Invoice or notice re: WTC Air Quadrant D, Oct 2004

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK DO NOT SEND 9/26/00 REVISION FMS SUBSTITUTE FORM W-9 FORM TO REQUEST FOR TAXPAYER ID NO. & CERTIFICATION IRS TYPE OR PRINT INFORMATION NEATLY. PLEASE REFER TO INSTRUCTIONS FOR MORE INFORMATION. Part I: Vendor Information 1. Legal Business Name: 2. If you use a Doing Business As (DBA) name, please list below:

3. Entity Type (check one only):

Non-Profit Corporation Corporation Government City of New York Employee

Individual/Sole Proprietor Joint Venture Partnership/Limited Liability Company

Non-United States Business Entity (W-8 Required) Resident/Non-Resident Alien (W-8 Required)

Part II: Taxpayer Identification Number (TIN) & Taxpayer Identification Type

1. Enter your TIN here:fDO NOT USE DASHES)

2. Taxpayer Identification Type (check appropriate box): N/A (Non-United States Business Entity)

Employer ID No. (EIN) Social Security No. (SSN) Individual Taxpayer Identification No. (ITIN)

Part III: Primary Administrative /1099 Reporting Address Number, Street: Apartment or Suite No.:

City: State: Nine Digit Zip Code: Country:

Part IV: Exemption from Backup Withholding

For payees that are Non-United States business entities only. See instructions.

Part V: Certification

The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Under penalties of perjury, I certify that the number shown on this form is my correct Taxpayer Identification Number (TIN). I Sign Here * Authorized Signature Date

Preparer’s Name and Phone Number (please print)

Print Preparer’s Name Phone Number

OFFICIAL USE ONLY: I NYC-WTC_000153571