Substitute Form W-9

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• Taxpayer or business name* Disregarded entity name (optional)

  Enter full name exactly as shown on your income tax return

  If different from full name (optional)

• US tax ID number* Tax classification*

    SSN   EIN

  Number and type must correspond with name provided

  Select Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate LLC Exempt payee

  
  

• Address* City*

  Include apartment or suite no. if applicable

  
  

• State / ZIP code*

  Select Country United States Canada Select State
  Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Illinois Indiana Iowa Kentucky Louisiana Maryland Massachusetts Michigan Minnesota Mississippi Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington Wisconsin
  Select State Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan

• 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 US citizen or other US person; and
  4.	The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

  The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

• Your signature* Sign date*

  Typing your name acts as your signature and certifies that you have capacity to sign for the person/entity identified on this form

  Use mm-dd-yyyy format, e.g., 09-24-2022
  
  

• Electronic delivery

  Issue me electronic 1099 forms only

  Uncheck to receive a mailed copy in addition to an electronic copy

  Please provide and confirm your email below where INNO LIFE LLC can send Property Management Agreement for you to view and sign.