Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500.
Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500. Criminal Penalty for Falsifying Information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.
Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500. (3) CRIMINAL PENALTY FOR FALSIFYING INFORMATION. -- Falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. FOR ADDITIONAL INFORMATION CONTACT YOUR TAX CONSULTANT OR THE IRS.
Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis which results in no backup withholding, you will be subject to a $500 penalty. · Criminal Penalty for Falsifying Information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. · Misuse of TINs. If the requester discloses or uses taxpayer identification numbers in violation of Federal law, the payer may be subject to civil and criminal penalties. FOR ADDITIONAL INFORMATION CONTACT YOUR TAX CONSULTANT OR THE IRS. SUBSTITUTE W-9 To prevent backup withholding on any payment made to a stockholder with respect to subscription proceeds held in escrow, the stockholder is generally required to provide current TIN (or the TIN of any other payee) and certain other information by completing the form below, certifying that the TIN provided on Substitute Form W-9 is correct (or that such investor is awaiting a TIN), that the investor is a U.S. person, and that the investor is not subject to backup withholding because (i) the investor is exempt from backup withholding, (ii) the investor has not been notified by the IRS that the investor is subject to backup withholding as a result of failure to report all interest or dividends or (iii) the IRS has notified the investor that the investor is no longer subject to backup withholding. If the box in Part 3 is checked and a TIN is not provided by the time any payment is made in connection with the proceeds held in escrow, 28% of all such payments will be withheld until a TIN is provided and if a TIN is not provided within 60 days, such withheld amounts will be paid over to the IRS. See the guidelines below for instructions on how to fill out the Substitute W-9. SUBSTITUTE Part 1 — PLEASE PROVIDE YOUR TIN BELOW AND CERTIFY BY SIGNING AND DATING BELOW. TIN: Form W-9 Department of the Treasury Internal Revenue Service Payer’s Request for Taxpayer Identification Number (“TIN”) Part 2 — 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); (2) I am not subject to backup withholding because (a) I am exempt from withholding or (b) I have not been notified by the Internal Revenue Service (the “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 withho...
Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500. (3) CRIMINAL PENALTY FOR FALSIFYING INFORMATION. -- Falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. FOR ADDITIONAL INFORMATION CONTACT YOUR TAX CONSULTANT OR THE IRS. (DO NOT WRITE IN SPACE BELOW) CERTIFICATE OUTSTANDING NOTES OUTSTANDING NOTES SURRENDERED TENDERED ACCEPTED ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Delivery Prepared by: -------------------------------------------------- Checked by: ------------------------------------------------------------ Date: ------------------------------------------------------------------
Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal Penalty for Falsifying Information. -- Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINS. -- If the requester discloses or uses TINs in violation of Federal law, the requester may be subject to civil and criminal penalties. SPECIFIC INSTRUCTIONS Name. -- If you are an individual, you must generally provide the name shown on your Social Security card. However, if you have changed your last name, for instance, due to marriage, without informing the Social Security Administration of the name change, please enter your first name, the last name shown on your Social Security card, and your new last name. If you are a sole proprietor, you must furnish your individual name and either your SSN or EIN. You may also enter your business name or "doing business as" name on the business name line. Enter your name(s) as shown on your Social Security card and/or as it was used to apply for your EIN on Form SS-4. SIGNING THE CERTIFICATION
Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis that results in no imposition of backup withholding, you are subject to a penalty of $500. CRIMINAL PENALTY FOR FALSIFYING INFORMATION. -- Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. SPECIFIC INSTRUCTIONS NAME. -- If you are an individual, generally provide the name shown on your social security cared. However, if you have changed your last name, for instance, due to marriage, without informing the Social Security Administration of the name change, please enter your first name and both the last name shown on your social security card and your new last name.
Civil Penalty for False Information With Respect to Withholding. If I make a false statement with no reasonable basis that results in no imposition of backup withholding, I am subject to a $500 penalty. Criminal Penalty for Falsifying Information Willfully falsifying certifications or affirmations may subject me to criminal penalties including fines and/or imprisonment. 1I must show my individual name, but I may also enter my business or “doing business as” name. Misuse of TINs If you disclose or use TINs in violation of Federal law, you may be subject to civil and criminal penalties. SPECIFIC INSTRUCTIONS Name If I am an individual, I must generally enter the name shown on my Social Security card. However, if I have changed my last name, for instance, due to marriage, without informing the Social Security Administration of the name change, I may enter my first name, the last name shown on my Social Security card, and my new last name. Sole Proprietor I must furnish my individual name and either enter my Social Security Number (SSN) or Employer Identification Number (EIN) (The IRS prefers the SSN.) I may also enter my F name or “doing business as” on the business name line. I will enter my name(s) as shown on my Social Security card and/or as it was used to apply for my EIN on Form SS-4. Taxpayer Identification Number (TIN) I must enter my TIN in the appropriate box. If I am a sole proprietor, I may enter my SSN or EIN. I will also see the chart below for further clarification of name and TIN combinations. If I do not have a TIN, I will follow the instructions under How to Get a TIN above. For Payees Exempt From Backup Withholding Individuals (including sole proprietors) are not exempt from backup withholding. Corporations are exempt from backup withholding for certain payments, such as interest and dividends. For a complete list of exempt payees, I will see the separate Instructions for the Requester of Form W-9. If I am exempt from backup withholding, I should still complete the form to avoid possible erroneous backup withholding. I will enter my correct TIN, write “Exempt” and sign and date the form. If I am a nonresident WHAT NAME AND NUMBER TO GIVE THE CREDIT UNION For this type of account:
Civil Penalty for False Information With Respect to Withholding. If I make a false statement with no reasonable basis that results in no backup withholding, I am subject to a $500 penalty. Criminal Penalty for Falsifying Information. Willfully falsifying certifications or affirmations may subject me to criminal penalties including fines and/or imprisonment. Misuse of TINs. If you disclose or use TINs in violation of Federal law, you may be subject to civil and criminal penalties. SPECIFIC INSTRUCTIONS Name. If I am an individual, I must generally enter the name shown on my social security card. However, if I have changed my last name, for instance, due to marriage, without informing the Social Security Administration of the name change, I enter my first name, the last name shown on my social security card and my new last name. If the account is in joint names, I list first and then circle the name of the person or entity whose number I enter in Part I of the form. Sole Proprietor. I enter my individual name as shown on my social security card on the “Name” line. I may enter my business, trade or “doing business as (DBA)” name on the “Business Name” line. Individuals (including sole proprietors) are not exempt from backup withholding. For more information on exempt payees, see the Instructions for the Requester of Form W-9. If I am a nonresident alien or a foreign entity not subject to backup withholding, I give the requester the appropriate completed Form W- 8. Note: If I am exempt from backup withholding, should still complete the form to avoid possible erroneous backup withholding.
Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500. (3) CRIMINAL PENALTY FOR FALSIFYING INFORMATION. Falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. FOR ADDITIONAL INFORMATION CONTACT YOUR TAX CONSULTANT OR THE INTERNAL REVENUE SERVICE. -------------------------------------------------------------------------------- Page 18 -------------------------------------------------------------------------------- THIS IS AN IMPORTANT DOCUMENT. If you are in doubt as to how to deal with it, consult your Shareholder or Financial Adviser without delay. The Registry for the Offer in Australia is:
