Taxpayer ID & Certification (W-9 style) Template

US — collects a contractor's name, TIN and certification for tax reporting.

Use this free taxpayer id & certification (w-9 style) template to create, fill in and sign a taxpayer id & certification (w-9 style) online. Self-sign in your browser — tamper-evident audit trail included.

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REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION

Complete this form so the requester can report payments to the IRS. Date: [date].

1. Name and Business

Legal name: [legal name]. Business name (if different): [business name]. Federal tax classification: [tax classification].

2. Address

Address: [address]. City, state and ZIP: [city state zip].

3. Taxpayer Identification Number

SSN or EIN: [tin].

4. Certification

Under penalties of perjury, I certify that the number shown is my correct taxpayer identification number, that I am not subject to backup withholding, and that I am a US person.

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