Form W-9 » Form

Form W-9

FORM W-9
Request for Taxpayer Identification Number
and Certification
Name (as shown on your income tax return)*
Business Name (if different from legal name)
Check appropriate box for federal tax classification of the person*
- Individual/sole proprietor or single-member LLC
- C Corporation
- S Corporation
- Partnership
- Trust/Estate
- Limited liability company
- Other
Other
Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
Exempt payee code (if any
Exemption from FATCA reporting code (if any)
Address*
City*
State*
Zip code*
Requester’s name (Optional)
Email*
Enter Email Confirm Email
List account number(s) here
Social Security Number

Or
Employer Identification Number (EIN)
Hidden
SSN - 1
Hidden
SSN - 2
Hidden
SSN - 3
Hidden
Employer ID - 1
Hidden
Employer ID - 2
Signature*
Date*
MM slash DD slash YYYY

© 2020 FORM W-9