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6
Form W_=9
Rev_ March 2%4)
Department of tF* Treasury
lntemal Revamue Service
Request for Taxpayer
Identlflc Ion Number and Certification
o t o www. ir.L govffiorm W9 for inkctions and the latest i n forrntion.
SwOore you beaIn, For ouidanoe related to the ourooe of Foy W-. see Purpose of Fora, below.
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41
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Ad d re s (number, strut, and apt. or suite no.). See instructions.
1327
account: numbers) here (op n l)
Taxoaver Identification Number CrIN)
1
forM to the
requester. Do not
send to the IRS..
Name of en 1ied i * n entry uired. (For a sole propfl for or disregarded entity, enter the o nor's ream a on �1 1 t and for the b i �' �d is r rd
ed
entity's rtarrm on IIne 2 )
Cornerstone Protective Services Inc
Businm nam d regarded enter name, if di m from above.
Chic the appropriate box for federal tax classification of the enUt findividual whose name is entered on line 1. Check
only one of the f o�owing seven boxes.
E] 1n�d'nri r as proprietor corporation � corporation Ej �artra hid � rtrr.,s e�t�te
LL . Entex the tax classifi t n (C = C corporation, S = S corporabon. P = Partnership) - -
Note* Check the " LLC ' box above end, in the entry sue, enier tihe appropriate code (, far the tax
asVi t+o n of th a LL, u r lem it is a d isregard ed en t it . A d i sregarded en t ity she u id i nstead check t h e aPp Wfiate
box for the tax classification of its owner.
El Other (see instructions)
f on 1 i ne clerked par a hI or �Trustt tate, " or checked " LL " and entered �" p" as its to classification.
and you are providing this form to a partnership, trai t, or estate in which you have an ownership interest, crhoGk
this box if you have any foreign partners, owners, or benefi6ades. See i nstrucdons - .
Requesters name and address (c pt=
4 Exernp bens (COdes apt OntY tO
certain entities, not individuals;
see instn t ions on pe gge 3Y,
Exempt payee code Cif any)
Exemption from Foreign Account Tax
compliance Act T reporting
code (if any)
Enter you r 11in t
`e x Th e TI pro era d ed m u t match the nam e g iven o n I i ne 1 to avoid
back��
up with � old F i ng . For indi0dt , this j s g enefa II y your sociM purity number (SS N. Ike ever, for a
resident alien:, t sole or d i regarded entity, see the instructions for Pat 1, later. For other
rrtJtri it is your employer l er identification number (EIN). If you do not have a number, see How to get a
T7N, later.
Note: If � au rat
• r in rnore than one name, see the instructions for line 1. Seealso that Name and
M=ber To Give the Requester for guidelines on whose number to enter.
C�e cabon
1:1
implies to accounts nta ne
outside the United tote .)
Social security number
or
Employer identil5catian number
300MMUM"MUL
Of PffjurY, i certify that:
a rdr�ticat�n number for I am for a number t be rued t me); and
2. 1. � n ��+ bar � I f � I my correct tap notified the I nter�nal Revenue
1 exem t from backup withholding, or (b) I have not �n byI �m n��t i�b�� t� bc�� �thh�ld�n� beoa�e (a) � �r a III has notified me that I �rrn
u withholding a a result of a faHure to report all i nterrest or dividends,
� �a � � that 1 am subject f� b �
no longef, subject to backup withholding; and
.I
U . S � citizen or other U - S - person (defined belong); and
4. The i fob(ifindicating that 1 exempt from FAT reportingis correct.
�T �� entered ter~ this � i
if hay a been n otiied b the IRS that you are currently subject to backup th h i n
i ��on s. You rnu t cross out rtern above � rr� does not a ply. For mortgage intere t laid,
interest and dividends on your tax return, For real estate transactions, its pp
tau a you have faked to report all payment
�f debt c�ntrib�tior� to �n rnd�vidu retirement arrangement �I�# and, generally,
r abandonment of lured property,cancellation� r correct TIt�,l- th in t=tion for dart II, kater
,acquisition
other than interest and dividendR
� are
Sign Signature of Dates
H u . 3 peen
New line 3b has bow added to this vary. A flow -through entity i
General Instructions required to complete this line to indicate that it has dirt or indirect
ss heie foreign prtners� ���, cr berfiri when It providesthe Forrn
ereree are t the internal Revenue urlet entit in which it has an ownership interest. This
Section ref to another flow -through
noted. change is intended to provide a flow -through entity with information
t f For the latest Inf rrnat'on about dove ��p�ent regarding the status of its in ire foreign partners, owners, or
Future d� I �� a I i late enacted r
W- and Its in truotiOns, such beneficiaries, o that it can satisfy any applicable reporting
related to Form �r��r�-
r the were publi hedo o to www.irs.gov/rormW9. requirements. For example, rtnership that any it ireot f reM n
after ohe lu- and -. Seethe
� partners rr�a be required to complete
M%e'sPartnership Instructions for Schedules and- ar r�� 1 .
modified f i ed to Iari f how a disregarded enti Orr P l etas
Line a has been F eon #��
this line. LLthat i a disregarded t't should oh r to f t tag classif at' of its owner. Otherwise+ It
alp r a
should k check the "LLC3' lox and eater its appropriate tax classification.
Cat. No. 10231X
Purpose of Form
An individual or entity (Form W-9 (equester) who is required to file an
information return With the IRS is giving you this farm because they
Form W-9 (Rev. 3-202a)
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