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wee9 <br />Request for Taxpayer <br />Forest <br />01"mm <br />_m_� <br />Identification Number and Certification <br />I <br />requester. Do not <br />(Hev.OttgRr 2018) <br />Sendto the IRS. <br />1m�emm aeuadiuesTuem <br />Wher <br />. la <br />W. later. <br />or <br />1 None hos shown an your Ygome tm nsum). Name beased an this lire: do not leave this tire dank <br />Tanya Rice <br />2 austren nam d segatletl entlmy rms. ff Mount tram above <br />Azitala LLC <br />a Chefs eppalxOle has for laown has clavereatian of the person whore minednerMonllne l.cMckayame Wtl:e <br />sExMylimq(cCtlaeapgymdyro <br />rdlowineaeaan eoxe. <br />antes enuax, wtimiamuda; sae <br />o <br />IntlnitlmorweeprogiNorp ElGcaporelbn SCory tion ❑ ParmersNP �TusVestaro <br />inshwllawonwga ro: <br />v � <br />.nme-member uc <br />uamPtwva was cr.n» <br />❑ Umbel liatiNy canpane. Esser the to damiflcation(C= conomt'mn, S -S myonwon, P=Rmrevee_ <br />`a� <br />Hob:Ch MtM1eappcPriate EamMe lineaMvatmnrfixclaraM alkn of tM1e MelmemWaim>. mond Break <br />ExaawOcm sun FATC.1 remMP <br />Z <br />oaert Nre lLCo <br />LLG Vmtbdaregeked ham4i <br />LLCathoLLCis Is <br />cotlefaaml <br />Z <br />wedormomsel Ineembw <br />Othsntoo,a LLCthel <br />U.ahwfocere tat WNosa.gtion <br />another LLCdUmnoowpartletlemack <br />$ <br />d Us owner.manse <br />he arra <br />advewN�han no owner aMsid coed Me agXaplateCw Mthetex davlflcenondMwmer. <br />❑ olner(see Falwcnnn9► <br />rxava+rot�•w,wm.awwx.uw <br />,@�i <br />9f <br />6Addrmsreview, sees, awapt orsefte as lnebtcfi z <br />WWecroVc nameantl atltlrua{eptlwo0 <br />n <br />716 Freeport Ave <br />e Cly, Aft and ZAP ease <br />Elk River, MN 55930 <br />r UNe¢wmrtnumbetlN Intestines) <br />Texpser ulentalcetlon Number MR <br />Enter WurTlN In the appropriate box. The IN provk)e0 most match one name given on line l to sold <br />I6att..am.ltraauw <br />backupwtarnMinBFometnerhduss,ths lsgensra8y yew social securitycaPart 1. SN}Nowavvar, rota <br />resitlent sole proprietor, ordismga Part I,later.Far <br />theclo <br />_m_� <br />munheti(,sea <br />notihimfor <br />to <br />, a feyour employer itlantilmelion number(I]M. If you do not bare a camber, see hove to gore <br />it IS your <br />Wher <br />. la <br />W. later. <br />or <br />Nola Ifthe account is in mare then one home, see the iretrocnm sbr lire 1. Also see View! Name ant I Empkgasmlhs:auon numner <br />Numbo io Givelfe Asques[a'fwgu Onesonwta mmbertoe w. T TITh <br />Under peaenies of perjury. ) oalgymd: <br />1. The number hewn on this farm N mYOamOt taxpayer Matficatlm number (or I <br />2.1 am not sub)ectro backup w9hholdiag ttewuse: (a) I am exempt hem backup W <br />M, I. iE3tl^,[-'di- -RCI f- ,11:�1f•If� �rrT•I <br />3.1 am a U.S. cGizan w ether U.S. person (de belowY, and <br />d. The FATCA entails) entered on this form of my) indicating that I am exempt from FATCA reporting Is contrast. <br />General lnstmetions <br />Section references are to this Intents Revenue Code utess Warsaw <br />noted. <br />Rumors, devNopmmb. For the Ntmt Information about developments <br />related to Form W-9 and iia insbucnorms, such es Ngblation erected <br />after Ilrey, were published. 90 to raver gov/FomtWB. <br />Purpose of Form <br />An Individual or may (Fenn W-9 requeseq who N recull to Ne an <br />Information nWm with the IRS most obtain your correct ta:eponer <br />itlemttMsdan norrlb n(TIM which may be your social security number <br />(SSN). irdivAtud taxpayeridentiAcatwn number (ITIN), adoption <br />laxptyer ids, fl ion number (ATIM, or employer identification number <br />(EIN), to report on an iinformation mem US amount paid m You, w ether <br />amount rationales on an inlomenon occur. Examples of Information <br />Mums htGude, but are not limited to.IDe following. <br />• Form 10994NT (interest aimed or paid) <br />tat notified by the Intwnal Revenue <br />or (c) the IRS has notMw me that I am <br />• From /099,11MV (dividends. mduding those from stouts or mutual <br />Nroo <br />• Form 1099,11,4I1 (various types of Income, groes, awards, or gross <br />proceeds) <br />• Furm 1089-B (todt or mutual hued sales and chain W or <br />heneactioreby brokere) <br />• Form jmM-S Uncoeeda from reel eNate tratmaCgpna) <br />• Form IN" (memoure card sed third very moerk transactions) <br />• Fern 1Om (home mortgage interest). 1 QN-E (student loan iWerm), <br />1099-TMlnon) <br />• Form 1099-C (canfted debt) <br />• Fars 1098-A mcquaNion oramelonmentof served property) <br />Use Farm W-9 only N you are a U.S. pavan pmwlu ling a resident <br />then), to provide your cometh IN. <br />If you d0 not mkm Form W.9 in not requester with a IN you might <br />be subject to focomp wilMoloYrg. See What IS backup withhoki <br />MEW. <br />cat. No.tozatx Kamm w-nmev.tazmai <br />