Email *

Phone Number *

Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

Business name/ disregarded entity name, if different from above

https://www.american-homes.us/wp-content/uploads/2021/03/tick-inside-circle.png Individual/sole proprietor or single-member LLC

https://www.american-homes.us/wp-content/uploads/2021/03/tick-inside-circle.png C Corporation

https://www.american-homes.us/wp-content/uploads/2021/03/tick-inside-circle.png S Corporation

https://www.american-homes.us/wp-content/uploads/2021/03/tick-inside-circle.png Partnership

https://www.american-homes.us/wp-content/uploads/2021/03/tick-inside-circle.png Trust/estate

https://www.american-homes.us/wp-content/uploads/2021/03/tick-inside-circle.png Limited Liability company

https://www.american-homes.us/wp-content/uploads/2021/03/tick-inside-circle.png Other ( see instructions)

Exampt payse code (if any)

Exampltion from FATCA reporting code (if any)

Address (Number, Street and apt or suite no) See Instructions

State, City, Zip Code

List account number(s) here (optional)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid 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.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Under penalties of perjury, I certify that:
1. 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
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 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
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if 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, contributions to an individual retirement arrangement (IRA), 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.

Signature Here *

Date *

Please upload copy of your Driver License, social security card OR company incorporation document and broker license (if applicable)

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