Oha Form W-9 - Request For Identification Number And Certification

Download a blank fillable Oha Form W-9 - Request For Identification Number And Certification in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Oha Form W-9 - Request For Identification Number And Certification with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

 
OHA FORM W-9 – REQUEST FOR IDENTIFICATION NUMBER AND CERTIFICATION
Purpose of this form: for vendors and grantees to provide OHA a taxpayer identification number (TIN) and certification for issuance of
payment. This form is substantially similar to the IRS Form W-9 – Request for Taxpayer Identification Number and Certification. This
form is also used for obtaining volunteer information and information relating to reimbursement requests for non-employees.
All information obtained herein is confidential and will be held confidentially by Office of Hawaiian Affairs.
Return form to:
Office of Hawaiian Affairs
Attention Vendors & Grantees!
711 Kapiolani Blvd, Suite 500
See OHA NOTICE TO VENDORS & GRANTEES 
Honolulu, Hawaii 96813
for further details 
Attn: Accounts Payable – Admin Services
Name (as shown on your income tax return)
Business name, if different from above
Check appropriate box:
    
   
    
Individual/Sole Proprietor
Limited Liability Company
Corporation 
(for profit)   
    
   
    
Government Agency 
 
Partnership
Corporation 
(non‐profit)
    
Other (indicate) 
 
Address (number, street, and apt. # or suite #)
City, State, and ZIP code
Mailing Address (if different from above)
Part I – Taxpayer Identification Number (TIN)
Social Security #
For Vendors and Grantees – Enter your TIN in the appropriate box. The TIN provided must
match the name given on Line 1 to avoid backup withholding. For individuals, this is your
social security number (SSN). For other entities, it is your federal identification number (FIN)
OR
or employer identification number (EIN).
Other information (optional)
Federal Identification #
Part II – Certification
For Vendors and Grantees – Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number, 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
I am a U.S. citizen or other U.S. person
3.
 
Sign Here
Title
Date
Attention Vendors & Grantees! 
For Admin Services Use ONLY
See OHA NOTICE TO VENDORS & GRANTEES 
OHA Vendor # _______________
for further details 
Date Received: _______________
Last Revised 02/05/2010

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 3