Vendor Registration

Vendor Registration for tax purposes and digital payment authorization if desired.

To be completed by landlord only.
Please note that this is a secure form.

According to United States Tax Law, Goshen HELP is required to issue a 1099 to anyone receiving rent in excess of $600.

Due to the volume of requests we receive we require your tax ID to be on file for everyone receiving payment.
Name

First NameLast Name
Business Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*

Area CodePhone Number
Please enter your Tax ID number*
Please Sign*

Clear
Date*

MonthDayYear
Date
Direct Deposit Payments
Complete the following if you desire to have payments deposited directly into your bank account.
Bank Name
Account Type

CheckingSavings
Account Holder Name
Account Number
Routing Number
Should be Empty:

Vendor Registration for tax purposes and digital payment authorization if desired.