COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Ambulance Remounts
- Solicitation number
- IFB #24033
- Issued by
- Greenville County, South Carolina
About this file
The document is a Substitute Form W-9 issued by the County of Greenville, revised in October 2022, which serves as a tax identification and vendor information form for entities seeking to do business with the county. This specific form is related to a solicitation for three (3) Ambulance Remounts, requiring vendors to complete detailed information about their business entity, including legal name, taxpayer identification number, address, tax classification, and type of service provided.
The form requires vendors to provide comprehensive information for payment and tax reporting purposes, including entity type (such as individual, partnership, corporation, or LLC), service classification, contact details, and a certification under penalties of perjury regarding taxpayer identification and backup withholding status. The form is designed to collect critical vendor information to facilitate accurate and timely payments for government contracts, in this case specifically for the ambulance remount project in Greenville County, South Carolina.
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Other files
| File | Type | Posted |
|---|---|---|
| Ambulance_Remounts_(Addendum_#1_Revision).pdf | ||
| DP_Box_A.jpg | JPG image | |
| DP_Box_B.jpg | JPG image | |
| IFB_#24033_Ambulance_Remount_Specifications.pdf |
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Text version
COUNTY OF GREENVILLE SUBSTITUTE FORM W-9
(IRS Form W-9 will not be accepted in lieu of this form) Revised October 2022
Legal Name (as shown on tax return) DBA/Trade Name
Taxpayer Identification Type TIN (Must match legal name)
__ SSN __ EIN/FIN ________________________
Legal Address (number, street & apt. or suite no.) City, State & Zip code
Entity Tax Classification (Choose only one) Service Provided (Must select a type)
__ Individual/Sole Proprietorship or Single-member LLC __ Medical or Veterinarian service
__ Partnership __ LLC-Partnership __ Legal /Attorney Service
__ C Corporation __ LLC - C- Corp __ Rental of Real Property
__ S Corporation __ LLC- S - Corp __ Products / Services type _____________
__ Other __ Trust /Estate ________________________________
_______________________________________ __ Other (Specify) _____________________
The U.S. Taxpayer Identification Number is being requested per U.S. tax law. Failure to provide in a timely manner could prevent or delay payment.
Payment Remittance Information
Address (number, street & apt. or suite no.) City, State & Zip code
Contact Name Telephone #
Fax # E-mail
Under penalties of perjury, I certify that: 1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me);and
2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3) I am a U.S. citizen or other U.S. person.
Sign Here Date
| Legal Name as shown on tax return: |
| DBATrade Name: |
| TIN Must match legal name: |
| Legal Address number street apt or suite no: |
| City State Zip code: |
| undefined: |
| Products Services type: |
| Other: |
| Other Specify: |
| Address number street apt or suite no: |
| City State Zip code_2: |
| Contact Name: |
| Telephone: |
| Fax: |
| Email: |
| Sign Here: |
| Date: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
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| Check Box10: Off |
| Check Box11: Off |
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| Check Box14: Off |
| Check Box15: Off |
| Check Box16: Off |
File details come from the government source that posted it. Updated .