COG_Sub_W9_.pdf

PDF 170 KB Posted

Attached to
Conestee Park Baseball Field Repair
Solicitation number
RFP #27011
Issued by
Greenville County, South Carolina

About this file

This is a Substitute Form W-9 document issued by the County of Greenville, South Carolina, revised in October 2022, required for vendor registration and tax identification purposes in connection with the Conestee Park Baseball Field Repair project. The form serves as a mandatory alternative to the IRS Form W-9 and must be completed by all contractors and vendors seeking to conduct business with Greenville County. The document requires vendors to provide their legal name, taxpayer identification number (either SSN or EIN/FIN), business address, entity tax classification, type of service provided, and payment remittance information. Vendors must certify under penalties of perjury that their taxpayer identification number is correct, that they are not subject to backup withholding by the IRS, and that they are a U.S. citizen or other U.S. person.

The form is a prerequisite administrative document that must be completed before payment can be processed by Greenville County. Failure to provide the required information in a timely manner could result in prevention or delay of payment to the vendor. The document accommodates various entity types including sole proprietorships, partnerships, corporations, LLCs, trusts, and other business structures, with specific options for service classifications such as medical, legal, rental, or products and services. The form requires authorized signature and date certification, and all information provided must accurately match corresponding tax return documentation.

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Other files

File Type Posted
Conestee_Park_Field_Map.pdf PDF
Conestee_Park_Wagon_Wheel.jpg JPG image
Conestee_Park_Baseball_Field_Repair.pdf PDF
Sample_Services_Agreement.pdf PDF
Conestee_Infields_Bid_Sheet_example.xlsx XLSX spreadsheet

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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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Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
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Check Box16: Off

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