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8/12/2019 ABC Employment Docs
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8/12/2019 ABC Employment Docs
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Give form to therequester. Do notsend to the IRS.
Form W-9 Request for TaxpayerIdentification Number and Certification
(Rev. October 2007)
Department of the TreasuryInternal Revenue Service
Name (as shown on your income tax return)
List account number(s) here (optional)
Address (number, street, and apt. or suite no.)
City, state, and ZIP code
Printorty
pe
See
Specific
Instructi
ons
on
page
2.
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoidbackup withholding. For individuals, this is your social security number (SSN). However, for a residentalien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it isyour employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.
Social security number
or
Requesters name and address (optional)
Employer identification numberNote. If the account is in more than one name, see the chart on page 4 for guidelines on whosenumber to enter.
Certification
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), andI am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the InternalRevenue 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 hasnotified me that I am no longer subject to backup withholding, and
2.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backupwithholding 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 retirementarrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you mustprovide your correct TIN. See the instructions on page 4.
SignHere
Signature of
U.S. person
Date
General Instructions
Form W-9 (Rev. 10-2007
Part I
Part II
Business name, if different from above
Cat. No. 10231X
Check appropriate box:
Under penalties of perjury, I certify that:
Use Form W-9 only if you are a U.S. person (including a
resident alien), to provide your correct TIN to the personrequesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you arewaiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S.exempt payee. If applicable, you are also certifying that as aU.S. person, your allocable share of any partnership income froma U.S. trade or business is not subject to the withholding tax onforeign partners share of effectively connected income.
3. I am a U.S. citizen or other U.S. person (defined below).
A person who is required to file an information return with theIRS must obtain your correct taxpayer identification number (TIN)to report, for example, income paid to you, real estatetransactions, mortgage interest you paid, acquisition orabandonment of secured property, cancellation of debt, orcontributions you made to an IRA.
Individual/Sole proprietor
Corporation
Partnership
Other (see instructions)
Note. If a requester gives you a form other than Form W-9 torequest your TIN, you must use the requesters form if it issubstantially similar to this Form W-9.
An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created or
organized in the United States or under the laws of the UnitedStates, An estate (other than a foreign estate), or
Definition of a U.S. person. For federal tax purposes, you areconsidered a U.S. person if you are:
Special rules for partnerships. Partnerships that conduct atrade or business in the United States are generally required topay a withholding tax on any foreign partners share of income
from such business. Further, in certain cases where a Form W-9has not been received, a partnership is required to presume thata partner is a foreign person, and pay the withholding tax.Therefore, if you are a U.S. person that is a partner in apartnership conducting a trade or business in the United States,provide Form W-9 to the partnership to establish your U.S.status and avoid withholding on your share of partnershipincome. The person who gives Form W-9 to the partnership forpurposes of establishing its U.S. status and avoiding withholdingon its allocable share of net income from the partnershipconducting a trade or business in the United States is in thefollowing cases: The U.S. owner of a disregarded entity and not the entity,
Section references are to the Internal Revenue Code unlessotherwise noted.
A domestic trust (as defined in Regulations section301.7701-7).
Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) Exemptpayee
Purpose of Form
8/12/2019 ABC Employment Docs
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Department of Homeland Security
U.S. Citizenship and Immigration Services
Form I-9, EmploymentEligibility Verification
OMB No. 1615-0047; Expires 06/30/09
Please read instructions carefully before completing this form. The instructions must be available during completion of this form.
ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work eligible individuals. Employers CANNOTspecify which document(s) they will accept from an employee. The refusal to hire an individual because the documents have afuture expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Verification. To be completed and signed by employee at the time employment begins.
Print Name: Last First Middle Initial Maiden Name
Address (Street Name and Number) Apt. # Date of Birth (month/day/year)
StateCity Zip Code Social Security #
A lawful permanent resident (Alien #) A
A citizen or national of the United StatesI am aware that federal law provides for
imprisonment and/or fines for false statements or
use of false documents in connection with the
completion of this form.An alien authorized to work until
(Alien # or Admission #)
Employee's Signature Date (month/day/year)
Preparer and/or Translator Certification. (To be completed and signed if Section 1 is prepared by a person other than the employee.) I attest, underpenalty of perjury, that I have assisted in the completion of this form and that to the best of my knowledge the information is true and correct.
Address (Street Name and Number, City, State, Zip Code)
Print NamePreparer's/Translator's Signature
Date (month/day/year)
Section 2. Employer Review and Verification. To be completed and signed by employer. Examine one document from List A ORexamine one document from List B and one from List C, as listed on the reverse of this form, and record the title, number andexpiration date, if any, of the document(s).
ANDList B List CORList A
Document title:
Issuing authority:
Document #:
Expiration Date (if any):
Document #:
Expiration Date (if any):
and that to the best of my knowledge the employee is eligible to work in the United States. (State(month/day/year)
employment agencies may omit the date the employee began employment.)
CERTIFICATION - I attest, under penalty of perjury, that I have examined the document(s) presented by the above-named employee, thatthe above-listed document(s) appear to be genuine and to relate to the employee named, that the employee began employment on
Print Name TitleSignature of Employer or Authorized Representative
Date (month/day/year)Business or Organization Name and Address (Street Name and Number, City, State, Zip Code)
B. Date of Rehire (month/day/year) (if applicable)A. New Name (if applicable)
C. If employee's previous grant of work authorization has expired, provide the information below for the document that establishes current employment el igibility.
Document #: Expiration Date (if any):Document Title:
Section 3. Updating and Reverification. To be completed and signed by employer.
l attest, under penalty of perjury, that to the best of my knowledge, this employee is eligible to work in the United States, and if the employee presented
document(s), the document(s) l have examined appear to be genuine and to relate to the individual.
Date (month/day/year)Signature of Employer or Authorized Representative
Form I-9 (Rev. 06/16/08) N
I attest, under penalty of perjury, that I am (check one of the following):
KRIER MICHAEL S
140 Michigan Avenue NE T21
Washington DC 20017
05/28/1971
477025160