COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Infectious Medical Waste Disposal Services
- Solicitation number
- RFP #26113
- Issued by
- Greenville County, South Carolina
About this file
This is a County of Greenville Substitute Form W-9, a tax identification document required by the County of Greenville, South Carolina for the Infectious Medical Waste Disposal Services contract opportunity. The form is used to collect essential taxpayer information from vendors bidding on or contracted with the county, including legal business name, Taxpayer Identification Number (TIN), business classification, and service type. The form requests the vendor's legal address, entity tax classification (such as sole proprietorship, LLC, corporation, or partnership), the specific service category being provided, and remittance payment information including contact details. The document certifies that the vendor is providing accurate taxpayer identification information and is a U.S. citizen or person subject to U.S. tax law.
This substitute W-9 form is mandatory for the County of Greenville and must be completed in lieu of the standard IRS Form W-9. The county emphasizes that failure to provide the required taxpayer identification number in a timely manner could prevent or delay contract payment. The form requires vendor certification under penalties of perjury regarding the accuracy of the taxpayer identification number, exemption or non-applicability of backup withholding requirements, and U.S. citizenship or person status. The form was revised in October 2022 and serves as a prerequisite administrative document for vendors seeking to conduct business with Greenville County.
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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 .