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DocuSign Envelope ID: 7AE8A4FO-DD4C-48AF-9407-33 164957C9A2
<br /> Fenn Wil I.9 Request for Taxpayer Give Form to the
<br /> (AM December 201q Identification Number and Certification requester.Do not
<br /> Departrrant of the Treasury mend to ttie IRS.
<br /> Internal Revenue Sunoco
<br /> 1 Name las Worm on your Income tax return).Name Is required on trds Int do not leave this Ins blink.
<br /> Roof Control Services of NC, Inc.
<br /> . 2 Business name/disregenteol entity name,If(afferent from above
<br /> N
<br /> 1
<br /> c 3 Check appropriate brut for federal tax classlficalkno check only one of the Mowing sawn bons: 4 Exemptions(codes apply only to
<br /> o 0 IndividtaVarde parolees or 0 C Corporation 12 S Corporation 0 Partnership 0 TrutrUestate rarbtihdotiono""litiol'ncit larldua4;see
<br /> 1 0 Itltad lability ,cornU-Cpony.Enter the tax cleselflaition(C.0 corporation,S4 corporation,Pirpartnership)So Exempt payee code(If any)
<br /> b Note.For a sinle-rnember MC that is dbregarded,do not check U.C;check the appropriate box In the Ina above for Exemption from"'Ma'mmt1119
<br /> the tax classification of the single-member owner. code al any)
<br /> 0 011w,..instnoctlans)10 ow.owirgure munoirl nada DS u.s.,
<br /> a Address(number,Want and.pt.cr suit.no.)
<br /> 114Ruasleee name and address(optional)
<br /> 104 Rand Park Drive
<br /> . 6 atty.state,and ZfP code
<br /> t Gamer,NC 27529
<br /> 7 east account numbercs)hens(optional)
<br /> Part I Taxpayer Identification Number(flN)
<br /> Enter your 71N In the appropriate box.The TIN provided must match the name given on line 1 to avoid I social a*cluttf number
<br /> backup withholding.For individuals,this Is generally your social security number pm.However,for a
<br /> '
<br /> resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - -
<br /> entitles,It is your employer Identification number(EIN).If you do not have a number,see Now to get a
<br /> 77N on page 3. of
<br /> Note.If the account Is In more than one name,see the instructions for line 1 and the chart on page 4 for I__ Idantificali"ina"bir
<br /> guidelines on whose number to enter.
<br /> 4 6 - 3 8 1 0 9 1 3 1 7
<br /> Part I I Certification
<br /> Under penalties of perjury,I certify that;
<br /> 1. The number shown on this form Is my correct taxpayer Identification number(or I am waiting for a number to be Issued to me);and
<br /> 2. I am not subject to backup whhholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
<br /> Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
<br /> no longer subject to backup withholdng;and
<br /> 3. I am a U.S.citizen or other U.S.person(defined below):and
<br /> 4.The FATCA code(s)entered on this form(if any)Indicating that I am exempt from FATCA reporting is correct.
<br /> Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
<br /> because you have felled to report al interest and dividends on your tax return.For real estate transactions,Item 2 does not apply.For mortgage
<br /> interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to en Individual retirement arrangement(IRA),end
<br /> generally,payments other than interest and dividends,you we not required to sign the certification,but you must provide your correct TIN.See the
<br /> instructions on• •a 3.
<br /> — _
<br /> Sign fLI
<br /> ianniunglireilillellilifir,
<br /> Here U.S.petters 11WW:77111111116110 Data IP 111 • ,
<br /> General Instructions •Form 1095(home mortgage Interest),1095-E(student loan Interest),10911-T
<br /> (tuition)
<br /> Section referent:85 ere to the Internal Revenue Code micas otherwise noted. •Form 1099-C @wooled debt)
<br /> Fuhwe developments.Information sbout developments affecting Form W4(such •Form 1099-A(=mom or abandonment of sammd;moon)
<br /> as legislation enacted altar we release It)is at ennv.irsgovilw9.
<br /> Use Form W-9 only II you are a U.S.person(including a=Went Oen),to
<br /> Purpose of Form provide your correct TIN.
<br /> An indkfldual or entity(IForm W-9 requestan who is regrind to Me an information dim do not Mum Form W-9 to the requester with a TIN,you might be skied
<br /> return with the IRS must obtain your correct taxpayer Idantiecation number(TIN) to hada*etthhoiding.See What Is bad oking7 on page 2.
<br /> which may be your wall security number(5314),kdvfdual taxpayer identification By signing the filed-out form,you:
<br /> number(ITINI,adoption taxpayer iderttillcation number(Alta,or employer 1.C,artfy that the TIN you are giving is correct(or you are waiting for a number
<br /> identification number(E1N),lo report on an information return the amount pakt to to be issue*
<br /> you,or other emount reportable on an Information Mum.Examples ol Information
<br /> retina inckide,but we not Inked to,the folowing: 2.Certify that you are not subject to baclorp withhokling,or
<br /> •Fenn 1099-INT(Interest earned or paid) 3.Claim exemption from backup withhoking If you we a U.S.exempt payee.U
<br /> applicable,you are aiso certifying that as a U.S. ,your allocable share of
<br /> •
<br /> Form 1099-OW(dividends,Including those from shocks or mutual funds) err/partnership Income from a US.trade or b not subject to the
<br /> •Fenn 1099-MISC(various types of income,prizes,swords,or gross proceeds) wIthhokiing tax on foreign prima'sham of effectively connected Income,and
<br /> •Fawn 10994(stock or mutual fund sales and certain other transactions by 4.Candy that FATCA code(s)crewed on this form(If any)Indenting that you are
<br /> brolurs) exempt horn the FATCA reporting,Is correct.See What b FATCA matting?on
<br /> •Form 1099-S(proceeds from real estate tronsectons) page 2 for further Information.
<br /> •Form 1099-K(merchant card and Ohl party network transactions)
<br /> Cat.No.10231X Form W-9(Rev.12.2014)
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