Town of Kernersville - Vendor Application

Town ofKERNERSVILLEFinance Department
134 East Mountain Street
Kernersville, NC 27284
336-996-3121
Dear Vendor:

Below are the guidelines for invoicing and receiving payments from the Town of Kernersville. Following these guidelines will ensure vendor payments are processed in a timely and efficient manner.
1. There are two options for submitting invoices to the Town. With either option you choose, please send one copy only of each invoice.

a. Option 1-email your invoices to invoices@toknc.com. If you choose this option, do not mail invoices. (Address to be formatted the same as option 2, even if mailing)

b. Option 2-mail your invoices to:
Town of Kernersville
Attn: Accounts Payable
134 East Mountain Street
Kernersville, NC 27284

If your invoice includes a SHIP TO address, please continue to use the actual address where goods or services are delivered. For example, your invoices may appear as shown:

Billing Address:	Ship To:
Town of Kernersville	Public Services - Town of Kernersville
134 East Mountain Street	509 Michael Street
Kernersville, NC 27284	Kernersville, NC 27284

3. The Town of Kernersville payment terms are net 30 days from the date of invoice. If you have any questions regarding payment or receipt of invoices, please call Accounts Payable at 336-992-0604.
4. The Town of Kernersville is not exempt from sales tax. Please include all applicable State and County sales taxes on your invoices. Taxes must be on a separate line(s) on the invoice and not combined with the cost of goods or shipping/freight costs.
5. Before payments can be processed, all vendors must complete a Town of Kernersville Vendor Application and a W-9 form to ensure IRS compliance. The W-9 form is included in this packet or may be obtained at www.irs.gov.
The Town of Kernersville makes every effort to pay vendors on time. With your assistance, we are confident that these guidelines will benefit both you and the Town. If you have any questions, please contact us at 336-992-0604.

Thank you,
Please Submit Vendor Application:
By Mail: 134 E Mountain St. Kernersville, NC 27284
Scan/Email: invoices@toknc.com
Finance Department
Town of Kernersville

Rows	Company Information
Street Address or PO Box Number
City, State, Zip
County
Contact Name
Phone Number
Email Address

Form W-9
(Rev. March 2024)
Department of the Treasury
Internal Revenue Service
Request for TaxpayerIdentification Number and Certification
Give form to the requester. Do not send to the IRS.
Go to www.irs.gov/FormW9 for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.)*
2 Business name/disregarded entity name, if different from above.
Individual/sole proprietorC corporationS corporationPartnershipTrust/estate
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership)Other (see instructions)
Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Exempt payee code (if any)
Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)
(Applies to accounts maintained outside the United States.)
Check this box if you have any foreign partners, owners, or beneficiaries.
Requester's name and address (optional)
5 Address (number, street, and apt. or suite no.). See instructions.*

Remit To Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
6 City, state, and ZIP code*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
7 List account number(s) here (optional)
Part I 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.
Employer identification number
Sample EIN format: XX-XXXXXXX
or
Social security number
Sample format: XXX-XX-XXXX
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.
Part II Certification
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); and
2. 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
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Signature of U.S. person*

Clear
Date*

MonthDayYear
Date
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
What's New
Purpose of Form
Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification.
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they
Cat. No. 10231X
Form W-9 (Rev. 3-2024)
Should be Empty:

Town ofKERNERSVILLEFinance Department

Town of KERNERSVILLE Finance Department

Vendor Application

Form W-9

Request for TaxpayerIdentification Number and Certification

Part I Taxpayer Identification Number (TIN)

Part II Certification

General Instructions

What's New

Purpose of Form