COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Little Creek Pedestrian Bridge
- Solicitation number
- IFB #26001
- Issued by
- Greenville County, South Carolina
About this file
The document is a Substitute Form W-9 issued by the County of Greenville, South Carolina, designed to collect taxpayer and payment information from vendors or contractors. The form is specifically revised in October 2022 and requires detailed information about the entity's legal name, tax identification number, address, tax classification, and type of service provided. While the form itself does not directly relate to the Little Creek Pedestrian Bridge project, it is a standard administrative document that would be part of the contracting process for potential vendors seeking to work on county projects.
The form includes sections for selecting the entity type (such as individual, partnership, corporation, or LLC), specifying the service type (including options like medical services, legal services, or rental of real property), and providing payment remittance details. The document requires the taxpayer to certify under penalties of perjury that the provided information is correct, they are not subject to backup withholding, and they are a U.S. citizen or person. The form emphasizes that failure to provide the requested information in a timely manner could prevent or delay payment, underscoring its importance in the procurement and payment process for county contracts.
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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: |
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File details come from the government source that posted it. Updated .