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TO: | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | FROM: | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21
FAX: |  |  |  |  |  |  |  |  |  |  | FAX: |  | Southern Methodist University
 | W-9
 |  |  | Request for Taxpayer
Form |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Give form to the requester.  Do NOT send to the IRS.
(Rev. March 1994) |  |  | Identification Number and Certification
Department of the Treasury Internal Revenue Service
Please print of type                                            See Specific instructions on page 2 | Name ( If joint names, list first and circle the name of the person or entity whose number you enter in Part I below.  See instructions on page 2 if your name has changed
 | Business name (Sole proprietors see instructions on page 2.
 |  |  |  |  | Individual/       Sole proprietor
 | Check appropriate box: |  |  |  |  |  |  |  |  |  | Corporation |  |  |  | Partnership |  |  |  | Other
 | Address (number, street, and apt. or suite no.) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | REMIT TO ADDRESS
 | City, state, and ZIP code
Part I |  | Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box.  For individuals, this is your social security number (SSN).  For sole proprietors, see the instructions on page 2.  For other entities, it is your employer identification number (EIN).  If you do not have a number, see How To Get a TIN below.
 |  |  |  |  | Social security number
 |  |  |  |  |  |  |  | O | R
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Part II |  |  |  | For Payees Exempt From Backup Withholding (See Part II instructions on page 2)
 |  |  |  |  | Employer identification number
Note:   If the account is in more than one name, see the chart on page 2 for guidelines on whose number to enter.
Part III: |  | 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 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 that I am subjec 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
Cartification Instructions-You must cross out item 2 aboveif you have been notified by the IRS that you are currently subject to bachupwithholding  because of underreporting interest or dividends on you tax return.  For real estate transactions, item 2 does not apply.  For mortgage interest paid, the acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IA), and generally payments other than interest and dividends, you are not required to sign the Certificationkbut you must provide your correct TIN.  (Also see Part III instructions on page 2.)
Sign Here | Signature |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date
Section references are to the Internal Revenue Code. |  |  |  |  | What is Backup Withholding?-Persons making certain payment to you must withhold and pay to the IRS 31% of such payments under certain conditions. |  |  |  |  |  |  |  |  |  |  |  | Certain payees and payments are exempt from backup withholding and information reporting.  See the Part II instructions and the separate instructions for the Requester of Form W-9.
Purpose of Form-A person who is required to file an information return with the IRS must get your correct TIN to report income paid to you, real estate transactions, mortgage interest you paid, the acquisition or abandonment of secured property, cancellation of debt, or contributions you make to an IRA.  Use Form W-9 to give your correct TIN to the requester (the person requesting your TIN) and, when applicable, (!) to certify the TIN you are giving is correct (or you are waiting for a number to be issued), (2) to certify you are not subject to backup withholding, or (3) to calim exemption from backup withholding if you are an exempt payee.  Giving your correct TIN and making the appropriate certifications will prevent certain payments from being subject to backup withholding.
 |  |  |  |  | This is called "backup withholding." Payments that could be subject to backup withholding include interest, dividends. [NAME] and barter exchange transactions, rents, royalties, nonemployee pay, and certain payments from fishing boat operators.  Real extate transactions are not subject to backup withholding.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | How to Get a TIN.-If you do not have a TIN, apply for one immediately.  To apply, get Form SS-5, Application for a Social Security Number Card (for individuals), from your local office of the Social Security Administration, or Form SS-4, Application for Employer Identification Number (for businesses and all other entities), from your local IRS office.
 |  |  |  |  | 1.  You do not furnish your TIN to the requester, or
 |  |  |  |  | 2.  The IRS tells the requester that you furnished an incorrect TIN, or
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | If you do not have a TIN, write "Applied-For" in the space for the TIN in Part I, sign and date the form, and give it to the requester.  Generally, you will then have 60 days to get a TIN and give it to the requester.  If the requester does not receive your TIN within 60 days, backup withholding, if applicable, will begin and continue until you furnish your TIN.
 |  |  |  |  | 3.  The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividents on your tax return (for reportable interest and dividends only), or
 |  |  |  |  | 4.  You do not certify to the requester that you are not subject to backup withholding under 3 above (for reportable interest and dividend accounts opened after 1983 only), or
Note:  If a requester gives you a form other than a W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9.
 |  |  |  |  | 5.  You do not certify your TIN.  See the Part III instructions for exceptions.
 | * | *IF YOU INDICATED AN EMPLOYEE IDENTIFICATION NUMBER INSTEAD OF A SOCIAL SECURITY NUMBER, YOU ARE DENOTING THAT YOU FILE YOUR TAX RETURN UNDER THAT EMPLOYEE ID NUMBER.  IF YOU ARE USING A SOCIAL SECURITY NUMBER FOR YOUR TAX RETURNS YOU