COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- OXYGEN CYLINDER RENTAL
- Solicitation number
- RFP #26022
- Issued by
- Greenville County, South Carolina
About this file
This document is a Substitute Form W-9 from the County of Greenville, revised in October 2022, designed to collect vendor tax and payment information for county contracts and payments. The form requires vendors to provide comprehensive details including legal name, taxpayer identification number, business entity classification, and type of service provided. Vendors must select their entity type from options such as Individual/Sole Proprietorship, Partnership, Corporation (C or S), LLC variations, or Trust/Estate, and indicate their service category like Medical, Legal, Rental, or Products/Services.
The form mandates vendors certify their U.S. taxpayer status under penalties of perjury, confirming their correct taxpayer identification number, exemption from backup withholding, and U.S. citizenship. The document emphasizes that failure to provide the requested information in a timely manner could prevent or delay payment. The form requires vendors to provide contact information including payment remittance address, contact name, telephone number, fax, and email, creating a comprehensive vendor information profile for the County of Greenville's financial and administrative records.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| OXYGEN_CYLINDER_RENTAL.pdf | ||
| OXYGEN_CYLINDER_RENTAL.pdf | ||
| SECTION_1.0.docx | DOCX document | |
| Sample_Services_Agreement.pdf | ||
| COG_Sub_W9_.pdf | ||
| SECTION_1.0.docx | DOCX document | |
| Sample_Services_Agreement.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
| Check Box13: Off |
| Check Box14: Off |
| Check Box15: Off |
| Check Box16: Off |
File details come from the government source that posted it. Updated .