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NC Office of the State Controller Substitute W-9 Instructions Page 2 <br />The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. <br />If the payment is for… THEN the payment is exempt for… <br />Interest and dividend payments All exempt payees except for 7 <br />Broker transactions Exempt payees 1 through 4 and 6 through <br />11 and all C corporations. S corporations <br />must not enter an exempt payee code <br />because they are exempt only for sales of <br />noncovered securities acquired prior to <br />2012. <br />Barter exchange transactions and patronage <br />dividends <br />Exempt payees 1 through 4 <br />Payments over $600 required to be reported and <br />direct sales over $5,000¹ <br />Generally, exempt payees 1 through 5² <br />Payments made in settlement of payment card <br />or third party network transactions <br />Exempt payees 1 through 4 <br />¹ See Form 1099-MISC, Miscellaneous Income, and its instructions. <br />² However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care <br />payments, attorneys' fees, gross proceeds paid to an attorney, and payments for services paid by a federal executive agency. <br />Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting <br />this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account <br />you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to <br />these requirements. <br />A - An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37) <br />B - The United States or any of its agencies or instrumentalities <br />C - A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities <br />D - A corporation the stock of which is regularly traded on one or more established securities markets, as described in Reg. section 1.1472- 1(c)(1)(i) <br />E - A corporation that is a member of the same expanded affiliated group as a corporation described in Reg. section 1.1472-1(c)(1)(i) <br />F - A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as <br />such under the laws of the United States or any state <br />G - A real estate investment trust <br />H - A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940 <br />I - A common trust fund as defined in section 584(a) <br />J - A bank as defined in section 581 <br />K - A broker <br />L - A trust exempt from tax under section 664 or described in section 4947(a)(1) <br />M - A tax exempt trust under a section 403(b) plan or section 457(g) plan <br />Section 2 - Certification <br />To establish to the paying agency that your TIN is correct, you are not subject to backup withholding, or you are a U.S. person, or resident alien, sign the certification <br />on NC Substitute Form W-9. You are being requested to sign by the State of North Carolina. <br />For additional information please refer to the IRS Form W-9 located on the IRS Website (https://www.irs.gov/). <br />DocuSign Envelope ID: F8ACCDE8-686F-4083-B46D-486310D8A869