W-9 | Haus Of Tax

W-9 Form

First Name

Last Name

Taxpayer Identification Number (TIN)

SSN or ITIN or EIN

If you do not have a TIN, apply for an ITIN now

ITIN Request

Name of your Business (if you have a company)

Address

Apt, Suite, Unit

Phone

City

Zip Code

Company Name (Put the name of the company that you worked for)

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.

Your Signature

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