• Department of the Treasury Internal Revenue Service

  • Request for Taxpayer Identification Number and Certification

  • 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. For individuals, this is your social security number (SSN However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN If you do not have a number, see How to get a TIN on page 3.

     

    The 1099 will be generated using your Social Security Number or your Employer Identification Number.  Enter either in the fields below but not both.

  • Penalties

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  • Should be Empty: