COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Merrifield Park Drainage Improvement Project
- Solicitation number
- IFB #27000
- Issued by
- Greenville County, South Carolina
About this file
This file is a Substitute Form W-9 issued by the County of Greenville, South Carolina, used for collecting taxpayer identification information from vendors and contractors doing business with the county. The form requests the contractor's legal name, taxpayer identification number (TIN), either a Social Security Number (SSN) or Employer Identification Number (EIN/FIN), legal address, entity tax classification, and the type of service or product being provided. Contractors must also provide payment remittance information including a mailing address, contact name, telephone number, fax number, and email address. The form includes certification statements requiring the contractor to attest under penalties of perjury that the TIN provided is correct, that they are not subject to backup withholding by the Internal Revenue Service, and that they are a U.S. citizen or other U.S. person.
The form emphasizes that failure to provide a timely and complete W-9 submission could prevent or delay payment from the County of Greenville. Service categories available for selection include medical or veterinarian services, legal or attorney services, rental of real property, and general products or services. The Substitute Form W-9 is mandatory for all contractors; the county will not accept the standard IRS Form W-9 as a substitute. This form was revised in October 2022 and serves as a prerequisite documentation requirement for the Merrifield Park Drainage Improvement Project, a storm drainage system improvement project within the Merrifield Park subdivision in Greenville County, 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 .