ESBD_547782_1786145255445_Attachment G.2.pdf
PDF 198 KB Posted
- Attached to
- Wash Rack Repair
- Solicitation number
- TMD26-FMO-0044434
- Issued by
- Texas
About this file
This is a Taxpayer Information form related to a Wash Rack Repair contract opportunity in Texas. The document serves as an attachment requiring vendors to provide essential identification and ownership information to support their bid submission or contract award processing.
The form requires vendors to complete sections identifying their taxpayer identification number (TIN), business type, and ownership structure. Vendors must indicate whether they operate as a sole proprietorship, Texas corporation, professional corporation, partnership, out-of-state corporation, or other entity type, with corresponding requirements to provide Social Security numbers, Individual Taxpayer Identification Numbers (ITINs), or Employer Identification Numbers (EINs) depending on their business classification. Additional required information includes the vendor's city, state, ZIP code, telephone number, SIC code, and any relevant security or zone codes. The form includes a comments section for applicants or authorized agents and requires a signature with date. For partnerships or assignments, vendors must provide names of applicable parties and attach supporting documentation such as assignment agreements between payees.
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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 .