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<?php $__env->startSection('title', 'Register Boutique Vendor'); ?> <?php $__env->startPush('front-styles'); ?> <link rel="stylesheet" href="<?php echo e(asset('assets/front/signature-draw-pad/jquery-drawpad.css')); ?>" /> <style> .sign-fields-new input { height: auto; } .align-fields { align-items: baseline; } .sigclear { width: 100%; padding: 10px 0px } .py-10 { padding: 10px 0px; } @media only screen and (min-width: 320px) and (max-width: 529px) { .align-fields { gap: 20px; } } @media only screen and (min-width: 530px) and (max-width: 767px) { .align-fields { gap: 20px; } } #msform fieldset:not(:first-of-type) { display: none; } #msform fieldset { border: 0 none; border-radius: 3px; padding: 20px 30px; box-sizing: border-box; position: absolute; top: 0; left: 0; height: 100%; width: 100%; padding-top: 180px; } .height-revert { height: unset !important; } .signature-fields canvas { width: 100%; height: 100%; /* padding-bottom: 21px; / border-width: 0px 0px 2px; border-style: dashed; } .signature-fields input { widows: 100%; } </style> <?php $__env->stopPush(); ?> <?php $__env->startSection('content'); ?> <section class="feedback-banner b-vendor"> <div class="bvendor-overlay"></div> <div class="container-fluid p-0"> <div class="row"> <div class="col-md-12"> <div class="f-banner-head"> <h2>Boutique Vendor Registration</h2> </div> </div> </div> </div> </section> <div class="wx-main"> <section class="wizard-tabs-sec"> <div class="container"> <div class="row"> <div class="col-md-12"> <form action="<?php echo e(route('front.boutique.vendor.submit')); ?>" method="POST" id="msform"> <input type="hidden" id="signaturePad1Value" name="signature_1"> <input type="hidden" id="signaturePad2Value" name="signature_2"> <input type="hidden" id="signaturePad3Value" name="signature_3"> <?php echo csrf_field(); ?> <ul id="progressbar"> <li class="active">Basic Information</li> <li>W-9 Form</li> <li>Waiver of Liability</li> <li>Central Cashiering</li> <li>Vendor Letter</li> </ul> <!-- Step 1 --> <fieldset> <div class="row"> <div class="col-md-12 col-lg-12 col-xl-9 col-sm-12 col-12"> <div class="basic-head"> <h4> Calvary Christian School Christmas Boutique Contract </h4> <?php if(session('success_msg')): ?> <p class="text-success"><?php echo e(session('success_msg')); ?></p> <?php endif; ?> </div> </div> </div> <div class="basic-info-main pr-60"> <div class="col-md-12 col-lg-12 col-xl-9 col-sm-12 col-12"> <div class="row"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Business Name: <span class="text-danger"></span></label> <input type="text" placeholder="Business Name" name="business_name" class="required"> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Your Name: <span class="text-danger"></span></label> <input type="text" placeholder="Your Name:" name="name" class="required"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field"> <label> Payment to: <span class="text-danger"></span> </label> <input type="text" placeholder="Payment Address" name="payment_to" class="required"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field"> <label> Address: <span class="text-danger"></span> </label> <input type="text" placeholder="Address" name="address" class="required"> </div> </div> </div> <div class="row"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Phone: <span class="text-danger"></span></label> <input type="number" placeholder="Phone" name="phone" class="required"> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Email Address: <span class="text-danger"></span></label> <input type="email" placeholder="Email Address" name="email" class="required"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field"> <label>Website, Facebook and or Instagram Accounts:</label> <input type="text" placeholder="Website, Facebook and or Instagram Accounts" name="ref_link"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field"> <label> Merchandise Description and Price Range: <img src="<?php echo e(asset('assets/front/images/t-tip.png')); ?>" alt="N/A" class="img-fluid"> </label> <input type="text" placeholder="Merchandise Description and Price Range" name="merchandise_description"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field selct-vendor"> <label class="svt">Select Vendor Type: <span class="text-danger"></span></label> <div class="rd-box-wizard"> <input type="radio" name="vendor_type" value="General Vendor" checked> <label for="slct_vndor1">General Vendor</label> </div> <div class="rd-box-wizard"> <input type="radio" name="vendor_type" value="Toy Vendor"> <label for="slct_vndor2">Toy Vendor</label> </div> <div class="rd-box-wizard"> <input type="radio" name="vendor_type" value="Food Vendor"> <label for="slct_vndor3">Food Vendor</label> </div> </div> </div> </div> <div class="row"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Number of Tables Requested ($<?php echo e($table_price); ?>/table):</label> <input type="number" placeholder="Number of Tables" class="required" name="number_of_tables" min='1'> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Units of “Rack Space” Requested ($<?php echo e($rack_price); ?>/unit):</label> <input type="number" placeholder="Rack Space" name="rack_space" class="required" min="1"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field"> <label> We have limited electrical outlets available. Please indicate if you need one. The availability is on a first-come-first-serve basis. </label> <input type="text" placeholder="Here..." name="electrical_outlet"> </div> <div class="agree-terms"> <p> I agree to all the terms as outlined in the attached 2022 vendor letter. </p> </div> </div> </div> <div class="row align-fields"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="signature-fields align-items-start w-100"> <canvas id="signature-pad-1" width="300" height="120" data-id="signaturePad1" class="signature-pad required"></canvas> <div class="d-flex justify-content-between sigclear"> <label>Signature <span class="text-danger"></span></label> <button type="button" id="clear-button-1">Clear</button> </div> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="signature-fields sign-fields-new"> <input type="date" name="signature_1_date" value="<?php echo e(now()->format('Y-m-d')); ?>" class="required"> <label>Date: <span class="text-danger"></span></label> </div> </div> </div> <div class="row"> <div class="col-md-6 col-sm-6 col-12"> <div class="direct0inquiries-head"> <h6>DIRECT INQUIRES TO:</h6> <?php echo $vendor_data->direct_inquiry_detail; ?> </div> </div> </div> </div> </div> <div class="row"> <div class="row"> <div class="col-md-6 col-sm-0 col-12 c-pad"> <div class="back-button"> <button class="bck-btn" disabled>Back</button> </div> </div> <div class="col-md-6 col-sm-12 col-12 c-pad"> <div class="next-button txt-end"> <input type="button" name="next" class="next atc-btn" value="Next"> </div> </div> </div> </div> </fieldset> <!-- Step 2 --> <fieldset> <div class="col-md-12 col-lg-12 col-xl-12 col-sm-12 col-12"> <div class="basic-head"> <h4>W-9</h4> </div> <div class="w9-form-container pr-60 basic-info-main"> <div class="w9-form-top"> <?php echo $vendor_data->w9_header; ?> </div> <div class="row"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Name: <span class="text-danger"></span></label> <input type="text" name="w9_name" placeholder="Name:" class="required"> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>Business Name: <span class="text-danger"></span></label> <input type="text" name="w9_business_name" placeholder="Business Name" class="required"> </div> </div> </div> <div class="w9-form-checkbox"> <p> Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes: <span class="text-danger"></span> </p> <div class="checkbox-flex pt-2 pb-2 "> <div class="rd-box-wizard"> <input type="radio" name="w9_tax_classification" id="slct_vndor2" checked value="Individual/sole proprietor or single-member LLC"> <label for="slct_vndor2"> Individual/sole proprietor or single-member LLC </label> </div> <div class="rd-box-wizard"> <input type="radio" name="w9_tax_classification" value="C Corporation"> <label for="slct_vndor2">C Corporation</label> </div> <div class="rd-box-wizard"> <input type="radio" name="w9_tax_classification" value="S Corporation"> <label for="slct_vndor2">S Corporation</label> </div> <div class="rd-box-wizard"> <input type="radio" name="w9_tax_classification" value="Partnership"> <label for="slct_vndor2">Partnership</label> </div> <div class="rd-box-wizard"> <input type="radio" name="w9_tax_classification" value="Trust/estate"> <label for="slct_vndor2">Trust/estate</label> </div> </div> <div class="rd-box-wizard pt-2 pb-2 limited"> <input type="radio" class="flex-shr" name="w9_tax_classification" value="Limited liability company"> <label for="slct_vndor2"> Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) <span class="d-block"> Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is 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. </span> </label> </div> <div class="rd-box-wizard pt-2 pb-3"> <input type="radio" name="w9_tax_classification" value="Other"> <label for="slct_vndor2">Other</label> </div> </div> <div class="w9-form-exemptions"> <h4 class="padding-top-4 padding-bottom-4 padding-right-4"> Exemptions <span> (codes apply only to certain entities, not individuals; see instructions on page 3): </span> </h4> <div class="row pt-3"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label> Exempt payee code <span class="light-text">(if any)</span> </label> <input type="text" placeholder="payee code" name="w9_payee_code"> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label> Exemption from FATCA reporting code <span class="light-text"> (if any) </span> </label> <input type="text" placeholder="FATCA reporting code" name="w9_reporting_code"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field"> <label> Address <span class="light-text"> (number, street, and apt. or suite no.) </span> See instructions <span class="text-danger"></span> </label> <input type="text" placeholder="Address" class="required" name="w9_address"> </div> </div> </div> <div class="row"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>City, state, and ZIP code <span class="text-danger"></span></label> <input type="text" placeholder="City, state, and ZIP code" class="required" name="w9_city_state_zip"> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="wizard-input-field"> <label>List account number(s) here (optional)</label> <input type="text" placeholder="List account" name="w9_list_account"> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 col-12 c-pad"> <div class="wizard-input-field"> <label> Requester’s name and address (optional)</label> <input type="text" name="w9_requester_name_address" placeholder=" Requester’s name and address (optional)"> </div> </div> </div> </div> <div class="w9-form-taxpayer"> <h5>Request for Taxpayer Identification Number and Certification</h5> <p> 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 entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. </p> <div class="row align-items-md-center"> <div class="col-md-5 col-sm-5 col-12 c-pad"> <div class="wizard-input-field"> <label>Social security number</label> <input type="text" placeholder="xxx - xx - xxxx" name="w9_social_security_number"> </div> </div> <div class="col-md-2 col-sm-5 col-12 c-pad widht"> <h6 class="or-text">Or</h6> </div> <div class="col-md-5 col-sm-5 col-12 c-pad"> <div class="wizard-input-field"> <label>Employer identification number</label> <input type="text" placeholder="xx - xxxxxxx" name="w9_identification_number"> </h6> </div> </div> </div> <p> <span class="mdm-text">Note:</span> 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. </p> </div> <div class="w9-form-taxpayer p-6"> <?php echo $vendor_data->w9_footer; ?> </div> <div class="col-md-8"> <div class="row pb-4 align-items-end"> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="signature-fields align-items-start w-100"> <canvas id="signature-pad-2" width="300" height="80" data-id="signaturePad2" class="signature-pad required"></canvas> <div class="d-flex justify-content-between sigclear"> <label>Signature <span class="text-danger"></span></label> <button type="button" id="clear-button-2">Clear</button> </div> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad"> <div class="signature-fields sign-fields-new"> <input type="date" class="m-0" name="signature_2_date" value="<?php echo e(now()->format('Y-m-d')); ?>"> <label class="py-10">Date: <span class="text-danger"></span></label> </div> </div> </div> </div> <div class="md-open-button"> <button type="button" class="md-opn-btn" data-bs-target="#W9Modal" data-bs-toggle="modal">Read general instructions</button> </div> </div> <div class="row pt-6"> <div class="col-md-12"> <div class="row"> <div class="col-md-6 col-sm-0 col-12 c-pad"> <div class="back-button"> <input type="button" class="previous bck-btn mainbutton" value="Back"> </div> </div> <div class="col-md-6 col-sm-12 col-12 c-pad"> <div class="next-button txt-end"> <input type="button" name="next" class="next atc-btn mainbutton" value="Next"> </div> </div> </div> </div> </div> </div> </fieldset> <!-- Step 3 --> <fieldset> <div class="row m-40"> <div class="col-md-12 col-sm-12 col-12"> <div class="basic-head"> <h4><?php echo e($vendor_data->liability_waiver_heading); ?></h4> </div> <div class="basic-info-main pr-60"> <div class="text-radio liability"> <?php echo $vendor_data->liability_waiver_content; ?> <h5>ACCEPTED AND AGREED TO:</h5> <div class="d-flex align-fields gap-5"> <div class="signature-fields align-items-center w-100"> <canvas id="signature-pad-3" width="300" height="120" data-id="signaturePad3" class="signature-pad required"></canvas> <div class="d-flex justify-content-between sigclear"> <label>Vendor Signature: <span class="text-danger"></span></label> <button type="button" id="clear-button-3">Clear</button> </div> </div> <div class="signature-fields sign-fields-new w-100 "> <input type="date" class="w-100" name="signature_3_date" value="<?php echo e(now()->format('Y-m-d')); ?>" class="required"> <label>Date: <span class="text-danger"></span></label> </div> <div class="signature-fields w-100"> <input type="text" class="height-revert required" name="vendor_name"> <label>Print Vendor name: <span class="text-danger"></span> </label> </div> </div> <div class="col-md-6 col-sm-6 col-12 c-pad mt-4"> <div class="signature-fields sign-fields-new"> <input type="date" value="<?php echo e(now()->format('Y-m-d')); ?>" class="required" name="beneficiary_signature_date"> <label>Boutique Beneficiaries Signature Date: <span class="text-danger"></span> </label> </div> </div> </div> </div> <div class="row pt-6"> <div class="col-md-12"> <div class="row"> <div class="col-md-6 col-sm-0 col-12 c-pad"> <div class="back-button"> <input type="button" class="previous bck-btn mainbutton" value="Back"> </div> </div> <div class="col-md-6 col-sm-12 col-12 c-pad"> <div class="next-button txt-end"> <input type="button" name="next" class="next atc-btn mainbutton" value="Next"> </div> </div> </div> </div> </div> </div> </div> </fieldset> <!-- Step 4 --> <fieldset> <div class="row"> <div class="col-md-12 col-sm-12 col-12"> <div class="basic-head"> <h4><?php echo e($vendor_data->central_cashiering_heading); ?></h4> </div> <div class="basic-info-main pr-60"> <div class="cashier-agree"> <?php echo $vendor_data->central_cashiering_content; ?> </div> </div> <div class="row pt-6"> <div class="col-md-12"> <div class="row"> <div class="col-md-6 col-sm-0 col-12 c-pad"> <div class="back-button"> <input type="button" class="previous bck-btn mainbutton" value="Back"> </div> </div> <div class="col-md-6 col-sm-12 col-12 c-pad"> <div class="next-button txt-end"> <input type="button" name="next" class="next atc-btn mainbutton" value="Next"> </div> </div> </div> </div> </div> </div> </div> </fieldset> <!-- Step 5 --> <fieldset class="congrats"> <div class="row"> <div class="col-12"> <div class="basic-head m-0"> <h4 class="pb-2">Boutique Vendor Letter</h4> </div> </div> <div class="basic-info-main pr-60"> <div class="col-md-12 col-sm-12 col-12"> <div class="basic-head"> <?php echo $vendor_data->vendor_letter; ?> <div class="direct0inquiries-head vendorletter-hd"> <h6>DIRECT INQUIRES TO:</h6> <?php echo $vendor_data->direct_inquiry_detail; ?> </div> </div> </div> </div> <div class="row pt-6"> <div class="col-md-12"> <div class="row"> <div class="col-md-6 col-sm-0 col-12 c-pad"> <div class="back-button"> <input type="button" class="previous bck-btn mainbutton" value="Back"> </div> </div> <div class="col-md-6 col-sm-12 col-12 c-pad"> <div class="next-button txt-end"> <input type="submit" name="next" class=" atc-btn mainbutton" value="Submit"> </div> </div> </div> </div> </div> </div> </fieldset> </form> </div> </div> </div> </section> </div> <div class="modal fade" id="W9Modal" tabindex="-1" aria-labelledby="requestParent" aria-modal="true" role="dialog"> <div class="modal-dialog modal-dialog-centered modal-xl"> <div class=" modal-content rmd-content w9-md-content"> <div class="modal-header rmd-header"> <button type="button" class="md-close" data-bs-dismiss="modal" aria-label="Close"> <img src="<?php echo e(asset('assets/front/images/btn-close.svg')); ?>" alt="" class="img-fluid"> </button> </div> <div class="modal-body rmd-body"> <div class="row justify-content-center"> <div class="md-scroll"> <div class="col-md-12"> <div class="w9-form-taxpayer p-6"> <h5 class="pt-2 pb-2">General Instructions</h5> <h4 class="pt-2 pb-2 ro-regular"> Section references are to the Internal Revenue Code unless otherwise noted. </h4> <p class="pt-2"> <span class="bld-text">Future developments.</span> For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. </p> </div> <div class="w9-form-taxpayer p-6"> <h5 class="pt-2 pb-0">Purpose of Form</h5> <p class="pt-2"> An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. </p> <ul class="ro-regular ft-16"> <li> Form 1099-INT (interest earned or paid)</li> <li> Form 1099-DIV (dividends, including those from stocks or mutual funds) </li> <li> Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) </li> <li> Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) </li> <li>Form 1099-S (proceeds from real estate transactions)</li> <li>Form 1099-K (merchant card and third party network transactions) </li> <li> Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) </li> <li>Form 1099-C (canceled debt)</li> <li>Form 1099-A (acquisition or abandonment of secured property)</li> </ul> <p class="pt-3"> Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. </p> </div> <div class="w9-form-taxpayer p-6"> <h4 class="pt-2 pb-2 ro-regular">By signing the filled-out form, you:</h4> <ul class="ro-regular list-unstyled"> <li> 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),</li> <li> 2. Certify that you are not subject to backup withholding, or</li> <li> 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and</li> <li> 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information.</li> </ul> <p> <span class="txt-bold">Note :</span> If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. </p> <p> <span class="txt-bold">Definition of a U.S. person.</span> For federal tax purposes, you are considered a U.S. person if you are: </p> <p> <ul> <li>An individual who is a U.S. citizen or U.S. resident alien;</li> <li> A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; </li> <li> An estate (other than a foreign estate); or</li> <li>A domestic trust (as defined in Regulations section 301.7701-7). </li> </ul> </p> <p> <span class="txt-bold">Special rules for partnerships.</span> Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. </p> <p> In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States. </p> <ul class="ro-regular mb-1"> <li> In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity; </li> <li> In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and </li> <li> In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust. </li> </ul> <p> <span class="txt-bold">Foreign person.</span> If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). </p> <p> Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes </p> <p> If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. </p> <ul class="ro-regular list-unstyled d-flex flex-column gap-2"> <li> 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. </li> <li> 2. The treaty article addressing the income. </li> <li> 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. </li> <li> 4. The type and amount of income that qualifies for the exemption from tax. </li> <li> 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. </li> </ul> <p> <span class="txt-bold">Example.</span> Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption </p> <p> If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. </p> </div> <div class="w9-form-taxpayer p-6"> <h5 class="pt-2 pb-0">Backup Withholding</h5> <p class="pt-2 pb-2"> <span class="txt-bold">What is backup withholding?</span> Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. </p> <p> You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. </p> <h6 class="txt-bold mb-3">Payments you receive will be subject to backup withholding if:</h6> <ul class="ro-regular d-flex flex-column list-unstyled gap-2"> <li>1. You do not furnish your TIN to the requester,</li> <li>2. You do not certify your TIN when required (see the instructions for Part II for details),</li> <li>3. The IRS tells the requester that you furnished an incorrect TIN, </li> <li>4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or</li> <li>5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).</li> </ul> <p> Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. Also see Special rules for partnerships, earlier. </p> </div> <div class="w9-form-taxpayer p-6"> <h5 class="pt-2 pb-0">What is FATCA Reporting?</h5> <p class="pt-2 pb-3"> The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. </p> </div> <div class="w9-form-taxpayer p-6"> <h5 class="pt-2 pb-0 ">Updating Your Information</h5> <p class="pt-3 "> You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies. </p> </div> <div class="w9-form-taxpayer p-6"> <h5 class="pt-2 pb-0">Penalties</h5> <p class="pt-3"> <span class="txt-bold">Failure to furnish TIN.</span> If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. </p> <p> <span class="txt-bold">Civil penalty for false information with respect to withholding</span> . If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. </p> <p> <span class="txt-bold">Criminal penalty for falsifying information.</span> Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. </p> <p> <span class="txt-bold">Misuse of TINs.</span> If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. </p> </div> <div class="w9-form-taxpayer p-6"> <h5 class="pt-2 pb-2">Specific Instructions</h5> <span class="txt-bold">Line 1</span> <p class=""> You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. </p> <p class=""> If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. </p> <p class="pt-3"> <span class="txt-bold">a. Individual.</span> Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. </p> <p class="pt-3"> <span class="txt-bold">ITIN applicant:</span> Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application. </p> <p class="pt-3"> <span class="txt-bold">b. Sole proprietor or single-member LLC.</span> Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2. </p> <p class="pt-3"> <span class="txt-bold"> c. Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. </span> Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2. as” (DBA) name on line 2. </p> <p class="pt-3"> <span class="txt-bold">d. Other entities.</span> Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2. </p> <p class="pt-3"> <span class="txt-bold">e. Disregarded entity.</span> For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. </p> <span class="txt-bold pb-2 d-block">Line 2</span> <p> If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2. </p> <span class="txt-bold">Line 3</span> <p> Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3. </p> </div> <div class="w9-form-taxpayer p-6"> <div class="table-responsive"> <table class="table table-bordered border-item bdr-table"> <thead> <tr> <th scope="col">IF the entity/person on line 1 is a(n) . . . </th> <th scope="col">THEN check the box for . . .</th> </tr> </thead> <tbody> <tr> <td>• Corporation</td> <td>• Corporation</td> </tr> <tr> <td> • Individual <br> • Sole proprietorship, or <br> • Single-member limited liability company (LLC) owned by an <br> individual and disregarded for U.S. federal tax purposes. </td> <td>• Individual/sole proprietor or singlemember LLC</td> </tr> <tr> <td> • LLC treated as a partnership for U.S. federal tax purposes, <br> • LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or <br> • LLC that is disregarded as an entity separate from its owner but <br> the owner is another LLC that is not disregarded for U.S. federal tax purposes. </td> <td> • Limited liability company and enter the appropriate tax classification. <br> (P= Partnership; C= C corporation; or S= S corporation) </td> </tr> <tr> <td>• Partnership</td> <td>• Partnership</td> </tr> <tr> <td>• Trust/estate</td> <td>• Trust/estate</td> </tr> </tbody> </table> </div> </div> <div class="w9-form-taxpayer p-6"> <h4 class="pb-"> <h6 class="txt-bold">Line 4, Exemptions</h6> </h4> <p class=""> If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you </p> <h6 class="txt-bold">Exempt payee code.</h6> <p> • Generally, individuals (including sole proprietors) are not exempt from backup withholding. <br> • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. <br> • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. <br> • Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. <br> </p> <p> The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4. </p> <p> 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 requirements of section 401(f)(2) <br> 2—The United States or any of its agencies or instrumentalities <br> 3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities <br> 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities <br> 5—A corporation <br> 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession <br> 7—A futures commission merchant registered with the Commodity Futures Trading Commission <br> 8—A real estate investment trust <br> 9—An entity registered at all times during the tax year under the Investment Company Act of 1940 <br> 10—A common trust fund operated by a bank under section 584(a) <br> 11—A financial institution <br> 12—A middleman known in the investment community as a nominee or custodian <br> 13—A trust exempt from tax under section 664 or described in section 4947 <br> </p> <p> 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. </p> <div class="table-responsive"> <table class="table table-bordered border-item bdr-table "> <thead> <tr> <th scope="col">IF the payment is for . . .</th> <th scope="col">THEN the payment is exempt for . . .</th> </tr> </thead> <tbody> <tr> <td>Interest and dividend payments</td> <td>All exempt payees except for 7</td> </tr> <tr> <td> Broker transactions </td> <td> Exempt payees 1 through 4 and 6 through 11 and all C corporations. <br> S corporations must not enter an exempt payee code because they <br> are exempt only for sales of noncovered securities acquired <br> prior to 2012. </td> </tr> <tr> <td> Barter exchange transactions and patronage dividends </td> <td>Exempt payees 1 through 4</td> </tr> <tr> <td> Payments over $600 required to be reported and direct <br> sales over $5,000 </td> <td>Generally, exempt payees 1 through 52</td> </tr> <tr> <td> Payments made in settlement of payment card or third <br> party network transactions </td> <td>Exempt payees 1 through 4</td> </tr> </tbody> </table> </div> <p> 1 See Form 1099-MISC, Miscellaneous Income, and its instructions. <br> 2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross roceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. </p> <p> <span class="txt-bold">Exemption from FATCA reporting code.</span> The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only 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 are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code. </p> <p> A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37) <br> B—The United States or any of its agencies or instrumentalities <br> C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities <br> D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i) <br> E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i) <br> F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state <br> G—A real estate investment trust <br> H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940 <br> I—A common trust fund as defined in section 584(a) <br> J—A bank as defined in section 581 <br> K—A broker <br> L—A trust exempt from tax under section 664 or described in section 4947(a)(1) <br> M—A tax exempt trust under a section 403(b) plan or section 457(g) plan <br> </p> <p> <span class="txt-bold">Note:</span> You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed. </p> </div> <div class="w9-form-taxpayer p-6"> <h6 class="txt-bold">Line 5</h6> <p class=""> Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the <br> one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records. </p> </div> <div class="w9-form-taxpayer p-6"> <h6 class="txt-bold">Line 6</h6> <p class=""> Enter your city, state, and ZIP code. </p> <h6 class="ro-regular">Part I. Taxpayer Identification Number (TIN)</h6> <p> <span class="txt-bold">Enter your TIN in the appropriate box.</span> If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below. </p> <p> If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. </p> <p> If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN. </p> <p> <span class="txt-bold">Note:</span> See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. </p> <p> <span class="txt-bold">How to get a TIN.</span> If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days. </p> <p> If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding </p> <p> <span class="txt-bold">Note:</span> Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon. </p> <p> <span class="txt-bold">Caution:</span> A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8. </p> </div> <div class="w9-form-taxpayer p-6"> <h4 class="pb-2 ro-regular"> Part II. Certification </h4> <p class=""> To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. </p> <p> <span class="txt-bold">Signature requirements.</span> Complete the certification as indicated in items 1 through 5 below. </p> <p> <span class="txt-bold">1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983.</span> You must give your correct TIN, but you do not have to sign the certification. </p> <p> <span class="txt-bold"> 2. Interest, dividend, broker, and barter exchange accounts opened after 1983</span> and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. </p> <p> <span class="txt-bold">3. Real estate transactions.</span> You must sign the certification. You may cross out item 2 of the certification. </p> <p> <span class="txt-bold">4. Other payments.</span> You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care <br> services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). </p> <p> <span class="txt-bold"> 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. </span> You must give your correct TIN, but you do not have to sign the certification. </p> </div> <div class="w9-form-taxpayer pt-6 pb-6"> <h6>What Name and Number To Give the Requester</h6> <div class="table-responsive"> <table class="table table-bordered border-item bdr-table "> <thead> <tr> <th scope="col">For this type of account:</th> <th scope="col">TGive name and SSN of:</th> </tr> </thead> <tbody> <tr> <td>Individual</td> <td>The Individual</td> </tr> <tr> <td> Two or more individuals (joint account) other than an account maintained by an FFI </td> <td> The actual owner of the account or, if combined funds, the first individual on the account1 </td> </tr> <tr> <td> Two or more U.S. persons (joint account maintained by an FFI) </td> <td>Each holder of the account</td> </tr> <tr> <td>Custodial account of a minor (Uniform Gift to Minors Act) </td> <td>The minor2</td> </tr> <tr> <td> a. The usual revocable savings trust (grantor is also trustee) <br> b. So-called trust account that is not a legal or valid trust under state law </td> <td> The grantor-trustee1 <br> The actual owner1 </td> </tr> <tr> <td> Sole proprietorship or disregarded entity owned by an individual </td> <td>The owner3</td> </tr> <tr> <td> Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i) (A)) </td> <td>The grantor</td> </tr> </tbody> <thead> <tr> <th>For this type of account:</th> <th>Give name and EIN of:</th> </tr> </thead> <tbody> <tr> <td>Disregarded entity not owned by an individual</td> <td>The owner</td> </tr> <tr> <td>A valid trust, estate, or pension trust</td> <td>Legal entity4</td> </tr> <tr> <td> Corporation or LLC electing corporate status on Form 8832 or Form 2553 </td> <td>The corporation</td> </tr> <tr> <td> Association, club, religious, charitable, educational, or other tax exempt organization </td> <td>The organization</td> </tr> <tr> <td>Partnership or multi-member LLC</td> <td>The partnership</td> </tr> <tr> <td>A broker or registered nominee</td> <td>The broker or nominee</td> </tr> <tr> <td> Account with the Department of Agriculture in the name of a public <br> entity (such as a state or local government, school district, or <br> prison) that receives agricultural program payments </td> <td>The public entity</td> </tr> <tr> <td> Grantor trust filing under the Form 1041 Filing Method or the Optional <br> Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B)) </td> <td>The trust</td> </tr> </tbody> </table> </div> <p> 1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished. <br> 2 Circle the minor’s name and furnish the minor’s SSN. <br> 3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or <br> EIN (if you have one), but the IRS encourages you to use your SSN. 4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated <br> in the account title.) Also see Special rules for partnerships, earlier. </p> <p> <span class="txt-bold">Note.</span> The grantor also must provide a Form W-9 to trustee of trust. </p> <p> <span class="txt-bold">Note.</span> If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. </p> <h6 class="ro-regular">Secure Your Tax Records From Identity Theft</h6> <p> Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. </p> <h6>To reduce your risk:</h6> <p> • Protect your SSN, <br> • Ensure your employer is protecting your SSN, and <br> • Be careful when choosing a tax preparer. <br> </p> <p> If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. <br> If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. <br> For more information, see Pub. 5027, Identity Theft Information for Taxpayers. <br> Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059. <br> </p> <p><span class="txt-bold">Protect yourself from suspicious emails or phishing schemes.</span> Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. </p> <p> The IRS does not initiate contacts with taxpayers via emails Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.</p> <p> If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027.</p> <p> Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk. </p> <h6 class="ro-regular ft-18 pt-3 pb-2">Privacy Act Notice</h6> <p> Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. 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