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12/09/95 09:10 UST CLEFNUP FUND - 912094640138 140.545 P03 VENDOR D>A.,T.�A RECod11) STa 20,�, ;REYERS� ARE YOU A RESIDENT OR A NONRESIDENT? ARE YOU SUBJECT TO NONRESIDENT WITHHOLDING? Each corporation,individuaWsole proprietor,partnership,es- tate or trust doing business with the Stale of California must Payments made to nonresident vendors, including corpora. indicate their residency status along with their vendor identi- tions,individuals,partnerships,estates and trusts,are subject fication number. to wilfiholdiag. Nonresident vendors performing services in California or receiving rent,lease or royalty payments from A corporation will be considered a "resident' if it has a Property(real or personal) located ACalifornia will have7% permanent place of business in Cal ifornia. APermanent place oftheir total payments withheld for slate incone!taxes. How, of business has been established if The corporation isorgonized ever,ac,withholding isrequired iftotalpayments tothevendor - and existing under the laws of this state or, if a foreign for the calendar year are$1500 Or Isss. torpor 0011,it has qualified to transact intrastate business. A - corporation which has not qualified to transact business(e.g., A nonresident vendor can request that income taxes be with- a corporation engaged exclusively in interstate commerce) held al a lower rate or waived. A waiver will generally be will be considered ashavingapermanentplaceofbusinessin granted when a vendorhasa history of filing California returns this stale only if it maintains a permanent off-ice,in this state and making timely estimated payments Il the vendor activity which is permanently staffed by its employees. is carried on outside of California or partially Outside of California, a waiver or reduced withholding rate may be For in proprietors,the term "resident"includes granted, For'more information,contact: every individual who is in California forot her than a temporary or transitory purpose. And, any individual domiciled in Franchise Tax Board California whoisabsenifora temporaryortmnshorypurpase. Withhold at Source Unit Generallyanindividual whocomestoCnliforniafornpurpose Attention: State Agency Withholding Coordinator which will extend over a long or indefinite period will be P.O.Box 651 considered a resident. However,an individual who comes to Sacramento,CA 95812-0651 perform a particular contract of short duration will be consid- (916)369-4900 FAX(916)369-4831 erect a nonresident If a reduced rate of withholding or waiver has been For withholding purposes,a partnership is considered a resi- authorized by the Franchise Tax Board,attach a copy dent partnership if it has a permanent place of business in to this form. California. An estate is considered a California estate if the decedent was a California resident at the time of death and a trust is considered a California W st if at least one trustee is a California resident. More information on residency stalus can be obtained by calling the numbers listed betow:,.' From within the United Stales,call I.......1.800-852-5711 From outside the United States,call......1-800-854-6500 Forbearing impared with TDD,call......1-800-822.6268 PRIVACY STATEMENT Section 7(b)of the Privacy Acrof 1974(Public Law93-579I)requires that any federai,state;oriocal governmental agency which requests art individual to disclose his social security account numbershall inform that individual whetherthatdisclosure is mandaturyorvolantary, by which stmulory or other authority such number is solicited,and what uses will be made of it. The State ofCalifarnla requQas that all partiesentering into business transactions that may lead to paym ent(s)from the State must provide their Taxpayer Identification Number(TIN)in order t0 facilitate the prepumlion of Form 1099 and other information retuffu as required by the Internal Revenue Code,Section 6109 and the State Revenue and Taxation Code,$ectiop 18934.The 77N for individual and sole proprie1Orship8 is the Social Security Number(SSI). It is mandatory to furnish the information requested.Federal law requires that payments for which the requested information is not Provided be subject to a 20%withholding and Stale law imposes noncompliance penalties of up to$20,00(1. You have the right to access records containing your personal information,such as your SSN.To exercise that right,please con fact the business services unit or the accounts payable unit of the Stale ageney(ies)with which you transact business. If yon have any questions regarding this notice,please call the Deportment of Finance,Frse51 Systems and Consulting Unit,at(976)443-Wa5. T'f