Click to view W-9 instructions or download a blank from Vendor Payment Request Step 1 of 6 16% Contact Name(Required) First Last Email(Required) Phone(Required)Company Name Generally, what are you invoicing for?(Required)i.e. Lighting, Space Rental, ... You will upload your invoice later. Amount of Invoice(Required)Do you have a completed W-9 to upload?(Required) Yes No - I need to fill it out. No - Not necessary Explain(Required) Enter W-9 information All questions taken directly from IRS W-9 form Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.Name(Required)As shown on your income tax return. Business name(Required)Disregarded entity name, if different from Name above. Check the appropriate box for federal tax classification of the person whose name is entered above.(Required)Note: Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) Classification(Required) C Corporation S Corporation Partnership Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):Exempt payee code (if any) Exemption from FATCA reporting code (if any) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Part I Taxpayer Identification Number (TIN) Enter your TIN. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.Taxpayer Identification Number(Required) Social Security Number Employer Identification Number TIN - SSN(Required) TIN - EIN(Required) Part II CertificationUnder penalties of perjury, I certify that:(Required)1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. I certify.Signature(Required)Enter your full legal name. IP Address: 3.22.217.45 | Today: 11/05/2024 File Upload(s)Invoice(Required)Please upload the invoice for your services.Accepted file types: pdf, png, jpg, gif, doc, docx, Max. file size: 10 MB.W-9 Form(Required)Upload your completed W-9 formAccepted file types: pdf, png, jpg, gif, doc, docx, Max. file size: 10 MB.PhoneThis field is for validation purposes and should be left unchanged. 38495