Form W-9 - Request For Taxpayer Identification Number And Certification

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W-9

Request for Taxpayer

Give Form to the

Form

Identification Number and Certification

requester. Do not

(Rev. November 2017)

send to the IRS.

Department of the Treasury

Go to for instructions and the latest information.

Internal Revenue Service

▶

1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

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

certain entities, not individuals; see

following seven boxes.

instructions on page 3):

C Corporation

S Corporation

Partnership

Trust/estate

Individual/sole proprietor or

single-member LLC

Exempt payee code (if any)

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)

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Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check

Exemption from FATCA reporting

LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is

code (if any)

another LLC that 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)

(Applies to accounts maintained outside the U.S.)

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5 Address (number, street, and apt. or suite no.) See instructions.

Requester’s name and address (optional)

NASCAR

One Daytona Boulevard

6 City, state, and ZIP code

Daytona Beach, FL 32114

7 List account number(s) here (optional)

Part I

Taxpayer Identification Number (TIN)

Social security number

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid

backup withholding. For individuals, 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

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entities, it is your employer identification number (EIN). If you do not have a number, see How to get a

TIN, later.

Employer identification number

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and

Number To Give the Requester for guidelines on whose number to enter.

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Part II

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 dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign

Signature of

Here

U.S. person

Date

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General Instructions

• Form 1099-DIV (dividends, including those from stocks or mutual

funds)

Section references are to the Internal Revenue Code unless otherwise

• Form 1099-MISC (various types of income, prizes, awards, or gross

noted.