HomeMy WebLinkAboutFCSons W-9-City of Diamond Bar��
Request for Taxpayer
� Give Forto the
Form
Identification Number and Certification
requester. Do not
(Rev, October
2018)
Department of the Treasury
send to the IRS.
Internal
Revenue Service
► Go to wwwJrs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
F C And Sons Roofing Inc
2 Business name/disregarded entity name, if different from above
6508
(D
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the
4 Exemptions (codes apply only to
c)
following seven boxes.
certain entities, not individuals; see
o
instructions on page 3):
o
❑ Individual/sole proprietor or C C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate
ai
single -member LLC
Exempt payee code (if any)
T❑
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ►
p
Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check
Exemption from FATCA reporting
y
LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is
L
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that
code (if any)
a
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
U
a)❑
Other (see instructions) ►
(Applies to accounts maintained outside the U.S.)
5 Address (number, street, and apt, or suite no.) See instructions.
Requester's name
and address (optional)
rn
City of Diamond Bar
6 City, state, and ZIP code
21810 Copley
Drive
Diamond Bar,
CA 91765
7 List account number(s) here (optional)
Taxpayer Identification Number
(TIN)
Enter
your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
Social security
number
backup
withholding. For individuals, this is generally your social security number (SHowever, 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 qet a
TIN, later. or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and IEmployer identification number
Number To Give the Requester for guidelines on whose number to enter.
9 5—
of perjury, I certify that:
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
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.
(am
a U.S.
citizen or other U.S. person (defined
below); and
4.
The
FATCA
codes) 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 properly, 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 certifj�at,�dn, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Signature of
Here U.S. person ►
Instru
Section references are to
noted.
eons �
Internal
MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-1< (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,
later.
Cat. No. 10231X Form W-9 (Rev. 10-2018)