ESBD_547566_1786126744217_Attachment G.2.pdf
PDF 198 KB Posted
- Attached to
- Vault Door Replacement
- Solicitation number
- TMD21-FMO-0044367
- Issued by
- Texas
About this file
This document is a Taxpayer Identification Number (TIN) form used for state and local contract opportunities in Texas. The form requires vendors and contractors to complete sections identifying their business structure, ownership type, and tax identification information to establish eligibility for contracting with state and local government entities. The form requests critical business identification details including the business name, TIN or SSN/ITIN, SIC code, physical address, telephone number, and city, state, and ZIP code of the payee.
The form includes checkboxes for various business entity types, including Texas corporations, out-of-state corporations, professional corporations, partnerships, and other business structures, with each requiring submission of appropriate identification numbers and owner information. For partnerships, the form requires the names of two partners, and for other business structures, an explanation must be provided along with a copy of any relevant assignment agreements between payees. The form also includes sections for comments from the applicant or authorized agent and a date field for submission.
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Text version
SIC
code
(Please type or print)
6. (Optional)
7. (Optional)
8. (Optional)
9. City State ZIP code
Payee telephone number (Area code and number)
Security type code
Zone code
2. Indicate the type of number you are providing to be used for your TIN
(9 digits)
(9 digits)
(9 digits)
(11 digits)
(11 digits)
Enter the number indicated
Taxpayer Number
Complete Sections 1 - 5 Complete Sections 1, 2 & 5
11. Check only one code by the appropriate ownership type that applies to you or your business.
L If checked, enter the
Owner's name
T - Texas Corporation:
If checked, enter the
SSN / ITIN (9 digits) A If checked, enter the
If checked, enter the
C - Professional Corporation:
Name
SSN / ITIN / EIN (9 digits)
Name
SSN / ITIN / EIN (9 digits)
I
S
P - Partnership: If checked, enter two partner's names and
O - Out-of-State Corporation
G
U
F
R
- Other: If checked, explain.
Note: A copy of the assignment agreement between payees must be attached.
13. Comments (Applicant or authorized agent) Date
14.
(Area code and number)
15.
• See instructions on back
File details come from the government source that posted it. Updated .