TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION Check appropiate box for federal tax classification of the person whose name is entered. Check only one
of the following seven boxes.
Note: Check the appropriate box in the line above for the tax classification of the
single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is
disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the
owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner
should check the appropriate box for the tax classification of its owner.
Exemptions (codes apply only to certain entities, not individuals).
TAXPAYER IDENTIFICATION NUMBER (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on
line 1 to avoid backup withholding. For individuals, this is generally your social security number
(SSN).
