This document is an IRS Form W-9 used to request a taxpayer's identification number and certification. It provides instructions for individuals and businesses to provide their correct taxpayer identification number to the requester in order to file an information return with the IRS and avoid backup withholding. The form includes sections to enter the taxpayer's name, address, and Taxpayer Identification Number. It also includes a certification that the provided information is correct and that the taxpayer is exempt from backup withholding.