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Home My WebLink AboutW-9Form' W-9 lCee.., bHrep r�e7 tlorr�rt W fk. Tie0.er rtrr Pe.vew Sent. Request for Taxpayer Identification Number and Certification • Give form to the requ Cite . Do NOT send to the IRS. P -c • O. name iN ow carol. sae Kra sad aw .» rani or rri pence or army woof. muter yeu enter in Part r War. !ea Ise m 2 It year ...w ee. areger,I City of Miami for The Miami Homeless Assistance Program ekwnps aarme (Sara pn:onea rs sae ersbuCOOMI onit.g. 2l Rom ants aoorooHaa otnc 0 IndlyKtuawSoie CI PirtMrsnio Q other ► . Mesa trwrnOer. street one ant. cw wee "0.1 779 West Flagler Cry. state, Ana ZP cor e Miami, Florida 33130 Taxpayer identification Number (TIN) Enter your TIN In the appropriate box For individuals, this is your social security rhurrtber (SSN). For sae proprietors, see the instructions on page 2. For otter entities. it is your employer identification number (EIN). a you do not have a number. see How To Get a TIN below. Note: N one actetutr is ;n Mire man One manta, see the chart on page 2 for guiddFnes on whose number to War: Part ill Rcak.o5tera Anew in* aawees teouunss see0isdieurea Hoarser -14-14111 OR number 5E(9�610 kkarle0� 01 73 15 List account number% /we tc000naq Part ll For Payees Exempt Fro; eactrup Withholding (See Part U inetructioas on page Say Certification Limier partake e of perjury, 1 certify that I. The number shown on this loan it my Correct taxpayer iderteficaticm number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding became: (a) 1 am exempt from backup withholding. or (b) I have not been notified by the Intend • Revenue Service that I an Subject to backup withholding as a result of a failure to report all Interest or dividends. or (c) the IRS has notified me that ► am no longer subject to badalp,with hiding. Codification btstruc tins. vaur rent cross out item 2 above if you have been notified by the IRS that you areamenity subject to backup rAn nolcIng because of underreporting interest or dividends on your tahk Mari For real estate try. item 2 deed not apply. For mortgage ltterest paid. the acquisition a abandortrnerx of secured property. cancellation of dent. c:ontrloutlons to an individual retirement arrangement ePA). and germ payment other Men interest ark} dhecier>Q. you are not reguired.,to sign the Certification. but you must provide your correct TIN. (Also see Part la insauctken on Sign Here I alginates ► Date ► Section references are to the drterrraf Revenue Code. mw ase of Form, —A perlcn who required to file an information return with the IRS must get your correct TIN to wort income paid to you, real estate •. trareactiores. mortgage interest ya1 paid. the acquisition or abandonment of secured orooerty. cancellation of debt. or contributions you made to an IRA. Use Form W-9 to give your correct TIN t0 the reoueener (true person requesting your TIN) and. wren applicable. (1) to Certify the TIN you are giving Is correct (or you are waiting for a number to be issued). 0) to certify you are not subject to backup withholding. or (3) to claim exemption from backup withholding if you are an exempt payee. Giving your oarres t TIN and making the appropriate certifications will prevent certain payments front being subject to basin o, withholdilg. Notre if a requester g act you a form ocher than a W9 to request your TIN, you mast use the rogveeter'a form if it is eubetantally trrr>aar to this Porn! W-9. .. what Is Backup Wllhhold(ng?--Persons making certain payments to you mama withhold and pay to the IRS 31% of suds paym . certain conditions. This is •. called , withholding." Payments that could be subject to badaln withholding intrude interest, dvidends. broker and barter exchange transactions, and c t pats ton fishing nonemployee �t operators. Real estate transactions are not subject to backup cut hholdrtg. If you give the requester your correct TIN, make the peeper certifications. and report all yaw taxable interest and dnwCends on your tax return, your payments mlt not be subject to backup withholding. Payments you receive will be subject to b0:kup withholdng 1. You do not furnish your SIN to the requester, or- 2 The IRS teas the requester that you furnished an incorrect TIN. or 3. The IPS toile you that you ars subject to baClaap withholding because you did not report on your interest and dividends on your tail return (ter reportable interest and dividends only). or 4. You do not certify to the requester that you aro not subject to backup wiblick: tg under 3 above (for reportable interest and dividend aceourtts opened alter 1983 only). or s. You do not certify your TIN. See the Part III instructions tot exceptions. Certain payees and payments are exempt from backup wah* clding and information reporting. See the Part II instrvcfions and the separate Inetniodons for the Requester of Penis W-0. Now To Get a TIN.—lt you'do not have a TIN, apply for one immediately. To apply. get Form SS-5• Application for a Social Security Number Card (for individuals), from your local office of Me Social Security .earninietretf«n, cr from SSA, Appacation for Employer Identification Number got businesses and an other entities), from your local IRS office. • - tf you do not knave a -TIN, write 'ApPi For In the space for the TAN in Part I. sign and data the tetrt% and give it to the . ' requester. Generally, you will then have 60 days to get a TIN and- give it to the your TIN within � not receive wtttlhold ng. if applicable, will begin and continue ulrltfl you furnish your TIN. Cat. rie. 1oz3zx Form W-9 Pei. 3-041