Recruiter Payment Authorization Form

US CITIZEN - TAX INFORMATION
W-9 Information
Print First & Last Name*
Date*

MonthDayYear
Date
Business name (If Applicable)
If you are not comfortable sharing your SS# or EIN please enter zeros. This will need to be obtained before commission is paid out though.
SSN
EIN
Date of Birth*

MonthDayYear
Date
Address (Use your business address here if applicable)*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Check the appropriate box for federal tax classification of the person whose name is on this form.*

IndividualSole Proprietor or Single-Member LLCC CorporationS CorporationPartnershipTrust/Estate
I certify that all of the information given is valid and true to my knowledge.

NON-US CITIZEN - TAX INFORMATION
W-8BEN FORM
Print First & Last Name*
Date*

MonthDayYear
Date
Country of Citizenship
U.S. Taxpayer ID# or TTN
Foreign Tax ID #
Date of Birth*

MonthDayYear
Date
Permanent Residence Street Address
City or Town, State, or Province. Include postal code where appropriate.
Country
Mailing Address Street (If different from above)
Mailing Address City or Town, State, or Province. Include postal code where appropriate.
Mailing Address Country
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Check the appropriate box for federal tax classification of the person whose name is on this form.*

IndividualSole Proprietor or Single-Member LLCC CorporationS CorporationPartnershipTrust/Estate
I certify that I have the capacity to sign for the individual/beneficial owner listed on this form.

Contractor Pay
Please choose your preferred method to receive payments*

CashAppPaypal (Payee Responsible for Processing Fees)Direct DepositPayoneer (Payee Responsible for Processing Fees)Venmo
CashApp User ID
Paypal User ID
Payoneer ID
Venmo ID
Direct Deposit Set Up
Name on Bank Account

First NameLast Name
Bank Name
Bank Address

Street Address

Street Address Line 2

CityState

Zip Code
Account Type
Routing #
Account #
I understand that this is 1099 commission only contractor pay
Under penalties of perjury, I certify that: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); and2. 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; and3. I am a U.S. citizen or other U.S. person (defined below);*

Clear
Should be Empty:

US CITIZEN - TAX INFORMATION