COG_Sub_W9_.pdf

IRS Form 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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Who attaches IRS Form W-9

State Files
Massachusetts 7,066
Colorado 1,101
Texas 1,100
New York 906
Florida 627

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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:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
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Check Box12: Off
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Check Box14: Off
Check Box15: Off
Check Box16: Off

File details come from the government source that posted it. Updated .