COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- COUNTY OF GREENVILLE PROCUREMENT CARD PROGRAM
- Solicitation number
- RFP #25087
- Issued by
- Greenville County, South Carolina
About this file
This document is a Substitute Form W-9 issued by the County of Greenville, a local government entity in South Carolina, designed to collect vendor tax and payment information for potential contractors. The form is specifically tailored for vendors participating in county procurement processes, such as the Procurement Card Program, and requires detailed information about the vendor's legal status, tax identification, service type, and contact details. The form, revised in October 2022, is mandatory for vendors seeking to do business with the county and must be completed accurately to ensure timely payment.
The form requires vendors to specify their entity tax classification (options include individual/sole proprietorship, partnership, corporation types, or other entities) and the type of service they provide (medical, legal, rental, products/services). Vendors must provide their Taxpayer Identification Number (TIN), which can be a Social Security Number (SSN) or Employer Identification Number (EIN/FIN), and certify their U.S. citizenship or U.S. person status. The document includes a certification section where vendors affirm the accuracy of their information and attest to their backup withholding status, with a space for signature and date. The form emphasizes that failure to provide the requested information in a timely manner could prevent or delay payment for services rendered.
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Other files
| File | Type | Posted |
|---|---|---|
| COUNTY_OF_GREENVILLE_PROCUREMENT_CARD_PROGRAM.pdf | ||
| Sample_Services_Agreement.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: |
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File details come from the government source that posted it. Updated .