1. The number shown on this form is my correct taxpayer identification number and
2. I am not subject to backup withholding because:(a) I am exempt from backup withholding, or(b) I have not been notified by the IRS. 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 I am no longer subject to withholding; and
3. I am a U.S. citizen or other US person.