Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service
Request for Taxpayer Identification Number and Certification
Go to www.irs.gov/FormW9 for instructions and the latest information.
Give Form to the requester. Do not send to the IRS.
1 Name as shown on your income tax return First Name and Last Name is required; do not leave these lines blank.
*
First Name
Last Name
2 Business name/disregarded entity name, if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.
*
C Corporation
Individual/sole proprietor or single-member LLC
S Corporation
Partnership
Trust/estate
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
Other (see Instructions)
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
Specific Instructions
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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 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.
Social security number
*
MUST BE 9 NUMBERS
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
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Submit
Should be Empty: