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. The form is designed to collect taxpayer identification and business information for vendors or contractors seeking to do business with the county. The form requires detailed information including legal business name, taxpayer identification type (SSN or EIN/FIN), legal address, entity tax classification, and the type of service being provided.
The form includes sections for selecting the entity's tax classification (such as individual/sole proprietorship, partnership, corporation, or trust) and the type of service provided (medical, legal, rental, or other services). Vendors must provide contact information for payment remittance and certify their tax status under penalties of perjury. The form emphasizes the importance of providing accurate taxpayer identification, noting that failure to do so could prevent or delay payment. The document includes a signature line and date for the vendor to complete, and is part of the county's standard procedure for establishing new vendor relationships and ensuring proper tax reporting.
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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 |
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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 |
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File details come from the government source that posted it. Updated .