COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- ROOF REPLACEMENT FOR ANIMAL CARE SERVICES
- Solicitation number
- RFP #26069
- 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, related to a roof replacement project for Animal Care Services located at 328 Furman Hall Road, Greenville, SC 29609. The form is a tax identification and payment remittance document required from contractors and vendors doing business with Greenville County. The document collects essential contractor information including legal name, trade name, taxpayer identification number (either Social Security Number or EIN/FIN), legal address, entity tax classification, and the type of service being provided. Contractors must specify their service category, such as medical/veterinary services, legal services, rental of real property, or products/services, with an option to specify other service types. The form requires certification under penalty of perjury that the provided taxpayer identification number is correct and that the contractor is a U.S. citizen or U.S. person not subject to backup withholding.
The payment remittance section of the form requires contractors to provide a separate address for payment, along with contact information including name, telephone, fax, and email. This revised October 2022 version of the County of Greenville Substitute Form W-9 specifies that the IRS Form W-9 will not be accepted as a substitute, making compliance with this specific form mandatory for payment processing. The document emphasizes that failure to provide the taxpayer identification number in a timely manner could prevent or delay payment from the County of Greenville.
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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 .