Taxpayer Identification Number Request
We are required by law to obtain this information from you when making a reportable payment to you. If you do not provide us with this information, your payments may be subject to 31% federal income tax backup withholding. Also, if you do not provide us with this information, you may be subject to a $50 penalty imposed by the IRS under section 6723.
Federal law on backup withholding preempts any state or local law remedies, such as any right to a mechanic's lien. If you do not furnish a valid TIN, or if you are subject to backup withholding, the payor is required to withhold 31% of its payment to you. Backup withholding is not a failure to pay but an advance tax payment. You should report all backup withholding as a credit for taxes paid on your federal income tax return.
You can use this form only if you are a U.S. person (including U.S. resident alien). Foreign persons must use Form W-8.