COG_Sub_W9_.pdf
IRS Form PDF 170 KB Posted
- Attached to
- Pleasant Ridge Flooring Repair & Waterproofing
- Solicitation number
- RFP #27035
- Issued by
- Greenville County, South Carolina
About this file
This is a Substitute Form W-9 document from the County of Greenville, South Carolina, used for tax identification and payment processing purposes in connection with the Pleasant Ridge Flooring Repair & Waterproofing contract opportunity. The form requests comprehensive vendor information including legal name, taxpayer identification number (either SSN or EIN/FIN), business entity classification, service type, and payment remittance details. The document serves as a prerequisite for contractors seeking to submit competitive proposals for flooring and restoration services at 4232 Highway 11, Marietta, SC, where the County of Greenville requires repair and/or replacement of water-damaged wet rooms across 8 cabins containing 24 shower spaces, consisting of 16 shower-only units and 8 full-baths with toilets and sinks. Contractors must be licensed, insured, and certified to qualify for consideration.
The form emphasizes compliance with U.S. tax law by requiring accurate taxpayer identification information under penalties of perjury, and notes that failure to provide timely documentation could prevent or delay payment processing. The vendor must certify U.S. citizenship or status as a U.S. person and confirm exemption from IRS backup withholding requirements. Contact information fields are included for payment remittance purposes, requiring a designated contact name, telephone number, fax, and email address separate from the legal address on file.
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| State | Files |
|---|---|
| Massachusetts | 7,060 |
| Texas | 1,090 |
| Colorado | 1,086 |
| New York | 906 |
| Florida | 618 |
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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 .