COG_Substitute_W9.pdf
PDF 172 KB Posted
- Attached to
- H-PILES WITH DELIVERY
- Solicitation number
- IFB #23121
- 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 standard tax identification and vendor information form used for local government contracting purposes. The form is designed to collect critical vendor information for potential participation in county procurement processes, such as the referenced H-Piles with Delivery contract opportunity. The form requires vendors to provide comprehensive details including legal business name, taxpayer identification number, entity tax classification, service type, contact information, and certification of tax status.
The form serves as an essential administrative document for vendor registration, enabling the County of Greenville to properly identify, classify, and process payments for contractors and service providers. It captures key details such as the vendor's legal structure (e.g., individual/sole proprietorship, LLC, corporation), specific service type, and contact information. The form includes a critical certification section where the vendor affirms their taxpayer identification number, backup withholding status, and U.S. citizenship, which are necessary for tax reporting and payment processing purposes in government contracting.
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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 .