COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
Plumbing Services State and local contract opportunity
Solicitation number
RFP #26037
Issued by
Greenville County, South Carolina

About this file

The document is a Substitute Form W-9 from the County of Greenville, revised in October 2022, which serves as a tax identification and vendor registration form. The form is designed for vendors to provide their legal and contact information, taxpayer identification number, entity tax classification, and the type of service they provide to the county. It requires vendors to select their business structure (such as individual/sole proprietorship, partnership, corporation, or other), specify the type of service they offer (including options like medical, legal, rental, or products/services), and provide detailed contact and payment remittance information.

The form includes a certification section where the vendor attests under penalties of perjury to the accuracy of their taxpayer identification number, confirms their status regarding backup withholding, and verifies their U.S. citizenship or U.S. person status. The document emphasizes that failure to provide the requested information in a timely manner could prevent or delay payment. The form is specifically tailored to the County of Greenville's requirements and is not interchangeable with the standard IRS Form W-9, as noted prominently at the top of the document.

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Other files attached to Plumbing Services, newest first.
File Type Posted
Plumbing_Services.pdf PDF
Plumbing_Services.pdf PDF
COG_Sub_W9_.pdf PDF
Sample_Services_Agreement.pdf PDF
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:
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File details come from the government source that posted it. Updated .