COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- INMATE TELEPHONE AND COMMUNICATION SERVICES
- Solicitation number
- RFP #26104
- 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 conjunction with an Inmate Telephone and Communication Services contract opportunity. The form is used to collect taxpayer identification information from vendors and service providers doing business with Greenville County. Rather than accepting the standard IRS Form W-9, Greenville County requires completion of this county-specific substitute form, which was revised in October 2022. The document requests essential vendor information including legal name, DBA/trade name, taxpayer identification number (either SSN or EIN/FIN), legal address, entity tax classification, type of service provided, and payment remittance information. The form includes standard certification language requiring vendors to attest under penalties of perjury that they have provided correct taxpayer identification information, are not subject to backup withholding, and are U.S. citizens or persons.
Completion and submission of this W-9 substitute form is a mandatory prerequisite for payment processing with Greenville County. The County emphasizes that failure to provide complete taxpayer identification information in a timely manner could prevent or delay payment to the vendor. The form must be signed and dated by an authorized representative of the vendor organization. This document is required as part of the procurement process for the Inmate Telephone System and communication services contract for the Greenville County Detention Center, which operates multiple facilities housing approximately 1,600 inmates on average daily population.
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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 .