COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
Laurel Creek Pedestrian Bridge Railings
Solicitation number
RFP #27001
Issued by
Greenville County, South Carolina

About this file

This is a Substitute Form W-9 document issued by Greenville County, South Carolina, designed to collect taxpayer identification and payment information from vendors and contractors doing business with the county. The form requires contractors to provide their legal name, taxpayer identification number (either Social Security Number or EIN/FIN), business address, entity tax classification, type of service provided, and payment remittance information. The form specifies that the IRS Form W-9 will not be accepted as a substitute, and contractors must certify under penalties of perjury that they have provided correct taxpayer identification information, are not subject to backup withholding, and are U.S. citizens or U.S. persons. Failure to provide the required information in a timely manner could prevent or delay payment from the county.

The document serves as a mandatory compliance requirement for the Laurel Creek Pedestrian Bridge Railings project, which seeks qualified vendors to fabricate and install bridge railings for a Swamp Rabbit Trail crossing in Greenville, South Carolina. Entity tax classification options include sole proprietorships, partnerships, corporations, and other business structures, with service types ranging from medical/veterinary services to products and services. The form must be signed and dated by the contractor, with contact information including telephone, fax, and email address required for payment processing purposes.

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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 .