COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Field Marking Robots
- Solicitation number
- RFP #25043
- 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 a tax information collection form for vendors or contractors. The form is designed to capture essential taxpayer and business information for payment processing, requiring details such as legal name, taxpayer identification number, entity tax classification, and service type. While directly linked to a potential contract opportunity for field marking robots, this specific document is a standard administrative form used to collect vendor information for payment and tax reporting purposes.
The form requires vendors to provide comprehensive details including their legal business name, taxpayer identification type (SSN or EIN/FIN), legal address, entity tax classification (such as individual, partnership, corporation, or LLC), and the type of service being provided. The document includes a certification section where the vendor attests to the accuracy of their tax information, confirms their U.S. citizenship or status, and verifies they are not subject to backup withholding. The form must be signed and dated, and failure to provide the requested information in a timely manner could potentially prevent or delay payment for contracted services.
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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 |
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File details come from the government source that posted it. Updated .