COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Sewer Line Replacement - Westside Park
- Solicitation number
- RFP #26059
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 document issued by the County of Greenville, South Carolina, for use in connection with the Sewer Line Replacement project at Westside Park. The form is designed to collect taxpayer identification information from vendors, contractors, and service providers bidding on or working with Greenville County contracts. The document requires submission of legal business name, Taxpayer Identification Number (either SSN or EIN/FIN), legal address, entity tax classification, and the type of service to be provided. Completion and timely submission of this form is mandatory, as failure to provide the required information in a timely manner could prevent or delay payment to the contractor.
The form emphasizes that the IRS Form W-9 is not acceptable and must be replaced by this County of Greenville substitute version. Contractors must certify under penalty of perjury that the taxpayer identification number provided is correct, that they are not subject to backup withholding by the IRS, and that they are a U.S. citizen or other U.S. person. The document also requires payment remittance information, including a separate mailing address if different from the legal address, contact name, telephone number, fax number, and email address. All fields must be completed accurately and the form must be signed and dated by the authorized representative of the contracting entity before submission to Greenville County.
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Other files
| File | Type | Posted |
|---|---|---|
| Sewer_Line_Replacement_-_Westside_Park.pdf | ||
| WS_Sewer_Line_Replacement.pdf | ||
| 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 |
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File details come from the government source that posted it. Updated .