W-9 2025 SIGNED~5.pdf

This is a Form W-9, Request for Taxpayer Identification Number and Certification, completed by Deborah Epstein, operating under the business name Deborah Epstein d/b/a Fancy That. The document is a federal tax form issued by the U.S. Department of the Treasury Internal Revenue Service for the purpose of collecting taxpayer identification information from individuals and entities engaged in reportable transactions or business relationships.

The form captures Deborah Epstein's business address at 3550 N. Lake Shore Drive #712, Chicago, Illinois 60657, and identifies her as an individual/sole proprietor or single-member LLC. The completed form includes an Employer Identification Number (EIN) of 36-3748785, which serves as her federal tax identification number for business purposes. The certification section, signed on 5/29/95, confirms that the taxpayer identification number provided is correct and that the individual certifies compliance with backup withholding requirements and IRS notification standards. This form is typically provided to entities that will be filing information returns such as Forms 1099, which report payments made to independent contractors and service providers.