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F«mW-9
<br />(Ari. Maret\ 2024)
<br />Dlplir1mlnt dthe Treauy
<br />lntemal RIYer1ue s.w:.
<br />Request for Taxpayer
<br />Identification Number and Certification
<br />Give form to the
<br />requeater. Do not
<br />Nnd to the IRS. Go to www.h.gov/FonnWI for lnetructlonl end M latNt Information.
<br />Before you begin. For guidance related to the purpose of Form W-9, eee Purpose of Form, below
<br />1 Name d enttty/lndMdual. M entry It required. (For a lOle pn>pMtor or dlaregarded entity, enter the owner'• name on tine 1, and ll"IW the bullnw/dlsregarded
<br />enttty'a rwne on llnt 2.)
<br />Vincent Tyrone Clear
<br />2 a... nameldlngltded enttty name. If different from above.
<br />Clear Em Out Peat Control
<br />C'O i-:-------------------------=-;.~--------r-----------
<br />t ,a Ol9CfC the approp,11te boxforfedlraf tax clwfflcatfon rAthl a,ttty/lndfVfdual wf1oN name,. entnd on IN 1. Ct,eck 4 ExernptSone (COdN as,pty onlyto
<br />only OM d the following -..r, boxa certain entttlle, not~
<br />□ ... lnltrUCtlon9 on page 3): c 0 lndMduaV90le prop1ltor O C corporation O S corporation O Partnlrlhlp Tl'Ult/Nlate
<br />0
<br />Exempt payee code (If any)
<br />Note: Check the ·LLc· box above n, 1n the entry apace, er1t1r the approprtate code (C, s, or P) for the tax
<br />dau~ cl the LLC, unlNa It la a dlngarded entity. A dlngarded entity lhould lnetNd check the appropriate Exemption from F0f891 Account Tax
<br />box for the tax ctu11ftt1dion d ft1 owner. Compltara Act (FATCA) rwpo,1tug !
<br />.
<br />1
<br />. 0 U.C. Enter the tax claNfflcatlon (C • C corporation, S • S corporation, P • Partnerlhlp) . • •
<br />i □ Other (98e ....... ......._\ code (If any)
<br />1-i-..:=~=---=-.:.....:...:~"= ............... =::..::.IO/=======================~ -------1 a If on llne 3a -you Checlced ·Partnerlh1p• or ■,'rust/estate,· or checked ·u.c■ and entered •p-as lta tax cla8llftcatlon,
<br />and you n l)l'OYldlng this form to a partnnhlp, trust, or eetate In which you have an ownership lnteraet, cheek D (Apples to acccu,a m,11,,.,,_,
<br />~ the United States.)
<br />this box If you have ,ny foreign partners, owners, or beneftclarlee. See lnstructlona . . . • • • •
<br />1----____:_:.__----r---~~ J 6 ~ (runber, street, and apt. or aulte no.). See lnatructlona. Requester'• name and ad«eN (optional)
<br />278 Dovewood Drive
<br />I City, state, and ZIP code
<br />Manteca. CA 95338
<br />7 List accow,t runber(a) here (optional)
<br />-r Identification Number (TIN)
<br />7 Social NCUrtty number I Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid
<br />backup withholding. For indMduals, this is generally your social security number (SSN). However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
<br />entitles, It is your employer Identification number (EIN). If you do not have a number, see How m get a ITD-[IJ-1 I I I I
<br />TIN, later. • or
<br />I Employw ldwltlllcadon number
<br />Not8: If the account Is In more than one name, see the Instructions for line 1. See also What Name and
<br />Number To Give the Requester for guidelines on whose number to enter. 8 6 -1 6 1 2 0 9 5
<br />-~ ... Certification
<br />Under pena1tie8 of pe,jury, I certify that:
<br />1. The number st,own on this form Is my correct taxpayer Identification number (or I am waiting for a number to be Issued to me); and
<br />2. 1 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
<br />Service QRS) that I am subject to backup wtthholdlng as a result of a failure to report all Interest or dividends. or (c) the IRS has notified me that I am
<br />no longer subject to backup withholding; and •
<br />3. I am a U.S. ctttzen or other U.S. person (defined below); and
<br />4. The FATCA code(s) entered Of'.' this form (tf any) Indicating that I am exempt from FATCA reporting is COIT9Ct.
<br />Certfflcallon lnetrUCtlone-You must cross out Item 2 above If you have been notified by the IRS that you are wrentty subject to backup withholding
<br />becauee you haVe failed to report all lnter'Nt and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage Interest paid,
<br />acquilition «~of NCIM'8d property, cancellation of debt, contributions to an Individual retirement anangement ORA), and, gene,aJly, payments
<br />other than lntereet and dividends you are not ulred to slg cation, but you must provide your correct TIN. See the Instructions for Pmt II, later.
<br />~ ......,,.or V .-/ -~ C\_-:::>tr)
<br />.....,... U.S. pe,won 0.. ~ C:::-t,1
<br />General Instructions
<br />SectJon reterenoee are to the Internal Revenue Code unleu otherwise
<br />noted. •
<br />Future~-For the lateet Information about deYelopmenta
<br />related to Form Wold and tta lnatruotJons, IUCh u leglllatlon enacted
<br />after they were publllhed, go to www.lra.gov/FormW9.
<br />What's New
<br />Une 3a has been modified to clarlfy how a disregarded entity completea
<br />this llne. An LLC that Is a disregarded entity ehould check the
<br />appropriate box for the tax clalllflcatlon of tta owner. Otherwlae, tt
<br />should check the •LLc• box and enter tta approprtate tax claaalflcatlon.
<br />Cat. No. 10231X
<br />ew llne 3b has been added to this form. A flow-through entity Is
<br />required to complete this Une to Indicate that tt has direct or Indirect
<br />foreign partners, owners, or beneflciartee when tt provides the Form W-9
<br />to another flow-through entity In which tt has an ownership Interest. This
<br />change la Intended to provide a flow-through enttty wtth Information
<br />regarding the status of tta Indirect foreign partners. owners, or
<br />beneflclartea, so that It can aatlafy any applicable reporting
<br />requlrementa. For example, a partnerahlp that has any Indirect foreign
<br />partnera may be required to complete Schedules K-2 and K-3. See the
<br />Partnenlhlp lnatructlona for Schedules K-2 and K-3 (Form 1065).
<br />Purpose of Fonn
<br />An Individual or entity (Form W-9 requester) who Is requJrwd to file an
<br />Information retum with the IRS Is gMng you this fonn beca1118 they
<br />Form W-9 (Fwl. 3-2024)
<br />Docusign Envelope ID: 12D38450-126F-85C2-806D-B77CACC97D2B
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