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Fwm W~9 Request for Taxpayer
<br />(Rev.Novemberppp6) Identification Number and Certification
<br />DePertrnem of ihe rreaeury
<br />Int9mal Ravanue SarWrw
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<br />Name (as ahown o~ your income tax retum)
<br />Business nama, if diHerent from above
<br />Penn-Davis Coatings, Inc.
<br />Give form to the
<br />requester. Do not
<br />send to the IRS.
<br />Individual!
<br />Cheok appropriate box: ~ Sole proprietor ~~R~ration ~ Partnerahip [] pther - ~ Exempt (rom backup
<br />~ . . . . . ~ . ~ . . . . . . " . withholding
<br />Address (number, street, and apt. or suite no.)
<br />3 4 01 Jo n e s S a u s a e Rd . Requester's name and address (optional)
<br />g P.O. Box 575
<br />City, state, and ZIP cocfe
<br />Garner NC 27529
<br />Llat account number(s) here (optional)
<br />Enter your TIN in the eppropriate box. The TIN provided must match the name given on L(ne 1 to avoid
<br />backup withholding. For Individuals, this is your social security number (SSN). However, for a resident
<br />alien, sole proprietor, or disregarded entity, see the Part 1 instructions on page 3. For other entitles, it is
<br />your employer identificaUon number (EIN). If you do not have a number, see How to gef a TIN on page 3.
<br />Note. If the account Is In more than one name, see the chart on page 4 for guidelines on whose
<br />number to enter.
<br />Soeial security number
<br />or
<br />
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<br />Under penaltfes of pe~jury, I certify that:
<br />1. The number shown on this form is my correct taxpayer identificatlon number (or I am waiting for a number to be issued to me), and
<br />2. i am ~ot subJect to backup withholding because: (a) 1 am exempt from backup withholding, or (b) I have not bsen notifled by the internal
<br />Revenue Service (IRS) that I am subject to backup withholding as a res,ult of a faiiure to report all interest or dividends, or (c) the IRS has
<br />notified me that I am no longer subject to backup withholding, and
<br />3. I am a U.S. person (including a U.S. resident ailen).
<br />Certificatton instn,ctions. You must cross out item 2 above if you have been notified by the IRS that you are currently subJect to backup
<br />withholding because you have failed to report all interest and divldends on your tax return. For real estate transactions, item 2 does not apply.
<br />For mortgage interest paid, acquisitio~ or abandonment of secured property, cancellation of debt, contributions to an Individual retirement
<br />arrangement (IRA), and generaily, payments other than interest and divi~y ou are not required to sign the Certification, but you must
<br />provide your correct TIN. (See the Instructions on psee 4.1_ / /
<br />Sign I s~ynatu.e or
<br />Here u.s. ~-son -
<br />Purpose of form
<br />A person who is required to file an information return with the
<br />IRS, must obtain your correct taxpayer identification number
<br />(TIN) to report, for example, income paid to you, real estate
<br />transactions, mortgage interesT you paid, acquisition or
<br />abandonment of secured property, cancellation of debt, or
<br />contributions you made to an IRA.
<br />U.S. person. Use Form W-9 only if you are a U.S. person
<br />(including a resident alien), to provide your correct TIN to the
<br />person requesting it (the requester) and, when applicable, to:
<br />1. Certify that the TIN you are giving is correct (or you are
<br />waiting for a number to be issued),
<br />2. Certify that you are not subject to backup withholding, or
<br />3. Claim exemption from backup withholding if you are a
<br />U.S. exempt payee.
<br />In 3 above, if applicabie, you ere also certifying that as a
<br />U.S. person, your allocable share of any partnership income
<br />from a U.S. trade or business is not subject to the
<br />withholding tax on foreign partners' share of effectively
<br />connected income.
<br />Note. If a requester gives you a form other than Form W-9 to
<br />request your TIN, you must use the requester's form if it is
<br />substantialiy similar to this Form W-9.
<br />For federal tax purposes, you are considered a person if you tates is in the following cases:
<br />are: • The U.S. owner of a disregarded entity and not the entity,
<br />Ca1. No. 10231X Form -9 (Rev. 11-2005)
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<br />• An individual who is a citizen or resident of the United
<br />States,
<br />• A partnership, corporatlon, company, or association
<br />created or organized in the United States or under the laws
<br />of the United States, or
<br />• Any estate (other than a foreign estate) or trust. See
<br />Regulations sectlons 301.7701-6(a) and 7(a) for additional
<br />information,
<br />Special rules for partnerships. Partnerships that conduct a
<br />trade or business in the United States are generally required
<br />to pay a withholding tax on any foreign partners' share of
<br />income from such business. Further, in certaln cases where a
<br />Form W-9 has not been receiVed, a partnership is required to
<br />presume that a partner Is a forelgn person, and pay the
<br />withholding tax. Therefore, if you are a U.S. person that is a
<br />partner in a partnership conducting a trade or business in the
<br />United States, provlde Form W-9 to the partnership to
<br />establish your U.S. status and avoid withholding on your
<br />share of partnership income.
<br />The person who gives Form W-9 to the partnership for
<br />purposes of establishing its U.S. status and avoiding
<br />withholding on lts allocable snare of net income from the
<br />Sartnership conducting a trade or business in the United
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