COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
GRANT WRITER
Solicitation number
RFP #26077
Issued by
Greenville County, South Carolina

About this file

This document is a Substitute Form W-9 required by Greenville County, South Carolina, for vendors and service providers contracting with the county. The form requests essential taxpayer identification and business information from contractors, including legal business name, DBA/trade name, taxpayer identification number (either SSN or EIN/FIN), and legal address. Contractors must specify their entity tax classification, selecting from options including individual/sole proprietorship, partnership, LLC, corporation, trust/estate, or other entity types. The form also requires contractors to identify the type of service being provided, with categories including medical or veterinarian services, legal/attorney services, rental of real property, and products/services. Additionally, contractors must provide payment remittance information, including a separate mailing address if different from the legal address, along with contact name, telephone number, fax number, and email address. The form emphasizes that the U.S. Taxpayer Identification Number is mandatory per U.S. tax law, and failure to provide this information in a timely manner could prevent or delay payment from Greenville County.

The form requires the contractor to certify under penalties of perjury that the provided taxpayer identification number is correct, that the contractor is not subject to backup withholding by the IRS (or meets one of the specified exemptions), and that the contractor is a U.S. citizen or other U.S. person. This Substitute Form W-9 is specific to Greenville County and supersedes the standard IRS Form W-9, as noted in the document header. The form was revised in October 2022 and serves as a prerequisite documentation requirement for the county's grant writer services contract opportunity, which seeks an experienced individual or firm to provide grant writing services for Greenville County's Human Relations department.

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Other files

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GRANT_WRITER_(Addendum_#1_Revision).pdf PDF
GRANT_WRITER.pdf PDF
GRANT_WRITER.pdf PDF
COG_Sub_W9_.pdf PDF
Sample_Services_Agreement.pdf PDF
Grant_wariter_request.doc DOC document
Sample_Services_Agreement.pdf PDF
Grant_wariter_request.doc DOC document

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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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