Form W-9 - Request For Taxpayer Identification Number (Oregon)

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IRS FORM W-9, Request for Taxpayer Identification Number
Please complete this form and mail it to:
Attn: A/P
PO Box 745
Beaverton OR 97075
Or fax to (503) 356-3116.
Please note that if your taxpayer identification number is not provided to us, Federal law requires us to withhold
tax from future payments.
Unless it is noted in Part II of the W-9 that you are exempt, and we pay you $600.00 or more in a
calendar year, you will be sent a 1099 form.

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