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(16-03-01) Motor Coach Transportation
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Last modified
3/31/2016 10:45:41 AM
Creation date
3/31/2016 10:45:41 AM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Motor Coach Transportation Services
Bid No. (xx-xx-xx)
16-03-01
Project Type (Bid, RFP, RFQ)
Bid
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Farm W'9 Request for Taxpayer Give Form to the <br /> (Rev.December 2014) Identification Number and Certification requester.Do not <br /> Department of be Treasury send to the IRS. <br /> Internal Revenue Service <br /> 1 Name(as shown on your income tax return).Name is reputed on this line;do not leave this line blank. <br /> CORPORATE COACHES INC. <br /> 2 Businuss nern /diarugdsdrd entity name,i1 diffeeent from above <br /> 0 <br /> a <br /> n <br /> a 3 Check appropriate box for federal tax classification;check ordy one of the following seven boxes: 4 Exemptions(codes apply only to <br /> o <br /> 0 Individual/sole proprietor a ❑ C Corporation ❑.' S Corporation ❑ Partnership ❑Tnut/estete cetc entities,not individuals see <br /> o g single-member LLC instuct paytins on page 3T <br /> T 2 ❑Limited liability company.Enter the tax class,hcalian(C=C corporation.5=5 cporation,P=partnership)► Exempt pay <br /> coact(d and <br /> `8 2 Note.For a singe-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting <br /> c N the tax classification of the single-member owner. code(d any) <br /> c <br /> y` 0 Otner(see instructions)► Woks m,onatn rru.u.b wenn ere us; <br /> to: S Address(number,street.and apt.or suite no.) I Requester's name and address(optiona) <br /> a P.O. BOX 17825 <br /> 0 6 City.state.and ZIP code <br /> to PLANTATION, FL 33318 <br /> 7 List account numbers)here(optional) <br /> Pat I Taxpayer Identification Number(TIN) <br /> Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Sodal security number <br /> backup withholding.For individuals,this is generally your social security number(SSW).However,for a <br /> resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - - <br /> entities,it is your employer identification number(EIN).If you do not have a number.see How to get a <br /> TIN on page 3. or <br /> Note.If the account is in more than one name.see the instructions for line 1 and the chart on page 4 for Employer Identification number <br /> guidelines on whose number to enter. <br /> 6 5 -I0 8 8 618 3 0 <br /> Part II Certification <br /> Under penalties of perjury,I certify that: <br /> 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 <br /> 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 <br /> 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 <br /> no longer subject to backup withholding;and <br /> 3. I am a U.S.citizen or other U.S.person(defined below);and <br /> -4.The FATCA codes)entered on this form Of any)indicating that I am exempt from FATCA reporting is correct. <br /> 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 <br /> 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 <br /> interest paid,acquisition or abandonment of secured secureOpreprixaNdatiog gt.QQppht contributions to an individual retirement arrangement(IRA),and <br /> generally,payments other than interest and dividends.you are noiireut.to slgn The certification,but you must provide your correct 11N.See the <br /> instructions on page 3. <br /> Sign Signaus.p person <br /> n a/qA zi /� V /�C, 1/f-4/lf7 <br /> Here I uspeeon. /a ,d. ,P Cf/L(btC/l Daus. <br /> General Instructions ��T •Form 1098(home mortgage interest).1098-E(student loan interest),1098-T <br /> (tuition) <br /> Section references are to the Interna Revenue Code unless otherwise noted. •Farm 1099-C(canceled debt) <br /> Future developments.Information abort developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of reared property) <br /> as legislation eructed atter we release it)is at www.irs.gov/M9. <br /> Use Form W-9 only it you are a U.S.person Including a resident alien),to <br /> Purpose of Form provide your correet TIN. <br /> An individual or entity(Form W-9 requester)who is required to Ede an adonna:int If you do not return Form W-9 to the requester with a TIN,you might be subject <br /> return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What is backup withholding?on page 2. <br /> watch may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you: <br /> number("IN) adoption taxpayer identification number(ATIN),or employer <br /> identification number(EIN) to report on an information return the amount paid to I.Certify that the"N you are giving is correct(or you are waiting fp a number <br /> you,or other amount reportable on an information return.Examples of information <br /> to be issued), <br /> returns include,but are not limited to,the foeowing: 2.Certify that you are not subject to backup withholding,or <br /> •Fain 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If <br /> •Form 1099-DIY(dividends.Including those from stocks or mutual funds) applicable.you are also certifying that as a U.S.person,your alocable share of <br /> any partnership income from a U.S.trade or business is not subject to the <br /> •Form 1099-MSC(various types of income.prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively cornected income,and <br /> •Form 1099-B stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this lone(d any)indicating that you are <br /> brokers) exempt from the FATCA reporting,is correct See What is FATCA reporting?on <br /> •Form 1799.5 proceeds iron real estate transactions) page 2 for further information. <br /> •Form 1099-K'merchant card and third party network transactions) <br /> Cat.No.10231% Form W-9(Rev.12-2014) <br />
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