ESBD_555664_1788363124414_Attachment G.2.pdf
PDF 198 KB Posted
- Attached to
- Bird Survey
- Solicitation number
- TMD26-ENV-0044993-A
- Issued by
- Texas
About this file
This is a Taxpayer Identification Number (TIN) form, specifically an attachment related to a Bird Survey contract opportunity in Texas. The form serves as a vendor information sheet requiring contractors to provide essential identification and ownership details. Contractors must complete sections 1 through 5 of the form, with additional sections required based on business structure. The form requests standard contractor information including name, address, city, state, ZIP code, and telephone number, along with a nine-digit taxpayer identification number and SIC code classification.
The form includes checkboxes for various business ownership types, including Texas Corporation, Professional Corporation, Partnership, Out-of-State Corporation, and Other entity types, with each requiring specific supporting documentation such as Social Security numbers, Individual Taxpayer Identification Numbers (ITIN), or Employer Identification Numbers (EIN). For partnerships, documentation must include names of two partners. The form indicates that if an assignment agreement exists between payees, a copy must be attached. An authorized agent or applicant must sign and date the form, and instructions for completion are provided on the reverse side of the document.
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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 .