COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
Countywide Fire Services Study State and local contract opportunity
Solicitation number
RFP #26040
Issued by
Greenville County, South Carolina

About this file

The document is a Substitute Form W-9 issued by the County of Greenville, revised in October 2022, which is used to collect taxpayer and vendor information for payment and tax reporting purposes. The form requires vendors to provide detailed information about their business entity, including legal name, taxpayer identification number, tax classification, and the type of service they provide.

The form captures critical vendor information such as contact details, payment remittance address, and entity type (including options like Individual/Sole Proprietorship, Partnership, Corporation, LLC variations, and Trust/Estate). Vendors must select a service type, with options including medical/veterinarian services, legal/attorney services, rental of real property, or other products/services. The form includes a certification section where the vendor affirms their taxpayer identification number's accuracy, backup withholding status, and U.S. citizenship, under penalties of perjury. The document emphasizes that failure to provide the requested information in a timely manner could prevent or delay payment.

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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 .