Substitute W-9 Form - Ochra Housing & Redevelopment Authority, County Of Olmsted, Minnesota Page 2

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2 However, the following payments made to a corporation and reportable
Exemptions
on Form 1099-MISC are not exempt from backup withholding: medical and
If you are exempt from backup withholding and/or FATCA reporting, enter
health care payments, attorneys' fees, gross proceeds paid to an attorney,
in the Exemptions box, any code(s) that may apply to you.
and payments for services paid by a federal executive agency.
Exempt payee code. Generally, individuals (including sole proprietors) are
Exemption from FATCA reporting code. The following codes identify
not exempt from backup withholding. Corporations are exempt from
payees that are exempt from reporting under FATCA. These codes apply to
backup withholding for certain payments, such as interest and dividends.
persons submitting this form for accounts maintained outside of the United
Corporations are not exempt from backup withholding for payments made
States by certain foreign financial institutions. Therefore, if you are only
in settlement of payment card or third party network transactions.
submitting this form for an account you hold in the United States, you may
leave this field blank. Consult with the person requesting this form if you
Note. If you are exempt from backup withholding, you should still complete
are uncertain if the financial institution is subject to these requirements.
this form to avoid possible erroneous backup withholding.
A—An organization exempt from tax under section 501(a) or any
The following codes identify payees that are exempt from backup
individual retirement plan as defined in section 7701(a)(37)
withholding:
B—The United States or any of its agencies or instrumentalities
1—An organization exempt from tax under section 501(a), any IRA, or a
custodial account under section 403(b)(7) if the account satisfies the
C—A state, the District of Columbia, a possession of the United States, or
requirements of section 401(f)(2)
any of their political subdivisions or instrumentalities
2—The United States or any of its agencies or instrumentalities
D—A corporation the stock of which is regularly traded on one or more
established securities markets, as described in Reg. section 1.1472-1(c)(1)(i)
3—A state, the District of Columbia, a possession of the United States, or
any of their political subdivisions or instrumentalities
E—A corporation that is a member of the same expanded affiliated group as
a corporation described in Reg. section 1.1472-1(c)(1)(i)
4—A foreign government or any of its political subdivisions, agencies, or
instrumentalities
F—A dealer in securities, commodities, or derivative financial instruments
(including notional principal contracts, futures, forwards, and options) that
5—A corporation
is registered as such under the laws of the United States or any state
6—A dealer in securities or commodities required to register in the United
G—A real estate investment trust
States, the District of Columbia, or a possession of the United States
H—A regulated investment company as defined in section 851 or an entity
7—A futures commission merchant registered with the Commodity Futures
registered at all times during the tax year under the Investment Company
Trading Commission
Act of 1940
8—A real estate investment trust
I—A common trust fund as defined in section 584(a)
9—An entity registered at all times during the tax year under the Investment
J—A bank as defined in section 581
Company Act of 1940
K—A broker
10—A common trust fund operated by a bank under section 584(a)
L—A trust exempt from tax under section 664 or described in section
11—A financial institution
4947(a)(1)
12—A middleman known in the investment community as a nominee or
M—A tax exempt trust under a section 403(b) plan or section
custodian
13—A trust exempt from tax under section 664 or described in section 4947
The following chart shows types of payments that may be exempt from
backup withholding. The chart applies to the exempt payees listed above, 1
through 13.
IF the payment is for . . .
THEN the payment is exempt for . . .
All exempt payees except
Interest and dividend payments
for 7
Broker transactions
Exempt payees 1 through 4 and 6
through 11 and all C corporations. S
corporations must not enter an exempt
payee code because they are exempt
only for sales of noncovered securities
acquired prior to 2012.
Barter exchange transactions and
Exempt payees 1 through 4
patronage dividends
Payments over $600 required to be
Generally, exempt payees
reported and direct sales over
1 through 5 2
$5,000 1
Payments made in settlement of
Exempt payees 1 through 4
payment card or third party
network transactions
1
1 See Form 1099-MISC, Miscellaneous Income, and its instructions.
Updated 9/2014

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