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Farr, <br />(Rao. December 21'01) <br />Deptartrnent ar iha Trdasury <br />Inlwnail Revenue Servic e <br />Request for Taxpayer <br />Identification Number and Certification <br />1 hie+ate{ea eh01ti'n an your income tax nelorn) <br />Alliance Real Estate, LLe <br />c i Business rewsidisregarded *Miry rams. If different from elfaue <br />Kelier Williams Realty jntegrity Northwest <br />• Cheek eopropuiaie box for federal tax dos tproatien_ <br />o 0 Individual/saki Jarcpraetor C Corporation 0 s Corporation <br />as{i <br />O Palnnership [] Trunrestate <br />Give Form to the <br />requester. Da not <br />send to the iRS. <br />ILimited kablity comtpany. nterthe tax ofeasPflualfon (GC corporation. S.S corporaiiorv, f7.panne.srr;pra! <br />El Other. ism Fre3(a tru RS)e <br />__.... <br />Address (number, atraret, and apt. ursuite no.) <br />_17205 Vale Street NW, Suite 0 <br />W Clio+, stole, and TAP code <br />{f] Elk River, MN 55330 <br />List account nurnber(s} here (apt cnuf) <br />d Exernpt rrayea <br />Pequeuicrs Wartae end aodrrrss (au rionaij <br />Urfa Taxpayer identification Number (TIN) <br />Enter your TIN in the appropriate box. The TIN provided must match the name r t r n an the "Name' line <br />to avoid backup withttoitlirag. For tndlvfduafs, title Is your social seCurfty number (SS14). However, for a <br />resident aile n, .sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other <br />entitle;,, it is your employer fdentl fication number (EIN}. if you co not have a number, see Haw fo gat a <br />ri fi ipage3. <br />Note, if the account is In more than one name, see the ohsrt on page 4 for guidelines on wh❑se <br />number to enter. <br />Part II <br />Cettiffcation <br />Under penalties of perjury. I certify that: <br />i. The number shown on this form is my correct taxpayer Identification number (or I am waiting fora number to be Issued to me), arxf <br />2. i atr snot subject le backup withhcrding because: (a) I am eir'ernpt from backup withholding, or {b) i have not been notified by they Internal revenue <br />service (JR$) that 1 aro suhjeot to backup Withholding as a rasuit of a taiiure to report all Interest or dividends, or (c) the IC•i has notified ins that t dm <br />no longer subject to backup will -hoick q, and <br />3. I arri as U.S. citizen or other U.S. person (defined below). <br />Certification Instructions, You must cross out Item 2 above ff you have bean notlfled by the IRS that you are currently subject to backup withholding <br />batAusa you have failed to spurt ail interest and dividends oil your tax return. For real estate transactions. item 2 does not apply. For mortgegie <br />Interest paid, acquisllfan er abandoflment of secured property, citncelietfon of debt, contribut<on,s to an Irrdit+ldual relfrenlegrrt arrehgernant (ri ). and <br />generally, psymenta other than Interest and dividends, you or, riot ulred hp sign the certification, but you roust provide your correct TIN. See the <br />instructions on page 4. <br />Sign <br />Hera <br />Socia159curity number <br />ur:i rii <br />Elloaature oaf <br />U.S, proven ► <br />General Instructions <br />Section references are to the internal Revenue Code unless otherwise <br />looted. <br />Purpose of Form <br />A person who is required to file an Information return with the IFS meat <br />obtain your correct taxpayer identificati❑n number 11N) to report, for <br />example, income paid to you, rear estate transactors, mortgage interest <br />you paid, acquisition cr abandonment of secured property, cancellator <br />of pebt, or contri buttons you made to an IRA, <br />Use Form 'W-g only if yrxa area U.S. parr (InCfudfngl a resident <br />alien), too, provide your correct T1N to the person requesting It jtha <br />requester) and, when applicable, to: <br />'f. Certify that the TIN you are giving rc r.,orract (or you are Waiting f©r a <br />number to be Issued), <br />2. Certify that you aro notsubleat to backup withholding, or <br />3. Claire to memptlon from backup withholding If you are a3 U.S. exempt <br />payee. If appticabfe, you ars also certifying that as a US person, your <br />allocable share of nny partnership Income from a US. trade or business <br />is not subtect to the wIthh❑ldina tax on foreign partners' strafe of <br />effectively Connected Marne. <br />Employer (dantifcatiannumber J <br />1 7 ki 2 <br />Note, If a requester gives you a farm other than Form W-9 to request <br />your TIN, you must use the requester's form it h is aubstantialiy 9lrnllar <br />to this Form 4V-9. <br />Definition ition of a U.S. person, For federal tax purposes, you are <br />conslr erect a U.S. person if you oror <br />*An individual who is a U.S. citizen or U.S, resident alien, <br />• A partnership, corporation, company, er association created or <br />organized In the United Stales or under the laws of the United Stag, <br />■ An estate (other than a foreign estate), or <br />• A domestic tnusl (as definett In Regulations Section 90.7731-71, <br />Special rules far partner lee. Partnerships that conduct a3 trade or <br />business in the Ur Red States are generally rewired to pay as withholding <br />tax an any foreign Partners' share of Income from such business. <br />Further, In Certain caries wheal a Form W-9 has not been received, a <br />partnership is required to presume that a partner is a foreign person, <br />end pay the w lthholdfne tail, Therefore, If you arc a L.S. person that Is a <br />partner in a.pertnerahip coneu ling a trade or business in the United <br />States, provide Form W-9 tot* partnership to estebilsh your US. <br />statue end avoid wtthholdi+ignn your share of partnership incarno. <br />Cat. FJo 102..TrXFern Sill-9 <br />