Form W-13 - Exstars Reporting Information Request For Taxpayer Identification Number And Certification Page 2

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Form W-13 (1-2014)
Page
Privacy Act Notice
Other entities. Enter your business name as shown on required federal
tax documents on the “Name” line. This name should match the name
Section 6109 requires you to provide your correct EIN to persons
shown on the charter or other legal document creating the entity. You
(including federal agencies) who are required to file information returns
may enter any business, trade, or DBA name on the “Business name/
with the IRS. The person collecting this form uses the information on the
disregarded entity name” line.
form to file information returns with the IRS. Routine uses of this
Part I. Employer Identification Number (EIN)
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.
Persons engaging in ExSTARS activities must possess an employer
commonwealths and possessions for use in administering their tax laws.
identification number (EIN). Social Security Numbers and “Applied For”
The information also may be disclosed to other countries under a treaty,
type designations are not valid. If you do not have an EIN, see How to
to federal and state agencies to enforce civil and criminal laws, or to
get an EIN below.
federal law enforcement and intelligence agencies to combat terrorism.
Enter your EIN in the appropriate box. Enter the EIN associated with
You must provide your EIN whether or not you are required to file a tax
the ExSTARS activities.
return. Certain penalties may also apply for providing false or fraudulent
information.
How to get an EIN. If you do not have an EIN, apply for one
immediately. Use Form SS-4, Application for Employer Identification
If you have comments concerning the accuracy of these time
Number, to apply for an EIN. You can apply for an EIN online by going
estimates or suggestions for making this form simpler, we would be
to and clicking on Employer Identification
happy to hear from you. You can send your comments from
Number (EIN) under Starting a Business. You can get Form SS-4 from
Click on "More Information" and then on
the IRS by visiting or by calling 1-800-TAX-
"Comment on Tax Forms and Publications." You can also write to:
FORM (1-800-829-3676).
Internal Revenue Service
Part II. Certification
Tax Forms and Publications
1111 Constitution Ave. NW, IR-6526
Signature requirements. Signing Form W-13 certifies that the EIN you
Washington, DC 20224
are providing is correct, and establishes the proper U.S entity engaging
Do not send the form to this address. Instead, see Purpose of Form.
in ExSTARS activities.
We respond to many letters by telephone. Therefore, it would be
Form W-13 must be signed by an owner or principal officer. Complete
helpful if you would include your daytime phone number, including the
the signature requirement by typing or clearly writing the name and title
area code, in your correspondence.
of the signee.
Although we cannot respond individually to each comment received,
we do appreciate your feedback and will consider your comments as we
revise our tax products.

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