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It requests the vendor’s legal business name, disregarded entity name (if different), and entity type, then gathers the Taxpayer Identification Number (TIN) and taxpayer identification type (individual, EIN, SSN, or ITIN). The form also captures physical and remittance addresses and includes a certification and backup withholding exemption statement with signature and preparer details. 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It also requires checking whether the payee is exempt from backup withholding, subject to backup withholding due to failure to report, or no longer subject based on IRS notification, along with signature and preparer 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| --- | --- |\n| TYPE OR PRINT INFORMATION NEATLY.PLEASE REFER TO INSTRUCTIONS FOR MORE INFORMATION.   |  |  |  |  |\n| Part I:Vendor Information   |  |  |  |  |\n| 1.Legal Business Name:  \u003Cbr>John Smith   |  |  | 2.Business name/disregarded entity name,if different from Legal  \u003Cbr>Business Name:  \u003Cbr>N/A   |  |\n| 3.Entity Type(Check one only):  \u003Cbr>Partnership□Limited Liability Co.□Corporation   Not For Profit  \u003Cbr>区Individual Sole Proprietor|  \u003Cbr>Federal,State or Local Government□Public Authority  Disregarded Entity  \u003Cbr>Trusts/Estates  \u003Cbr>Other   |  |  |  | □Exempt  \u003Cbr>Payee   |\n| Part II:Taxpayer Identification Number (TIN)&Taxpayer Identification Type   |  |  |  |  |\n| 1.Enter your TIN here:(DO NOT USE DASHES)  \u003Cbr>1  \u003Cbr>See instructions.  \u003Cbr>2.Taxpayer Identification Type(check appropriate box):  \u003Cbr>Individ  \u003Cbr>Employer ID No.(EIN)凶Social Security No.(SSN)   |  | 3  \u003Cbr>5  \u003Cbr>2  \u003Cbr>7  \u003Cbr>8  \u003Cbr>9  \u003Cbr>6  \u003Cbr>4  \u003Cbr>ual Taxpayer ID No.(ITIN)□N/A(Non-United States Business Entity)   |  |  |\n| Part IⅢ:Address   |  |  |  |  |\n| 1.Physical Address:   |  | 2.Remittance Address:   |  |  |\n| Number,Street,and Apartment or Suite Number  \u003Cbr>16 Candy Cane Lane   |  | Number,Street,and Apartment or Suite Number  \u003Cbr>N/A   |  |  |\n| City,State,and Nine Digit Zip Code or Country  \u003Cbr>NY,NY 12345   |  | City,State,and Nine Digit Zip Code or Country  \u003Cbr>NIA  \u003Cbr>—1   |  |  |\n| Part IV:Certification and Exemption from Backup Withholding   |  |  |  |  |\n| Under penalties of perjury,I certify that:  \u003Cbr>1.The number shown on this fom is my correct taxpayer identification number(TIN),and  \u003Cbr>2.lam a U.S.citizen or other U.S.person,and  \u003Cbr>3.(Check one only):  \u003Cbr>1am not subject to backup withholding.I am(a)exempt from back up witholding,or(b)I have not been notified by the  \u003Cbr>Intemal Revenue Service (IRS)that l am subject to backup witholdingas a result of a failure to reportall interest or dividends,or  \u003Cbr>(c)the IRS has notified me that 1 am no longer subject to backup withholding),or  \u003Cbr>□lam subject to backup witholding.I have been notified by the IRS that l am subject to backup withholding as a result of a  \u003Cbr>failure to report all interest or pividends,and I have not been notified by the IRS that l am no longer subject to back witholding.  \u003Cbr>Sign Here:  \u003Cbr>SBTE  \u003Cbr>10D/2815  \u003Cbr>Title  \u003Cbr>(585)123-4567  \u003Cbr>jsmith@abcschools.org  \u003Cbr>John Smith  \u003Cbr>Email Address  \u003Cbr>Phone Number  \u003Cbr>Print Preparer's Name  \u003Cbr>HhnSmith   |  |  |  |  |\n| Part V:Vendor Primary Contact Information-Executive Authorized to Represent the Vendor   |  |  |  |  |\n| Primary Contact Name:John Smith  \u003Cbr>Title:School-based Teacher Educator  \u003Cbr>(585)123-4567  \u003Cbr>EmailAddress:jsmith@abcschools.org  \u003Cbr>Phone Number:__   |  |  |  |  |\n| DO NOT SUBMIT FORM TO IRS-SUBMIT FORM TO NYS ONLYAS DIRECTED   |  |  |  |  |","cbCairqKCoJxpCLC","https://ap.wps.com/l/cbCairqKCoJxpCLC","pdf",666411,"English","# Part I: Vendor Information\n# Part II: Taxpayer Identification Number (TIN) & Taxpayer Identification Type\n# Part III: Address\n# Part IV: Certification and Exemption from Backup Withholding\n# Part V: Vendor Primary Contact Information","[{\"question\":\"What information is collected in Part I (Vendor Information)?\",\"answer\":\"Part I requests the vendor’s legal business name, an optional business name/disregarded entity name if different, and the entity type (e.g., partnership, corporation, sole proprietor, government, trusts/estates, nonprofit).\"},{\"question\":\"Which fields are used to provide the TIN in Part II?\",\"answer\":\"Part II asks for the vendor’s TIN (entered without dashes) and requires selecting the taxpayer identification type by checking the appropriate box (e.g., individual, Employer ID No. (EIN), Social Security No. (SSN), or ITIN).\"},{\"question\":\"What does Part IV certify regarding backup withholding?\",\"answer\":\"Part IV includes a perjury certification that the TIN is correct and that the signer is a U.S. citizen or other U.S. person. It also requires checking whether the payee is exempt from backup withholding, subject to backup withholding due to failure to report, or no longer subject based on IRS notification, along with signature and preparer details.\"}]","SUBSTITUTE FORM W-9 - Request for Taxpayer Identification Number & Certification | PDF",1789814520]