W-96 (5).pdf

This document is an Internal Revenue Service (IRS) Form W-9 Request for Taxpayer Identification Number and Certification, which is a standard tax form used to collect identifying information for individuals or entities who will receive payments that require income reporting. The form requests key details such as the taxpayer's name, business name, federal tax classification, and either a Social Security Number or Employer Identification Number.

The form contains two primary sections: Part I for entering the Taxpayer Identification Number (TIN) and Part II for certification. In the certification section, the taxpayer attests under penalties of perjury that the provided identification number is correct, they are subject to backup withholding rules, are a U.S. citizen or resident, and confirms their FATCA reporting status. The form provides instructions for completion and lists various scenarios where the W-9 might be required, such as for interest, dividends, real estate transactions, and other reportable payments.