Transcription of Form W-9 Request for Taxpayer
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Form W-9 Request for Taxpayer
form (Rev. January 2003). W-9 Request for Taxpayer Give form to the requester. Do not Department of the Treasury identification number and Certification send to the IRS. Internal Revenue Service Name See Specific Instructions on page 2. Business name, if different from above Print or type Individual/ Exempt from backup Check appropriate box: Sole proprietor Corporation Partnership Other withholding Address ( number , street, and apt. or suite no.) Requester's name and address (optional). City, state, and ZIP code List account number (s) here (optional). Part I Taxpayer identification number (TIN). Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN).
Give form to the requester. Do not send to the IRS. Form W-9 Request for Taxpayer (Rev. January 2003) Identification Number and Certification Department of the …
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