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<?xml version="1.0" encoding="utf-8" ?>
<forms class="W9">
<form version="Form W-9 (Rev. December 2014)">
<field name="Name" form-field="f1_1" type="string"/>
<field name="BusinessName" form-field="f1_2" type="string"/>
<field name="FederalTaxClassification" form-field="c1_1" type="choice">
<case value="1" constant="TAXCLASS_INDIVIDUAL"/>
<case value="2" constant="TAXCLASS_C_CORPORATION"/>
<case value="3" constant="TAXCLASS_S_CORPORATION"/>
<case value="4" constant="TAXCLASS_PARTNERSHIP"/>
<case value="5" constant="TAXCLASS_TRUST_ESTATE"/>
<case value="6" constant="TAXCLASS_LIMITED_LIABILITY_COMPANY"/>
<default constant="TAXCLASS_UNDEFINED"/>
</field>
<field name="LLCClassification" form-field="f1_3" type="string"/>
<field name="OtherFederalTaxClassification" form-field="c1_7" type="choice">
<case value="7" constant="TAXCLASS_OTHER"/>
<default constant="TAXCLASS_UNDEFINED"/>
</field>
<field name="OtherFederalTaxInfo" form-field="f1_4" type="string"/>
<field name="ExemptPayeeCode" form-field="f1_5" type="string"/>
<field name="FATCAExemptionCode" form-field="f1_6" type="string"/>
<field name="Address" form-field="f1_7" type="string"/>
<field name="City" form-field="f1_8" type="string"/>
<field name="RequesterCoordinates" form-field="f1_9" type="string"/>
<field name="AccountNumbers" form-field="f1_10" type="string"/>
<field name="SSN_1" form-field="f1_11" type="string"/>
<field name="SSN_2" form-field="f1_12" type="string"/>
<field name="SSN_3" form-field="f1_13" type="string"/>
<field name="EIN_1" form-field="f1_14" type="string"/>
<field name="EIN_2" form-field="f1_15" type="string"/>
<group name="SSN" separator="-" fields="SSN_1, SSN_2, SSN_3"/>
<group name="EIN" separator="-" fields="EIN_1, EIN_2"/>
</form>
</forms>