Request Taxpayer Identification Number Certification
Please select the appropriate Taxpayer Identification Number (EIN or SSN) type and enter your 9 digit ID number . The EIN or SSN provided must match the name given on the “Legal Name” line to avoid backup withholding. If you do not have a Tax ID number, please reference "Specific Instructions ‐Section 1." If the account is in more
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benevate.blob.core.windows.net5 Remittance address (number, street, and apt/suite or PO Box). See instructions. 6 City, state, and ZIP code Procurement address if different (optional) 7 Contact name and email Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding.
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