Blank TIN Form~27.docx

This is a Taxpayer Identification Number (TIN) form required by the State of Illinois for the 2 Day Janitorial contract opportunity at 1315 Washington Ave. Cairo, IL 62914. The form serves as a certification document for bidders to provide their correct taxpayer identification information and confirm their compliance with IRS backup withholding requirements. Bidders must complete the form by entering their name, business name, and applicable taxpayer identification number (Social Security Number or Employer Identification Number) based on their legal entity classification. The form requires bidders to certify that they are a U.S. person or U.S. resident alien and are not subject to backup withholding, or have received notification from the IRS that they are no longer subject to such withholding.

The form accommodates various legal entity types including individuals, sole proprietors, partnerships, corporations, limited liability companies, governmental entities, tax-exempt organizations, and specialized entities such as pharmacies and legal services corporations. For corporations providing or billing medical and/or health care services, bidders must indicate their tax classification as either a C corporation or partnership. All bidders must provide an authorized representative signature and date before submission. This documentation is mandatory for vendors registered in the Small Business Set Aside Program competing for this janitorial services contract in Cairo, Illinois.