COG_Substitute_W9.pdf
IRS Form PDF 172 KB Posted
- Solicitation number
- RFP #22073
- Issued by
- Greenville County, South Carolina
About this file
The document is a Substitute Form W-9 issued by the County of Greenville, revised in March 2022, which is a tax identification form used for vendors or contractors seeking to do business with the county. The form is designed to collect essential taxpayer and business information, including legal name, tax identification number, entity classification, service type, and contact details. The form is specifically related to a contract opportunity for construction quality assurance services for the Twin Chimneys Landfill Unit 4 Cell 3 project in South Carolina.
The form requires the vendor to provide comprehensive details about their business, including taxpayer identification type (SSN or EIN/FIN), entity tax classification (such as individual, LLC, corporation), and the specific type of service to be provided. The form includes a certification section where the vendor affirms their taxpayer identification number's accuracy, confirms exemption from backup withholding, and certifies U.S. citizenship or status. Vendors must sign and date the form, which serves as a critical component of the county's procurement and payment process for the landfill construction quality assurance project.
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| State | Files |
|---|---|
| Massachusetts | 7,065 |
| Texas | 1,093 |
| Colorado | 1,086 |
| New York | 906 |
| Florida | 622 |
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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: |
| Check Box1: Off |
| Check Box2: Off |
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