Fann  W-9
(Rev. November 2017)
Department of the Treasury Internal Revenue Service	Request for Taxpayer Identification Number and Certification
► Go t o www.irs.gov/FormW9 for instructions and the latest information.	Give Form to the requester. Do not send to the IRS.	

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CJ)	1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
St. Lucie West Services District	
	2 Business name/disregarded entity name, If different from above	
	3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.
0  lndividuaVsole proprietor or	:J C CorporaUon	[J S Corporation	D Partnership	CJ TrusVestate single-member LLC
C Limited liability compan.yEnter the tax classiftcalion (C=C corporation, S=S corporation, P=Partnershlp)► 	
Note: Check the appropriate box In the line above for the tax classlficalion of the slngle-member owner. Do not check LLC if the LLC is classified as a single-member LLC that Is disregarded from the owner unless the owner of the LLC Is another LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.
0 Other (see Instructions)► Special Taxing District	4 Exemptions (codes apply only to certain entitles, not Individuals; see Instructions on page 3):

Exempt payee code or any)

Exemption from FATCA reporting code Of any)		
				
		(,Apples to accounts IMhlaiMd' outJid•,,.. USJ	
	5 Address (number, street, and apt. or suite no.) See instructions.
450 SW Utility Drive	Requester's name and address (optlonaij	
	6 City, state, and ZIP code
Port St. Lucie, FL 34986		
	7 List account number(s) here (optionaij	
II::F.T	1:1	Taxpayer Identification Number (TIN)	

 	[IT] DJI 	I I I I

I Social security number	I
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other	-	- entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later.	or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and	.-1 "'E_m_p""lo_y_e_r,..,d,...e-nti...,._fi=-1ca-.ti,...o_n_n_um--=-b-er----,I
Number To Give the Requester for guidelines on whose number to enter.	.--,--,
6 15 I -10 1118 16 18 18 18
      Certification
Under penalties of perjury, I certify that:
The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (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 withholding; and
I am a U.S. citizen or other U.S. person (defined below); and
The FATCA code(s) entered on this fonm Of any) indicating that I am exempt from FATCA reporting is correct.
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. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancellation of debt, contnbutions to an individual retirement arrangement ORA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Here	U.S. person►   /           //		---	Date► 8/21/2018

Sign

Signature of	/)

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General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest infonmation about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an infonnation return with the IRS must obtain your correct taxpayer identification number {TIN) which may be your social security number (SSN), individual taxpayer identification number OTIN), adoption
taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information returns include, but are not limited to, the following.
Form 1099-INT Qnterest earned or paid)

Form 1099-DIV (dividends, including those from stocks or mutual funds)
Fonn 1099-MISC (various types of income, prizes, awards, or gross proceeds)
Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
Fann 1099-S (proceeds from real estate transactions)
Fonn 1099-K (merch_ant card and third party network transactions)
Fonn 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition)
Fonn 1099-C (canceled debt)
Form 1099-A (acquisition or abandonment of secured property)
Use Fonm W-9 only if you are a U.S. person Qncluding a resident alien), to provide your correct TIN.
If you do not retum Farm W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Cal No.10231X	Fonn W-9 (Rev. 11-2017)