REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. IRS FORM W-9 See attached Standard Bid Forms, P-225, Item 4.
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. IMPORTANT: This page must be completed correctly or the entire application will be returned to you. Only the applicant or applicant’s agency is authorized to make corrections to this page. If you are an agency provider, your personal name does not go on this form. Print the agency name in the “Name” blank. If the agency is using a d.b.a., that name should be listed using the prefix d.b.a. on the “Business name” xxxxx. Check the appropriate tax status box. Enter only the agency FEIN number for the tax identification number in Part I. Do not list your social security number. A signature and date is required on Part II—either an agency representative or a provider signature is acceptable.
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. TOP Section: • Line 1 – Name (as shown on the income tax return). • Line 2 – Business Name • Line 3 – Check the appropriate box for federal tax classification. Check only one of the following seven boxes.
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. (W-9 Form). Tenant shall, at the time that Tenant executes and delivers this Lease to Landlord, execute a W-9 Form, in the form attached hereto as Exhibit G. Landlord and Tenant have executed this Lease as of the day and year first above written. LANDLORD: GLENBOROUGH FLANDERS PARK, LLC, a Delaware limited liability company By: /s Xxxxxx Xxxxx Name: Xxxxxx Xxxxx Title: Vice President TENANT: COGENTIX MEDICAL, INC., a Delaware corporation By: /s Xxxxx Xxxxxxxx Name: Xxxxx Xxxxxxxx Title: SVP and CFO Tenant’s Tax ID Number (SSN or FEIN) EXHIBIT A
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. IRS Form W-9 See attached Standard Bid Forms, P-225, Item 1.
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. Principal shall complete the required Form W-9 provided with this Agreement and return it to Ticketmaster with this Agreement for purposes of reporting to the Internal Revenue Service.
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. Tenant must complete a Form W-9, Request for Taxpayer Identification Number and Certification, noting their business tax identification number or Employer Identification Number (EIN). To acquire a business EIN, visit: xxx.xxx.xxx/Xxxxxx/Xxxx-Xxxxxxxx-&-Xxxxx-Xxxxxxxxxx
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. IRS FORM W-9 If you have not submitted this form to the City and County of San Francisco, you must do with your bid/proposal. The URL below is that of the main page for IRS forms. From there, go the forms window and scroll down to Form W-9. Its instructions are the next selection. xxx.xxx.xxxxxxx.xxx/xxxx/xxxxx_xxxx/xxxxx. html GENERAL CONDITIONS (continued)
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. If this information is not provided, we are required to withhold a percent of the interest earned on the Account, referred to as “backup withholding.” (Backup withholding does not apply to IRAs.) Additionally, the IRS may assess a fine for not complying with its requirements. We are also required to obtain a taxpayer identification number and certification on entities exempt from IRS reporting and withholding. To qualify for tax-exempt status, an organization must apply with IRS, unless it is already on IRS’ list of tax-exempt organizations.
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION. IMPORTANT: This page must be completed correctly or the entire application will be returned to you. Only the applicant or applicant’s agency is authorized to make corrections to this page. If you are an individual, you must generally enter the name shown on your income tax return. However, if you have changed your last name, for instance, due to marriage without informing the Social Security Administration of the name change, enter your first name, the last name shown on your social security card, and your new last name. If the account is in joint names, list first, and then circle, the name of the person or entity whose number you entered in Part I of the form. Limited Liability Company (LLC). Check the “Limited liability company” box only and enter the appropriate code for the tax classification (“D” for disregarded entity, “C” for corporation, “P” for partnership) in the space provided. For a single-member LLC (including a foreign LLC with adomestic owner) that is disregarded as an entity separate from its owner under Regulations section 301.7701-3, enter the owner’s name on the “Name” line. Enter the LLC’s name on the “Business name” line. For an LLC classified as a partnership or a corporation, enter the LLC’s name on the “Name” line and any business, trade, or DBA name on the “Business name” line. Sole proprietor. Enter your individual name as shown on your income tax return on the “Name” line. You may enter your business, trade, or “doing business as (DBA)” name on the “Business name” line. If you are an individual, you must generally enter the name shown on your income tax return. However, if you have changed your last name, for instance, due to marriage without informing the Social Security Administration of the name change, enter your first name, the last name shown on your social security card, and your new last name. Any W9 Form with a date more than two years old is invalid and cannot be processed. Other entities. Enter your business name as shown on required federal tax documents on the “Name” line. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on the “Business name” line. Note. You are requested to check the appropriate box for your status (individual/sole proprietor, corporation, etc.). Attach a copy of your current state license to this application. The only exceptions are professions, which are not required to have a state license [e.g., Dev...
