<br />a Form 1099-A(acqulsiIion or a b an don m on I of secured property)
<br />(EIN), to report on an information return the amount paid to you, or other
<br />Use Form W-9 only if you are a U.S. person (Including a resident
<br />amount reportable on an Information return. Examples of information
<br />alien), to provide your oorrect TIN,
<br />returns include, but are not limited to, the following.
<br />If you do not return Form W-9 to the requester with a TIN, you might
<br />• Form 1099-IiNT (Interest earned or paid)
<br />be subject to backup withholding. See What is backup withholding,
<br />later.
<br />Cat. No. 10231X Form 1N-9 (Rev. 10-2018)
<br />
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