COG_Sub_W9_.pdf
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- Attached to
- ACTUARY SERVICES FOR OPEB
- Solicitation number
- RFP #26036
- Issued by
- Greenville County, South Carolina
About this file
This document is a Substitute Form W-9 issued by the County of Greenville, which is a tax identification and vendor information collection form revised in October 2022. The form is designed to collect essential information from vendors or service providers who will be doing business with the county, including their legal name, taxpayer identification number, entity tax classification, and the type of service they provide. The form requires vendors to select their business entity type (such as individual/sole proprietorship, partnership, corporation, or trust) and specify the service they will render, with options including medical services, legal services, rental of real property, or other specified products/services.
The form includes a certification section where the vendor attests under penalties of perjury that their taxpayer identification number is correct, they are not subject to backup withholding, and they are a U.S. citizen or U.S. person. The document emphasizes the importance of providing accurate information, noting that failure to provide the taxpayer identification number in a timely manner could prevent or delay payment. The form also requests payment remittance information, including contact details, address, telephone number, and email, to facilitate smooth financial transactions between the vendor and Greenville County.
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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 .