COG_Sub_W9_.pdf
PDF 170 KB Posted
- Solicitation number
- RFP #26098
- 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 by contractors and vendors conducting business with the county. The form requests standard taxpayer identification information including legal name, DBA/trade name, taxpayer identification number (either SSN or EIN/FIN), and legal address. Vendors must select their entity tax classification from options including individual/sole proprietorship, partnership, corporation, LLC, trust/estate, or other designations, and must specify the type of service provided such as medical/veterinarian services, legal/attorney services, rental of real property, or products/services. The form also requires a separate payment remittance address, contact name, telephone, fax, and email information. 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 U.S. person. The form must be signed and dated by the vendor, with the county noting that failure to provide the required taxpayer identification information in a timely manner could prevent or delay payment.
The Greenville County substitute W-9 form is mandatory for all vendors seeking to do business with the county and cannot be replaced with the federal IRS Form W-9. This form is a prerequisite document that must be completed as part of the vendor registration and payment processing requirements for any state or local contract opportunity with Greenville County, including the Twin Chimneys Landfill earthwork project. The form was last revised in October 2022 and serves as the county's standard method for collecting vendor tax identification and remittance information necessary for compliance with federal tax law and the county's accounts payable processes.
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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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