Common use of Certification instructions Clause in Contracts

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. Signature of Subscriber/Representative Subscriber Authorized Signatory X Date Signature of Co-Subscriber #1 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Co-Subscriber #2 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Financial Advisor X Date Name (Print) of Signatory Title (Print) of Signatory Please provide the following supporting documentation based on your account type. Individual If a non-US person, Form W-8BEN and Passport or National ID Joint (including JTWROS, Tenants in Common, Community Property) For each non-US Person account holder, Form W-8BEN and Passport or National ID IRA (including ▇▇▇▇, SEP, Rollover, Inherited) None Pension Plan (Non-ERISA) Plan documents Trust Certificate of Trust or Declaration of Trust Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) Estate Letters of testamentary or letters of administration dated within 60 days unless accompanies by a medallion signature guarantee Corporation (including C Corporation, S Corporation, LLC) Formation documents Articles of incorporation or operating agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the entity is a fund (mutual fund, private equity fund, hedge fund), provide the prospectus or offering memorandum Partnership Formation documents Partnership agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the entity is a fund (mutual fund, private equity fund, hedge fund), provide the prospectus or offering memorandum

Certification instructions. You must cross out item 2 (2) above if you have been notified by the IRS has notified you that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. Signature However, if after being notified by the IRS that you were subject to backup withholding you received another notification from the IRS that you were no longer subject to backup withholding, do not cross out item (2). Signature: Date: I certify under penalties of Subscriber/Representative Subscriber Authorized Signatory X Date Signature perjury that a taxpayer identification number has not been issued to me, and either (a) I have mailed or delivered an application to receive a taxpayer identification number to the appropriate Internal Revenue Service Center or Social Security Administration Office or (b) I intend to mail or deliver an application in the near future. I understand that, notwithstanding the information I provided in Part III of Co-Subscriber #1 the Substitute Form W-9 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Co-Subscriber #2 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Financial Advisor X Date Name (Print) of Signatory Title (Print) of Signatory Please provide and the following supporting documentation based on your account type. Individual If a non-US person, Form W-8BEN and Passport or National ID Joint (including JTWROS, Tenants in Common, Community Property) For each non-US Person account holder, Form W-8BEN and Passport or National ID IRA (including ▇▇▇▇, SEP, Rollover, Inherited) None Pension Plan (Non-ERISA) Plan documents Trust fact that I have completed this Certificate of Trust or Declaration of Trust Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/formsAwaiting Taxpayer Identification Number), all reportable payments made to me thereafter will be subject to a 30% backup withholding tax until I provide a properly certified taxpayer identification number. Signature: ______________________________ Date: _________________________ , 200 NOTE: FAILURE TO COMPLETE AND RETURN THE SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING TAX OF 30% OF ANY PAYMENTS MADE TO YOU PURSUANT TO YOUR SUBSCRIPTION FOR COMMON STOCK. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS. Guidelines for Determining the Proper Identification Number to Give the Payer. The taxpayer identification number for an individual is the individual’s Social Security number. Social Security numbers have nine digits separated by two hyphens: e.g., 000-pubs/about00-form-w-8) Estate Letters of testamentary or letters of administration dated within 60 days unless accompanies by a medallion signature guarantee Corporation (including C Corporation, S Corporation, LLC) Formation documents Articles of incorporation or operating agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the 0000. The taxpayer identification number for an entity is a fund (mutual fundthe entity’s Employer Identification number. Employer Identification numbers have nine digits separated by only one hyphen: e.g., private equity fund, hedge fund), provide 00-0000000. The table below will help determine the prospectus or offering memorandum Partnership Formation documents Partnership agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇number to give the payer.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the entity is a fund (mutual fund, private equity fund, hedge fund), provide the prospectus or offering memorandum

Certification instructions. You must cross out item 2 (2) above if you have been notified by the IRS that you are currently subject to backup withholding because of under-reporting interest or dividends on your tax return. However, if after being notified by the IRS that you have failed are subject to backup withholding, you received another notification from the IRS that you are no longer subject to backup withholding, do not cross out item (2). ----------------------------------------------------------------------------------------------------------------------------- SIGNATURE DATE , 1998 --------------------------------------------------------------------- ------------------------------- NOTE: FAILURE TO COMPLETE THIS FORM MAY RESULT IN BACKUP WITHHOLDING OF 31% OF ANY PAYMENTS MADE TO YOU. PLEASE REVIEW ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS. GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 WHAT IS BACKUP WITHHOLDING? -- Persons making certain payments to you are required to withhold and pay to IRS 31% of such payments under certain conditions. This is called "backup withholding." Payments that could be subject to backup withholding include interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee compensation, and certain payments from fishing boat operators, but do not include real estate transactions. If you give the requester your correct TIN, make the appropriate certifications, and report all your taxable interest and dividends on your tax return, your payments will not be subject to backup withholding. Signature of Subscriber/Representative Subscriber Authorized Signatory X Date Signature of Co-Subscriber #1 Payments you receive will be subject to backup withholding if: (if necessary1) X Date Name You do not furnish your TIN to the requester, or (Print2) of Subscriber/Representative Subscriber Authorized Signatory Name IRS notifies the requester that you furnished an incorrect TIN, or (Print3) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Co-Subscriber #2 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Financial Advisor X Date Name (Print) of Signatory Title (Print) of Signatory Please provide the following supporting documentation based You are notified by IRS that you are subject to backup withholding because you failed to report all your interest and dividends on your account type. Individual If a non-US person, Form W-8BEN tax return (for interest and Passport or National ID Joint (including JTWROS, Tenants in Common, Community Property) For each non-US Person account holder, Form W-8BEN and Passport or National ID IRA (including ▇▇▇▇, SEP, Rollover, Inherited) None Pension Plan (Non-ERISA) Plan documents Trust Certificate of Trust or Declaration of Trust Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) Estate Letters of testamentary or letters of administration dated within 60 days unless accompanies by a medallion signature guarantee Corporation (including C Corporation, S Corporation, LLC) Formation documents Articles of incorporation or operating agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the entity is a fund (mutual fund, private equity fund, hedge funddividend accounts only), provide or (4) You fail to certify to the prospectus or offering memorandum Partnership Formation documents Partnership agreement Authorized signatory list Appropriate Form W-8 requester that you are not subject to backup withholding under (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-83) If the entity is a fund above (mutual fund, private equity fund, hedge fundfor interest and dividend accounts opened after 1983 only), provide the prospectus or offering memorandum(5) You fail to certify your TIN. This applies only to interest, dividend, broker or barter exchange accounts opened after 1983, or broker accounts considered inactive in 1983. For other payments, you are subject to backup withholding only if (1) or (2) above applies. Certain Payees and payments are exempt from backup withholding and information reporting. See payees and Payments Exempt From Backup Withholding, below, and Exempt Payees and Payments under Specific Instructions below if you are an exempt payee.

Certification instructions. You must cross out item 2 (2) above if you have been notified by the IRS that you are currently subject to backup withholding because of under-reporting interest or dividends on your tax return. However, if after being notified by the IRS that you have failed are subject to backup withholding, you received another notification from the IRS that you are no longer subject to backup withholding, do not cross out item (2). ------------------------------------------------------------------------------- SIGNATURE ____________________________ DATE ____________ , 1998 ------------------------------------------------------------------------------- NOTE: FAILURE TO COMPLETE THIS FORM MAY RESULT IN BACKUP WITHHOLDING OF 31% OF ANY PAYMENTS MADE TO YOU. PLEASE REVIEW ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS. GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 WHAT IS BACKUP WITHHOLDING? -- Persons making certain payments to you are required to withhold and pay to IRS 31% of such payments under certain conditions. This is called "backup withholding." Payments that could be subject to backup withholding include interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee compensation, and certain payments from fishing boat operators, but do not include real estate transactions. If you give the requester your correct TIN, make the appropriate certifications, and report all your taxable interest and dividends on your tax return, your payments will not be subject to backup withholding. Signature of Subscriber/Representative Subscriber Authorized Signatory X Date Signature of Co-Subscriber #1 Payments you receive will be subject to backup withholding if: (if necessary1) X Date Name You do not furnish your TIN to the requester, or (Print2) of Subscriber/Representative Subscriber Authorized Signatory Name IRS notifies the requester that you furnished an incorrect TIN, or (Print3) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Co-Subscriber #2 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Financial Advisor X Date Name (Print) of Signatory Title (Print) of Signatory Please provide the following supporting documentation based You are notified by IRS that you are subject to backup withholding because you failed to report all your interest and dividends on your account typetax return (for interest and dividend accounts only), or (4) You fail to certify to the requester that you are not subject to backup withholding under (3) above (for interest and dividend accounts opened after 1983 only), or (5) You fail to certify your TIN. Individual If a non-US personThis applies only to interest, Form W-8BEN dividend, broker or barter exchange accounts opened after 1983, or broker accounts considered inactive in 1983. For other payments, you are subject to backup withholding only if (1) or (2) above applies. Certain Payees and Passport or National ID Joint (including JTWROSpayments are exempt from backup withholding and information reporting. See payees and Payments Exempt From Backup Withholding, Tenants in Commonbelow, Community Property) For each non-US Person account holder, Form W-8BEN and Passport or National ID IRA (including ▇▇▇▇, SEP, Rollover, Inherited) None Pension Plan (Non-ERISA) Plan documents Trust Certificate of Trust or Declaration of Trust Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) Estate Letters of testamentary or letters of administration dated within 60 days unless accompanies by a medallion signature guarantee Corporation (including C Corporation, S Corporation, LLC) Formation documents Articles of incorporation or operating agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the entity Exempt Payees and Payments under Specific Instructions below if you are an exempt payee. PAYEES AND PAYMENTS EXEMPT FROM BACKUP WITHHOLDING. -- The following is a fund list of payees exempt from backup withholding and for which no information reporting is required. For interest and dividends, all listed payees are exempt except item (mutual fund9). For broker transactions, private equity fund, hedge fundpayees listed in (1) through (13), provide and a person registered under the prospectus or offering memorandum Partnership Formation documents Partnership agreement Authorized signatory list Appropriate Form W-8 Investment Advisers Act of 1940 who regularly acts as a broker are exempt. Payments subject to reporting under sections 6041 and 6041A are generally exempt from backup withholding only if made to payees described in items (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-81) If the entity is a fund through (mutual fund, private equity fund, hedge fund7), provide the prospectus except that a corporation that provides medical and health care services or offering memorandumbills and collects payments for such services is not exempt from backup withholding or information reporting. Only payees described in items (2) through (6) are exempt from backup withholding for barter exchange transactions, patronage dividends, and payments by certain fishing boat operators.

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. Signature Signature: ________________________________ Date: ______________________ Ž ¨ All Cash Election Only  ¨ All Stock Election Only  ¨ Cash and Stock Election ¨¨¨¨¨¨¨¨ l ¨¨¨¨ ‘ ¨ No Election If you cannot produce some or all of Subscriberyour First Mutual Bancshares, Inc. stock certificates, you must obtain a lost instrument open penalty surety bond. Please see the reverse side of this form for instructions. ’ AFFIDAVIT OF LOST, MISSING OR DESTROYED CERTIFICATE(S) AND AGREEMENT OF INDEMNITY Investor ID Number TOTAL SHARES LOST Please Fill In Certificate No(s). if Known Number of Shares Attach separate schedule if needed By signing this Election and Transmittal Form, I/Representative Subscriber Authorized Signatory X Date Signature of Co-Subscriber #1 (if necessary) X Date Name (Printwe or myself/ourselves swear, depose and state that: I/we or myself/ourselves am/are the lawful owner(s) of Subscriberthe certificate(s) representing shares of First Mutual common stock owned by the undersigned (the “Securities”). The Securities have not been endorsed, pledged, cashed, negotiated, transferred, assigned, or otherwise disposed of. I/Representative Subscriber Authorized Signatory Name We or myself/ourselves have made a diligent search for the securities and have been unable to find it or them and make this Affidavit for the purpose of inducing the sale, exchange, redemption, or cancellation of the securities, as outlined in this Election and Transmittal Form, without the surrender of the original(s), and also to request and induce Federal Insurance Company to provide suretyship for me/us to cover the missing securities under its Blanket Bond # 8302-00-67. I/We or myself/ourselves hereby agree to surrender the Securities for cancellation should I/we or myself/ourselves, at any time, find the Securities. I/We or myself/ ourselves hereby agree for myself/ourselves, my/our heirs, successors, assigns and personal representatives, in consideration of the proceeds of the sale, exchange, redemption or cancellation of the Securities, and the aforementioned suretyship, to indemnify, protect and hold harmless Federal Insurance Company (Print) the Surety), Mellon Investor Services LLC, Washington Federal, First Mutual, and each of Subscribertheir subsidiaries, successors and assigns from and against any and all loss, costs, and damages including court costs and attorney’s fees, which they may be subject to or liable for in respect to the sale, exchange, redemption, or cancellation of the Securities without requiring surrender of the original Securities. The rights accruing to the parties under the preceding sentence shall not be limited or abridged by their negligence, inadvertence, accident, oversight, breach or failure to inquire into, contest, or litigate any claim, whenever such negligence, inadvertence, accident, oversight, breach or failure may occur or may have occurred. I/Representative Subscriber Authorized Signatory Capacity (Print) We or myself/ourselves agree that this Affidavit and Indemnity Agreement is to become part of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of CoBlanket Bond # 8302-Subscriber #2 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Financial Advisor X Date Name (Print) of Signatory Title (Print) of Signatory Please provide the following supporting documentation based on your account type00-67 underwritten by Federal Insurance Company. Individual If a non-US Any person who, knowingly and with intent to defraud any insurance company or other person, Form W-8BEN and Passport files an application or National ID Joint (including JTWROSstatement of claim, Tenants in Commoncontaining any materially false information, Community Property) For each non-US Person account holderor conceals for the purpose of misleading, Form W-8BEN and Passport or National ID IRA (including ▇▇▇▇information concerning any fact material thereto, SEPcommits a fraudulent insurance act, Rollover, Inherited) None Pension Plan (Non-ERISA) Plan documents Trust Certificate of Trust or Declaration of Trust Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) Estate Letters of testamentary or letters of administration dated within 60 days unless accompanies by a medallion signature guarantee Corporation (including C Corporation, S Corporation, LLC) Formation documents Articles of incorporation or operating agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the entity which is a fund crime, and shall also be subject to civil penalties as prescribed by law. X Signed by Affiant (mutual fund, private equity fund, hedge fundstockholder) ______________________________________on this (date), provide the prospectus or offering memorandum Partnership Formation documents Partnership agreement Authorized signatory list Appropriate Form W-8 _______________________________________________ (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8Deponent) If the entity is a fund (mutual fund, private equity fund, hedge fund), provide the prospectus or offering memorandumIndemnitor) (Heirs Individually) Month Day Year Social Security #___________________________ Date____________________ Notary Public_____________________________________

Certification instructions. You must cross out item 2 (2) above if you have been notified by the IRS has notified you that you are currently subject to backup withholding because you have failed to wit report all interest and dividends on your tax returnr by the IRS that you were subject to backup with notification from the IRS that you were no long not cross out item (2). Signature hholding because you have failed to eturn. However, if after being notified holding you received another er subject to backup withholding, do Signature: Date: I certify under penalties of Subscriber/Representative Subscriber Authorized Signatory X Date Signature perjury that a taxpayer identification number has not been issued to me, and either (a) I have mailed or delivered an application to receive a taxpayer identification number to the appropriate Internal Revenue Service Center or Social Security Administration Office or (b) I intend to mail or deliver an application in the near future. I understand that, notwithstanding the information I provided in Part III of Co-Subscriber #1 the Substitute Form W-9 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Co-Subscriber #2 (if necessary) X Date Name (Print) of Subscriber/Representative Subscriber Authorized Signatory Capacity (Print) of Subscriber/Representative Subscriber Authorized Signatory (if necessary) Signature of Financial Advisor X Date Name (Print) of Signatory Title (Print) of Signatory Please provide and the following supporting documentation based on your account type. Individual If a non-US person, Form W-8BEN and Passport or National ID Joint (including JTWROS, Tenants in Common, Community Property) For each non-US Person account holder, Form W-8BEN and Passport or National ID IRA (including ▇▇▇▇, SEP, Rollover, Inherited) None Pension Plan (Non-ERISA) Plan documents Trust fact that I have completed this Certificate of Trust or Declaration of Trust Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/formsAwaiting Taxpayer Identification Number), all reportable payments made to me thereafter will be subject to a 30% backup withholding tax until I provide a properly certified taxpayer identification number. Signature: ______________________________ Date: _________________________ , 200 NOTE: FAILURE TO COMPLETE AND RETURN THE SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING TAX OF 30% OF ANY PAYMENTS MADE TO YOU PURSUANT TO YOUR SUBSCRIPTION FOR COMMON STOCK. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS. Guidelines for Determining the Proper Identification Number to Give the Payer. The taxpayer identification number for an individual is the individual’s Social Security number. Social Security numbers have nine digits separated by two hyphens: e.g., 000-pubs/about00-form-w-8) Estate Letters of testamentary or letters of administration dated within 60 days unless accompanies by a medallion signature guarantee Corporation (including C Corporation, S Corporation, LLC) Formation documents Articles of incorporation or operating agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the 0000. The taxpayer identification number for an entity is a fund (mutual fundthe entity’s Employer Identification number. Employer Identification numbers have nine digits separated by only one hyphen: e.g., private equity fund, hedge fund), provide 00-0000000. The table below will help determine the prospectus or offering memorandum Partnership Formation documents Partnership agreement Authorized signatory list Appropriate Form W-8 (see ▇▇▇▇▇://▇▇▇number to give the payer.▇▇▇.▇▇▇/forms-pubs/about-form-w-8) If the entity is a fund (mutual fund, private equity fund, hedge fund), provide the prospectus or offering memorandum