COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- PIEDMONT CONVENIENCE CENTER UPGRADES
- Solicitation number
- RFP #26110
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 document from the County of Greenville in South Carolina, used for contractor tax identification and payment processing purposes. The form requests standard vendor information including legal name, taxpayer identification number (TIN), entity tax classification, and service type to be provided. Contractors must designate their business structure (individual, partnership, corporation, LLC, trust, or other entity) and specify the category of services being provided, such as medical, legal, rental, or products/services. The form requires a current mailing address, payment remittance information, and contact details including telephone, fax, and email. All vendors must certify under penalty of perjury that they are U.S. citizens or persons, that their TIN is correct, and that they are not subject to backup withholding by the Internal Revenue Service.
This form is a mandatory administrative requirement for any vendor seeking to do business with Greenville County and does not contain pricing, contract terms, or project-specific details. Failure to submit the completed form in a timely manner may delay or prevent payment to the contractor. The form must be signed and dated by an authorized representative of the vendor's organization. This particular submission relates to the Piedmont Convenience Center Upgrades project, which involves construction services including asphalt removal, concrete pad installation, trenching, electrical work, and sewer piping at the facility located at 225 Owens Road, Piedmont, South Carolina.
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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 .