Payee Information Form-Substitute W-9/foreign Vendor Information Form - The University Of Texas At Austin
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THE UNIVERSITY OF TEXAS AT AUSTIN
PAYEE INFORMATION FORM-SUBSTITUTE W-9/FOREIGN VENDOR INFORMATION FORM
Section 1.
This section required for all entities
1. Name (as shown on your income tax return)
2. Business Name/disregarded entity name, if different from above
Phone:
3. Address:
(number, street, and apt. or suite no.)
City:
State:
Zip:
5. Exemptions (codes apply only to certain entities,
not individuals; see instructions on page 2).
Foreign Address:
Enter Exempt Payee Code (if any):
(Enter foreign city, province or state, foreign postal code, and country)
Exemption from FATCA reporting code (if any):
Email Address:
(applies to accounts maintained outside the U.S.)
Taxpayer Identification Number (TIN)
4.
The TIN provided must match the name given on line 1 to avoid backup withholding.
*SSN or ITIN
Employer Identification Number (EIN)
--
-- __ __ __ __
__ __ -- __ __ __ __ __ __ __
Individuals complete Part I & IV, Partnerships complete Part II & IV, Corporations or other Entities complete Part III & IV
Part I. INDIVIDUAL OR SOLE PROPRIETOR
(Check one of the following)
(Individuals/sole proprietors MUST provide a copy of social security card or photo id)
A.
I - Individual
(not owning a business)
S - Sole Proprietor of Business
(May also provide an EIN in Section 1, line 4, for tax reporting, if desired, see Taxpayer Name & Number on back)
S - Single Member LLC or Single Member LLC that is disregarded (must provide SSN only)
B. Citizenship Status: I attest under penalties of perjury that I am (check one of the following):
___ A citizen or national of the United States. Provide SSN in section 1, line 4.
___ A Nonresident Alien (Complete C. below). Provide SSN or ITIN in section 1, line 4, if applicable.
___ A Lawful Permanent Resident. Provide Alien #: ________________________________ and provide SSN in section 1, line 4.
C. Nonresident Alien Information - If you do not have an SSN or ITIN, check here
Citizen of:
Number of Days in the U.S.A. this calendar year:
Permanent Resident of:
Number of Days in the U.S.A. in the past 12 months:
Email oa.ic@austin.utexas.edu with your current visa status if you need a current year tax residency or income tax treaty determination.
Part II.
P - PARTNERSHIP
Enter two partner's names and Social Security Numbers. If either partner is a corporation, provide the corporation's EINs below. Also provide the
partnerships’s EIN in section 1, line 4.
Partner's Name ______________________________________________________________
*SSN/EIN __ __ __ __ __ __ __ __ __
Partner's Name ______________________________________________________________
*SSN/EIN __ __ __ __ __ __ __ __ __
P - LLC THAT FILES AS A PARTNERSHIP
(Provide EIN in section 1, line 4)
Part III. CORPORATION, LLC THAT FILES AS A CORPORATION, OR OTHER ENTITY
(Check one of the following)
T - Texas Corporation or Texas LLC that files as a Corporation
L - Texas Limited Partnership
A - Texas Professional Association
C - Texas Professional Corporation
P =partnership, T=Texas Corporation or O=Out of state corporation)
(
LLC Disregarded Entity. Also enter the Tax Classification:
Note: for a single-member LLC that is disregarded, do not check this section, check Single Member LLC in Part I
If T, A, C, or L is checked, enter Texas File Number __ __ __ __ __ __ __ __ __ __
O - Out of State Corp, Out of State LLC that files as a Corp, Out of State Professional Association, Out of State Professional Corp or
Out of State Limited Partnership
G - Governmental entity
U - State agency / University
F - Financial Institution
R - Foreign Business (outside the U. S. A.)
(Description Required)
N - Other
Refer to pg 2, General Instructions, of the State of Texas Application for Texas
*Disclosure of your Social Security Number is required.
Identification Number,
Certification and Instructions continued on next page. All entities must complete Certification.
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