COG_Substitute_W9.pdf

PDF 172 KB Posted

Attached to
CIRCUIT COURT TRUST MANAGEMENT SOLUTION
Solicitation number
RFP #22097
Issued by
Greenville County, South Carolina

About this file

The document is a County of Greenville Substitute Form W-9, revised in March 2022, which is a tax identification and vendor information form used for state and local contract opportunities. This specific form is related to a Circuit Court Trust Management Solution procurement, where the County of Greenville is seeking a qualified bank to provide a banking solution for managing Circuit Court Trust Accounts that must be FDIC insured.

The form requires detailed vendor information including legal name, taxpayer identification type, legal address, entity tax classification, and service type. The form includes sections for contact information, remittance address, and requires certification under penalties of perjury regarding taxpayer identification, backup withholding status, and U.S. citizenship. The document is designed to collect comprehensive vendor information to facilitate payment and tax reporting for potential contractors doing business with Greenville County, specifically in relation to the Circuit Court Trust Management Solution procurement.

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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 March 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 __ Partnership __ Medical or Veterinarian Service

__ LLC- Partnership __ C Corporation __ Legal/ Attorney Service

__ LLC- C-Corp __ S Corporation __ Rental of Real Property

__ LLC- S Corp __ Trust/Estate __ Products/ Services type______________

__ Other_____________________________________ __ 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.

Contact Information

Remittance 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:
LLCS Corp:
Products Services type:
Remittance 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 .