Form (rev. January 1993)

W-9

FORM (Rev. January 1993)

Request for Taxpayer Identification Number and Certification

Please print or type

Department of the Treasury Internal Revenue Service

Give this form to the requester. Do NOT send to IRS.

Name (If joint names, list first and circle the name of the person or entity whose number you enter in Part 1 below. See instructions on page 2 if your name has changed). Business name (Sole proprietors see instructions on page 2.) (If you are exempt from backup withholding, complete this form and enter “EXEMPT” in Part II below.)

List account numbers(s) here (optional)

Address (number and Street) City, state, and ZIP Code

Part 1

Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN). For sole proprietors, see the instructions on page 2. For other entities, it is your employer identification number (EIN). If you do not have a number, see How To Obtain a TIN below.

Part II

For Payees Exempt from Backup Withholding (See Exempt Payees and Payments on page 2)

Social security number

► Requester’s name and address (optional)

OR Employer identification number

Note: If the account is in more than one name, see the chart on page 2 for guidelines on whose number to enter. Certification. – Under penalties of perjury, I certify that: 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

2.

I 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 Service 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 no longer subject to backup withholding.

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 of under reporting interest or dividends on your tax return. For real estate transactions, item 2. does not apply. For mortgage interest paid, the acquisition or abandonment of secured property, contributions to an individual retirement arrangement (IRA), and generally payment other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. (All see Signing the Certification on page 2.) Sign Here

Signature

►

Date

►

BIDDER NUMBER

OWNERSHIP TYPE / CODE 07 AS JOINT TENANTS/WROS

01

INDIVIDUAL

02

MARRIED JT/WROS

08

03

09

04

MARRIED PERSON AS SOLE & SEPARATE PROPERTY AS TENANTS IN COMMON

MARRIED S/S AND UNMARRIED JT/WROS UNDIVIDED ½ INTEREST

10

CORPORATION

05

REVOCABLE TRUST

11

PARTNERSHIP

06

IRREVOCABLE TRUST

12

MARRIED, COMMUNITY PROP, CPWROS

FAX Completed form to (928) 753-0788