COG_Sub_W9_.pdf
IRS Form PDF 170 KB Posted
- Attached to
- Northside Park Site Improvements
- Solicitation number
- RFP #27032
- Issued by
- Greenville County, South Carolina
About this file
This document is a County of Greenville Substitute Form W-9, a tax identification form required by the County of Greenville, South Carolina, for vendors and contractors conducting business with the county. The form requests essential information from vendors, including legal name, taxpayer identification number (either Social Security Number or EIN/FIN), business address, entity tax classification, and service type. The form accommodates various entity structures including sole proprietorships, partnerships, corporations, LLCs, and trusts. Vendors must select the category of service provided, with options including medical/veterinarian services, legal/attorney services, rental of real property, or products/services. The document includes sections for payment remittance information, including contact details and delivery address, which may differ from the legal address.
Under penalties of perjury, the vendor certifies that the taxpayer identification number provided 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 explicitly notes that failure to provide the required taxpayer identification information in a timely manner could prevent or delay payment from the County of Greenville. This form is specific to County of Greenville procurement requirements and does not accept the standard IRS Form W-9 as a substitute, as indicated in the October 2022 revision.
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Who attaches IRS Form W-9
| State | Files |
|---|---|
| Massachusetts | 7,068 |
| Colorado | 1,104 |
| 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: |
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