HomeMy WebLinkAboutw92024Request for Taxpayer
Form IMMO Identification Number and Certification
(Rev. October 20't 8)
Department of the Treasury
Internal Revenue Service blow Co to www.irs.gov/Fo►rnW9 for instructions and the latest information.
1 Name (as shown on your income tau return). Name is required on this line; do not le
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CL
2 Business name/disregarded entity name, if different from above
ultimate maintenance services inc
aWe this line blank.
3 Check appropriate box far fed�ral tax C assifiication of the p�rsan whose name is entered �n fins �1. Chick only one of the
following seven boxes.
❑ IndiOdual/sole proprietor or ❑ C Corporation 0 S Corporation ❑ Partnership TrusVestate
single -member LLB
❑ Limited Inability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) 110'.
Note: check the appropriate box in the line above for the tax classification of the single -member owner. Da not check
LLC if the LLC is classified as asingle--member LLC that is disregarded from the owner unless the owner of the LAC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a singe -member LLC that
is disregarded from the owner should cheek the appropriate box for the tic classification of its owner.
[] Other (see instructions) 00-
5 Address (number, street, and apt. or suite no.) See instructions.
4237 redondo
account number(s) here (optional)
Taxpayer Identification Number (TIN)
Give Form to the
requester. Do not
send to the IRS.
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):
Exempt payee code cif any)
MI
exemption from
code cif any)
FATCA reporting
(Applies to accounts maintained outside the )
Requester's name and address (optional)
Ender your TIN in the appropriate box. The TIN provided must match the name liven 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, gee the instructions for Part 1, later. For other
entities, it is your employer identifiLcation number (EIN). If you do not have a number, see How to get a
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1 .
Number To Give the Requester for guidelines on whose number to enter.
!Iartif ie-nfinn
Under penalties of perjury, I certify that:
Also see What Name and
Social security number
M"
or
Employer +dentificatian number
1. The number shown an this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2a l 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. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form cif any) indicating that I am exempt fr ATCA reporting is correct.
Cert'Ification instructions. You must cross out item 2 above if you have been tied by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and livid
Here U.S. person ► � Date ►
General Instructions
Section references are to the Intemal Revenue Code unless otherwise
noted,
Future developments. For the latest information about developments
related to Form Wo-9 and itsinstructions, such as legislation enacted
after they were published, go to www.I"rs.govlFormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to fi'le an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your sacial security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on are information return. Examples of information
returns include, but are not limited to, the following.,
* Form 1099,-.INT (interest earned or paid)
• Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-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 1099-1 (proceeds from real estate transactions)
• Form 1099-.-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-1 (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-19 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
ff 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)