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W-9 Request for Taxpayer - Louisiana

Form W-9 Request for Taxpayer Give form to the (Rev. December 2000) 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.). Please print or type Business name, if different from above. (See Specific Instructions on page 2.). Check appropriate box: Individual/Sole proprietor Corporation Partnership Other . Address ( number , street, and apt. or suite no.) Requester's name and address (optional). City, state, and ZIP code Part I Taxpayer identification number (TIN) List account number (s) here (optional). Enter your TIN in the appropriate box. For individuals, this is your social security number Social security number (SSN).

Give form to the requester. Do not send to the IRS. Form W-9 Request for Taxpayer (Rev. December 2000) Identification Number and Certification Department of …

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