COG_Sub_W9_.pdf
PDF 170 KB Posted
- Solicitation number
- RFP #27024
- 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, designed for tax identification and payment processing purposes. The form requires contractors and vendors to provide essential information including their legal name, taxpayer identification number (either Social Security Number or EIN/FIN), business address, entity tax classification, and the type of service being provided. The form is specific to the County of Greenville's requirements and explicitly states that the standard IRS Form W-9 will not be accepted as a substitute. Contractors bidding on the County's Fire Protection & Water Line contract opportunity—which seeks sealed proposals for fire sprinkler, fire alarm, and underground fire-service line services in South Carolina—must complete this form with accurate information to ensure timely payment processing.
The form emphasizes that failure to provide the taxpayer identification number in a timely manner could prevent or delay payment. Respondents must certify under penalties of perjury that the information provided is accurate, that they are not subject to backup withholding (or have proper exemptions), and that they are U.S. citizens or other U.S. persons. The form requires a signature and date, and provides fields for payment remittance information including an alternative address, contact name, telephone, fax, and email. This document serves as a prerequisite requirement for any vendor seeking to contract with the County of Greenville and receive compensation for services rendered.
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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 .