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FOR THIS TYPE OF ACCOUNT:
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GIVE THE SOCIAL SECURITY NUMBER OF:
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1.
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An individual’s account
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The individual
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2.
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Two or more individuals (joint account)
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The actual owner of the account or, if combined funds, any one of the individuals(1)
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3.
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Husband and wife (joint account)
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The actual owner of the account or, if joint funds, either person(1)
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4.
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Custodian account of a minor (Uniform Gift to Minors Act)
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The minor(2)
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5.
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Adult and minor (joint account)
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The adult or, if the minor is the only contributor, the minor(1)
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6.
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Account in the name of guardian or committee for a designated ward, minor, or incompetent person
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The ward, minor, or incompetent person(3)
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7.
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a.
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The usual revocable savings trust account (grantor is also trustee)
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The grantor-trustee(1)
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b.
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So-called trust account that is not a legal or valid trust under State law
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The actual owner(1)
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GIVE THE EMPLOYER
IDENTIFICATION NUMBER OF:
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8.
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Sole proprietorship account
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The Owner(4)
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9.
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A valid trust, estate or pension trust
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The legal entity (Do not furnish the identifying number of the personal representative or trustee unless the legal entity itself is not designated in the account title)(5)
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10.
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Corporate account
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The corporation
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11.
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Religious, charitable, or educational organization account
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The organization
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12.
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Partnership account held in the name of the business
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The partnership
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13.
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Association, club, or other tax-exempt organization
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The organization
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14.
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A broker or registered nominee
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The broker or nominee
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15.
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Account with the Department of Agriculture in the name of a public entity (such as a State or local government, school district, or prison) that receives agricultural program payments
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The public entity
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(3)
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Circle the ward’s, minor’s or incompetent person’s name and furnish such person’s social security number.
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(4)
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You must show your individual name, but you may also enter your business or “doing business” name. You may use either your Social Security Number or Employer Identification Number.
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(5)
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List first and circle the name of the legal trust, estate, or pension trust.
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·
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A corporation.
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·
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A financial institution.
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An organization exempt from a tax under Section 501(a) or an individual retirement plan or a custodial account under Section 403(b)(7) if the account satisfies the requirements of Section 401(F)(2).
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The United States or any agency or instrumentality thereof.
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A State, the District of Columbia, a possession of the United States or any subdivision or instrumentality thereof.
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A foreign government, a political subdivision of a foreign government or any agency or instrumentality thereof.
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An international organization or any agency or instrumentality thereof.
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A registered dealer in securities or commodities registered in the U.S. or a possession of the U.S.
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A real estate investment trust.
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A common trust fund operated by a bank under Section 584(a).
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An entity registered at all times under the Investment Company Act of 1940.
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A foreign central bank of issue.
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A futures commission merchant registered with the Commodity Futures Trading Commission.
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A person registered under the Investment Advisors Act of 1940 who regularly acts as a broker.
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Payments to nonresident aliens subject to withholding under Section 1441.
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Payments to partnerships not engaged in a trade or business in the U.S. and which have at least one nonresident partner.
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Payments of patronage dividends where the amount received is not paid in money.
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Payments made by certain foreign organizations.
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Payments made to a nominee.
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Payments of interest on obligations issued by individuals. Note: You may be subject to backup withholding if this interest is $600 or more and is paid in the course of the payer’s trade or business and you have not provided your correct taxpayer identification number to the payer.
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Payments described in Section 6049(b)(5) to nonresident aliens.
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Payments on tax-free covenant bonds under Section 1451.
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Payments made by certain foreign corporations.
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Payments made to a nominee.
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