TIN form blank~42.docx

This is a blank Taxpayer Identification Number (TIN) form issued by the State of Illinois for use in state and local contract opportunities. The form requires bidders and contractors to provide their correct taxpayer identification information, including name, business name, and either a Social Security Number (SSN) or Employer Identification Number (EIN), depending on their legal business structure. Respondents must certify that the identification number provided is accurate and confirm their compliance with Internal Revenue Service (IRS) backup withholding requirements. The form accommodates various business entity types, including individuals, sole proprietorships, partnerships, corporations, limited liability companies, governmental entities, tax-exempt organizations, and specialized entities such as pharmacies and legal services corporations. For corporations and partnerships, the form specifies that additional documentation, such as IRS acceptance letters (CP261 or CP277), may be required.

The form serves as a standard documentation requirement for state contracting purposes and does not contain specific pricing terms, contract awards, funding sources, or project details. Completion and submission of this form is typically mandatory for all vendors seeking to enter into contracts with the State of Illinois, regardless of contract value or scope. No renewal options, incumbents, or site visit information is applicable to this document, as it functions solely as a preliminary identification and tax compliance verification tool rather than a substantive contract solicitation or award document.