Commonwealth of Virginia Substitute W-9 Form . Request for Taxpayer Identification Number and 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.
Form W-9 (Rev. 10-2018) Page . 2 By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a
Commonwealth of Virginia Substitute W-9 Form Instructions . reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs
Form W-9 (Rev. 12-2014) Page 2 Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially
Commonwealth of Virginia Substitute W-9 Form . Request forTaxpayer Identification Number and Certification. c tion 1 ‐ Taxpayer Identification Employer Identification Number (EIN) Social Security Number (SSN) __ __ __ __ __ __ __ __ __ Please selectthe appropriate Taxpayer Identification Number (EIN or SSN) type and enter your 9 digitIDnumber .
Form W-9 (Rev. 10-2007) Page 9. 10. 3 1 2 4
Department of Minority Business Enterprise: If you have not registered with the Virginia Department of Business Enterprise, please do so at your earliest convenience. Additional information may be obtained at their web site, www.dmbe.virginia.gov. Title: Microsoft Word - Attachment F - W-9 Form
REQUEST FOR TAXPAYER IDENTIFICATION NUMBER(S) AND CERTIFICATION Substitute Form W -9 Each person/organization doing business with the Commonwealth must provide the following information or be subject to backup withholding.
Instructions for the Requester of Form W-9 (Rev. October 2018)
VIRGINIA COMMONWEALTH UNIVERSITY REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION FOR RESEARCH AND/OR PATIENT STUDY PARTICIPANTS This form must be completed legibly. Please print and use black or blue ink. DATE:_____ SOCIAL SECURITY NUMBER:_____ ...