COG_Sub_W9.pdf

PDF 170 KB Posted

Attached to
Park Master Plan & Professional Services
Solicitation number
RFQ #26012
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, which is used to collect taxpayer identification and service information from vendors or contractors. The form requires the completion of various fields including legal name, taxpayer identification type, legal address, entity tax classification, and specific service type. The form provides options to select from various entity types such as individual/sole proprietorship, partnership, corporation (C or S), LLC variations, and trusts/estates, as well as service categories like medical, legal, rental, or product services.

The form is designed to collect critical information for tax and payment purposes, with a certification section where the taxpayer affirms their U.S. citizenship, confirms their taxpayer identification number, and certifies they are not subject to backup withholding. The document emphasizes that failure to provide the requested information in a timely manner could prevent or delay payment. It also requires contact information including remittance address, telephone number, fax, and email, and includes a signature and date line for formal acknowledgment of the provided information.

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COG_Sub_W9.pdf PDF
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Sample_Services_Agreement.pdf 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
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Check Box5: Off
Check Box6: Off
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Check Box16: Off

File details come from the government source that posted it. Updated .