Request for Taxpayer

Form W-9 Give Form to the

(Rev. October 2018) Identification Number and Certification requester. Do not

Department of the Treasury ► Go to www.irs.gov/FormW9 for instructions and the latest information. send to the IRS.
Internal Revenue Service
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

Lila Alexander
2 Business name/disregarded entity name, if different from above
Lila Alexander
(")
Q)

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1 . Check only one of the 4 Exemptions (codes apply only to
C
following seven boxes. certain entities, not individuals; see
0
instructions on page 3):
Ql C • □ Individual/sole proprietor or 0 C Corporation 0 S Corporation 0 Partnership 0 Trust/estate single-member LLC
Exempt payee code (if any)

.. Cl)
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ►
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the Exemption from FATCA reporting code
LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that (if any)
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. Other
(see instructions) ►
... :I C.
(Applies to accounts maintained outside the U.S.)
0 0 ...
5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional)
u
2509 W Belmont Ave,
6 City, state, and ZIP code

Phoenix AZ 85051
i 7 List account number(s) here (optional)
0.. .,__
I,)

(/)
Q) Q)

ma Taxpayer Identification Number (TIN) I I

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid . . . . . . . . . Social security number backup w1thhold1ng.
For Ind1v1duals, this Is generally your social security number (SSN). However, for a

resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other [ill -[D -I I I I I
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
or
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester
for guidelines on whose number to enter.
8 0 - 0 0 6 2 5 8
 Certification
Under penalties of perjury, I certify that:
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
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue 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 no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
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 because you have failed to
report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property,
cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and divid ds, you are not required to si the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign
Here Date ►

General Instructions funds) • Form 1099-DIV (dividends, including those from stocks or mutual

Section references are to the Internal Revenue Code unless otherwise • Form 1099-MISC (various types of income, prizes, awards, or gross
noted. proceeds)

Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other related to Form W-9 and
its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.irs.gov/FormW9.
• Form 1099-S (proceeds from real estate transactions)

Purpose of Form • Form 1099-K (merchant card and third party network transactions)
An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest), information return with the IRS must
obtain your correct taxpayer 1098-T (tuition)
identification number (TIN) which may be your social security number • Form 1099-C (canceled debt)
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number • Form 1099-A (acquisition or
abandonment of secured property) (EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a
resident amount reportable on an information return. Examples of information alien), to provide your correct TIN.
returns include, but are not limited to, the following. If you do not return Form W-9 to the requester with a TIN, you might
• Form 1 og9_INT (interest earned or paid) be subject to backup withholding. See What is backup withholding,
later.

Cat. No. 10231X Form W-9 (Rev. 10-2018)