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CONGRATULATIONS! - SWMC.com - Sun West Mortgage Company ...

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Part 2: Exemption: If exempt from 1099 Reporting, check here:And circle your qualifying exemption reason below:1. Corporation (there is no exemption for medical & healthcare payments or attorney’sfees)2. Tax Exempt Charity under 501 (a), or IRA.3. The United States or any of its agencies or instrumentalities.4. A state, the District of Columbia, a possession of the United States, or any of theirpolitical subdivisions.5. A foreign government or any of its political subdivisionsPart 3: CertificationThe number shown on this form is my correct taxpayer number (or I am waiting for anumber to be issued) and I am not subject to backup withholding because: (a) I amexempt from backup withholding, or (b) I have not been notified by the Internal RevenueService (IRS) that I am subject to backup withholding as a result of a failure to report allinterest or dividends, or (c) the IRS has notified me that I am no longer subject to backupwithholding, and I am a U. S. person (including a U. S. resident alien).Signature of U.S. Person:Date: ________________Initials:________ BC App Ver. 7.7 10/06/2014 Page 44

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