11-W-9.pdf

This is an IRS Form W-9 (Request for Taxpayer Identification Number and Certification) issued by the Department of the Treasury Internal Revenue Service, revision October 2018. The form is designed to collect taxpayer identification information from individuals or entities who are required to file an information return with the IRS, typically used by businesses and organizations to obtain correct taxpayer identification numbers from payees, vendors, or contractors before issuing payments that must be reported to the IRS.

The form requires the requestor to provide their name, business name (if different), federal tax classification (including options for individual, sole proprietor, single-member LLC, C Corporation, S Corporation, Partnership, Trust/estate, or other), address, city/state/ZIP code, and account numbers if applicable. Part I collects the Taxpayer Identification Number (TIN), which can be either a Social Security Number for individuals or an Employer Identification Number for business entities. Part II includes certification requirements where the signatory confirms the accuracy of their TIN, their tax status regarding backup withholding, and compliance with FATCA reporting requirements. The form includes general instructions explaining its purpose for various tax reporting scenarios including Forms 1099-DIV, 1099-MISC, 1099-B, 1099-S, 1099-K, 1098, 1098-E, 1098-T, 1099-C, and 1099-A.