19-Form 6-Substitute W-9.docx

This is a TWC Substitute W-9 and Direct Deposit Form utilized by the State of Texas, specifically the Texas Comptroller of Public Accounts, for vendor payment processing in connection with the Fort Worth 1st Floor Restroom Renovation project. The form serves as a standardized tax identification and payment authorization document required from contractors and vendors engaged with state contracts. It collects essential vendor information including legal business name, tax identification numbers (SSN or EIN), federal tax classification, business designation, and profit status. The form accommodates various business structures including corporations, sole proprietorships, partnerships, limited liability companies, and government entities. Vendors must certify under penalties of perjury that they have provided correct taxpayer identification information, are not subject to backup withholding, and are U.S. citizens or U.S. persons.

The document requires vendors to elect direct deposit authorization for state payments, with options to establish new accounts, modify existing arrangements, or decline electronic payment altogether. Vendors must provide financial institution details including routing numbers, account types, and account numbers. The form includes a certification section where authorized representatives must sign, print their names, and date the document, confirming authorization for the Texas Comptroller of Public Accounts to electronically transfer payments to the designated financial institution. The form explicitly addresses international payment considerations by requiring disclosure of whether payments will be forwarded to financial institutions outside the United States. This administrative document is essential for payment processing and compliance with state financial regulations for all vendors participating in Texas state and local contract opportunities.