TIN form blank~47.docx

This is a Taxpayer Identification Number (TIN) form issued by the State of Illinois for use in conjunction with state and local contract opportunities. The form is a blank template designed to collect identifying information from prospective bidders and contractors seeking to participate in Illinois government contracting opportunities, including the 2-Day Janitorial Services contract for facility L6351 located at 1245 S Main Street, Monmouth, Illinois 61462. The form requires bidders to provide their legal name, business name, and appropriate taxpayer identification number (either Social Security Number or Employer Identification Number), along with certification that the provided identification number is correct and that the bidder is not subject to backup withholding by the Internal Revenue Service. Bidders must also declare their legal status by selecting the appropriate entity classification from the available options, which include individual, sole proprietor, partnership, corporation, limited liability company, and various specialized entity types.

The form includes specific instructions for different entity types to ensure proper identification and documentation. For corporations, the form requires submission of IRS acceptance letters (Form CP261 or CP277). The form serves as a foundational documentation requirement for the State of Illinois procurement process and must be completed and signed by an authorized representative with the date of execution. This TIN form is a prerequisite for bidders on the janitorial services contract, which is restricted to small businesses registered in the Illinois Procurement Gateway (IPG) at the time of bid submission.