Request for Taxpayer Identification Number and Certification

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

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.

Individual/sole proprietor or single-member LLCC CorporationS CorporationPartnershipTrust/estateLimited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)

Note: Check the appropriate box in the line above for the tax classification of the single-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.

Other (see instructions)

4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

5 Address (number, street, and apt. or suite no.) See instructions.

6 City, state, and ZIP code

7 List account number(s) here (optional)

Requester’s name and address (optional)

Social security number
# # # # # # # # #

Or

Employee identification number
# # # # # # # # #

Signature of U.S. person

Date

By submitting this form, you affirm the accuracy of the W9 records submitted to PACT for tax purposes, acknowledging sole responsibility for the provided information's completeness and correctness. You confirm that you have thoroughly reviewed the PDF submission for 100% accuracy. You understand the importance of this accuracy for tax compliance and agree to cooperate with any verification processes initiated by PACT. It is your obligation to promptly update any changes to your tax information, and PACT will treat the submitted W9 records as confidential. Failure to comply may result in termination of the business relationship, and you indemnify PACT against any claims arising from inaccurate submissions. These terms are governed by the laws of the jurisdiction in which PACT operates, and by submitting the form, you express your understanding and agreement with these terms and conditions.

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