CRO Match Payment Form

CRO Match Payment Form
The information below is being collected to ensure the payment option and 1099 documentation is on file.

The information you provide should be EXACT and you will be responsible for any incorrect information.

You have two (2) payment options available to you listed below.

- Check in the Mail (Mailed to the Address you submit below)

- Direct Deposit (This is NOT Arbiterpay - Payments will be depositied DIRECTLY to your Bank Account)

-- If we do not have direct deposit on file you will automatically be sent a check in the mail when payments are processed.

You can find a list of Leagues being paid via the CRO Payroll at the website listed below.

- https://www.croreferees.com/payments
Full Legal Name*
What will be used for your 1099 should you need one at the end of the year
Name Exactly as it Reads in Arbiter Sports*
What will be used to ensure your pay sheet matches your information for payment purposes
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Is this a new submission or update?*

First time CRO Payroll SubmissionUpdating previous CRO Payroll SubmissionUpdating CRO Registration Payment Information
Payment Options :*

Check in the MailDirect Deposit
Address Confirmation*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this the same address as the one in Arbiter?*

YesNo
Is there anything we need to know when sending a check to your address? Certain Address Format or apartment labeling specific to your address

Direct Deposit Information
Bank Name*
Account Type*

CheckingSavings
Routing Number*
Account Number*
You Can provide a image of a Voided Check or Direct Deposit Form From your Bank for Additional Confirmation

Cancelof

This is a Confirmation that all Routing & Account Numbers Match
Routing Number*
Account Number*

W-9 Information Confirmation
Select if you will be using a social security number (SSN) or employer identification number (EIN).

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 either number exit the form and return to the form once you have that information.
Select - Social Security # or Employer Identification #*
Input - Social Security # OR Employer Identification #*
Do NOT include Dashes - Numbers must be 9 Digits
Select the appropriate box for federal tax classification of the entity/individual whose name is entered on line*
If you selected "Limited liability company", enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
Under penalties of perjury, I certify that:
- The information I am providing above is my own payment information and no other information.
- I also certify that I have read and understand the payment information provided at https://www.croreferees.com/payments & on this form.
- Charlotte Referee Group (CRG) / Carolina Referee Organization (CRO) is not responsible for any moneys lost due to inaccurate information provided in this form.
- Any money paid over the amount due to an individual or organization is owed back to CRG / CRO in full.
- The TIN shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
- 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; and
- I am a U.S. citizen or other U.S. person (defined below)
Signature*

Clear
Date*

MonthDayYear
Date
W-9 Form

Cancelof
Should be Empty: