COG_Sub_W9_.pdf
PDF 170 KB Posted
- Attached to
- Sidewalk Repair
- Solicitation number
- RFP #27019
- 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, for use in connection with a sidewalk repair project at Shoeless Joe Jackson Memorial Park. The form is a mandatory tax identification document required by the County of Greenville in lieu of the standard IRS Form W-9. Vendors responding to the County's request for qualified contractors to remove and replace sidewalks must complete and submit this form as part of their bid or contract documentation. The form collects essential vendor information including legal business name, taxpayer identification number (either SSN or EIN/FIN), entity tax classification, service type, legal address, and payment remittance details.
The form establishes that taxpayer identification information must be provided in a timely manner to avoid payment delays or prevention, and vendors must certify under penalty of perjury that the provided identification number is correct, they are not subject to backup withholding by the IRS, and they are U.S. citizens or U.S. persons. The document was revised as of October 2022 and requires vendor signatures and dates. Failure to submit this form in accordance with County of Greenville requirements may result in non-payment or contract ineligibility for sidewalk repair work in the specified park location.
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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 .