ESBD_558678_1789242272296_Attachment G.2.pdf

PDF 198 KB Posted

Attached to
VEGETATION COMMUNITY PLANNING SURVEY
Solicitation number
TMD26-ENV-0045087
Issued by
Texas

About this file

This is a Taxpayer Identification Number (TIN) form used for vendor registration and payment purposes in connection with a Texas state and local contract opportunity for a Vegetation Community Planning Survey. The form serves as a standardized document for collecting critical vendor information required for contract administration and financial transactions with the State of Texas.

The form requires vendors to complete sections identifying their business structure, ownership type, and tax identification details. Vendors must indicate their TIN type (Social Security Number, Employer Identification Number, or Individual Taxpayer Identification Number), provide business classification information via SIC code, and specify their legal entity structure by selecting from categories including sole proprietorship, Texas corporation, professional corporation, partnership, out-of-state corporation, or other business types. Additional required information includes the vendor's city, state, ZIP code, telephone number, and comments section for applicant or authorized agent remarks. For partnerships, the form requires the names of two partners, and for other business structures, detailed explanations must be provided with supporting assignment agreements if applicable.

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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 .