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Do you have either another Affiliate account or a Publisher account on AllRomance.com or OmniLit.com? (Note: This includes self-published authors who sell on our sites)

Yes No

If yes, enter all other Publisher or Affiliate ID's separated by commas. (Note: If you log into your Publisher or Affiliate account and go to the Info page, you will find your ID at the top above your company name.)

NOTE: Instructions for the full length IRS W-9 form for US businesses can be found at the following link: http://www.irs.gov/pub/irs-pdf/fw9.pdf

US TaxPayer ID Number

Check the appropriate business structure and provide SSN, TIN, or EIN as indicated:

Individual/Sole Proprietor Social Security Number

Limited Liability Company Individual

Limited Liability Company Partnership

Limited Liabilty Company Incorporated

Partnership (non LLC) Taxpayer ID Number

Corporation (non LLC) Taxpayer ID Number

Enter your EIN,TIN or SSN per your selection above:

(9 digits only. Do not include slashes or spaces)

Additional applicable details about your business ownership, structure, or tax liability status that you need us to know:

Certification - Under penalties of perjury, I certify that:

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
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
I am a U.S. citizen or other U.S. person (defined as a US resident alien and/or a partnership, corporation, or association created or organized in the United States or under the laws of the United States).

By checking this box you are confirming accuracy of your information and attesting to the above certification

NOTE: Fill this out if the main address for your business is physically located outside the United States in a country that currently has a tax treaty with the United States. Instructions for IRS form W-8BEN can be found at: http://www.irs.gov/pub/irs-pdf/iw8ben.pdf

Country of incorporation or organization:

Business Structure Recipient Code:

Additional applicable details about your business ownership, structure, or tax liability status:

Foreign Tax ID Number: (Note: Only enter your Country's actual tax ID in the field below. Do not include punctation or spaces)

US Taxpayer Identification Number (SSN, ITIN, EIN): (Note: If a US Taxpayer Id is not provided, you will be subject to 30% withholding)

Check here if this number is an EIN:

Yes No

Certification - Under penalties of perjury, I certify that:

I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete,
I am the beneficial owner (or am authorized to sign for the beneficial owner) of all the income to which this form relates,
The beneficial owner is not a U.S. person (defined as a United States citizen or resident alien), and
The income to which this form relates is connected with the conduct of a trade or business in the United States but is not subject to tax under an income tax treaty. If your business was organized in a country that currently does not have a tax treaty with the United States, please email Shannon.Hull@allromanceebooks.com for more information.

By checking this box you are confirming accuracy of your information and attesting to the above certification

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