COG_Sub_W9_.pdf
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- Attached to
- Pool Chemicals and Maintenance Services
- Solicitation number
- RFP #26100
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 tax identification document issued by Greenville County, South Carolina for use by contractors seeking to do business with the County. The form requires contractors to provide legal business name, taxpayer identification number (either SSN or EIN/FIN), entity tax classification, service type description, legal address, and payment remittance information. The document certifies that the taxpayer identification number is correct, that the contractor is not subject to backup withholding by the Internal Revenue Service, and that the contractor is a U.S. citizen or other U.S. person. This form is a mandatory prerequisite for contract award and payment processing purposes, and bidders must submit a completed version as part of their proposal response to qualify for consideration.
The Substitute Form W-9 differs from the standard IRS Form W-9 and is specific to Greenville County requirements. Contractors must select their entity type from options including individual/sole proprietorship, partnership, corporation, LLC variants, trust/estate, or other classifications, and must specify the service category being provided. The form includes sections for contact information, telephone, fax, and email address for payment remittance purposes. Failure to provide the required taxpayer identification number in a timely manner may prevent or delay payment to the contractor. The form was revised in October 2022 and serves as Greenville County's standardized documentation for contractor tax identification and payment administration across all procurement opportunities.
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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 .