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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 />
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