Fillable Payee Information Form (Page 2 of 2) in pdf

of the United States at any time during the

Purpose of Form. - An organization that is

(1) A corporation. (2) An organization

calendar year, that is, the alien held an

required to file an information return with the

exempt from tax under section 501(a), or an

immigrant visa (a"green card"), or

IRS must obtain your correct Taxpayer

IRA, or a custodial account under section

The individual was physically present in

Identification Number (TIN) to report income

403(b)(7). (3) The United States or any of its

the United States on:

agencies or instrumentalities.

paid to you. The TIN is either the Social

(1) at least 31 days during the calendar

(4) A state, the District of Columbia, a

Security Number (SSN) or Employer

year, and

possession of the United States, or any of their

(2) 183 days or more during the current

Identification Number (EIN) of the payee.

political subdivisions or instrumentalities. (5)

year and the 2 preceding calendar years

Nonresident alien information must be

A foreign government or any of its political

(counting all the days of physical presence in the

obtained to determine the payee's tax status for

subdivisions, agencies, or instrumentalities.

current year, one-third the number of days of

presence in the first preceding year, and only

(6) An international organization or any of its

compliance with IRS withholding and

one-sixth of the number of days in the second

agencies or instrumentalities. (7) A foreign

Security Number (SSN) or Employer

preceding year).

central bank of issue.

Identification Number (EIN) of the payee.

Claiming exemption. - If you are exempt from

Nonresident alien information must be

See Pub. 519, U.S. Tax Guide for Aliens, for

backup withholding, you should complete this

more information on resident and nonresident

obtained to determine the payee's tax status for

form to avoid possible erroneous backup

alien status.

compliance with IRS withholding and

withholding. Enter your correct TIN in the

Visa Status. - Immigration regulations

reporting requirements. The additional

appropriate sections, and write "EXEMPT" in

regarding employment eligibility of non-

the block in Section IV.

information for other payee types is needed to

immigrants are complex. Contact The

satisfy State of Texas requirements for

University International Office for preliminary

Privacy Act Notice

establishing vendor records.

information regarding visa types that permit

IRC section 6109 requires you to furnish your

Taxpayer Name and Number Specific

correct TIN to persons who must file

payment for services.

information returns with the IRS to report

Instructions:

Withholding. - Foreign persons are not

certain payments. The IRS uses the numbers for

To prevent payments from being subject to

generally required to have a TIN, nor are they

identification purposes and to help verify the

backup withholding, you must provide a correct

subject to any backup withholding because they

accuracy of your tax return. You must provide

TIN. A TIN is considered incorrect if the name

do not furnish a TIN to a payer. However, non-

your TIN whether or not you are required to file

and TIN combination does not match or cannot

employee payments to nonresident aliens are

a tax return. Payers must generally withhold

be found on IRS or Social Security

subject to 30% tax withholding unless a tax

31% of certain taxable payments to a payee who

Administration (SSA) records.

treaty with their country entitles them to

does not furnish a TIN to a payer. Certain

either a lower rate or exemption. To claim any

Name. – As an individual, you must generally

penalties may also apply.

available treaty benefits, the recipient must file

provide the name shown on your social security

Penalties Failure To Furnish TIN. - If you fail

IRS form 8233 with the payer. A SSN is not

card. However, if you have changed your last

required to file this form. If the individual has a

to furnish your correct TIN to a requester, you

name, for instance, due to marriage, without

are subject to a penalty of $50 for each such

SSN, this number should be indicated on the PIF

informing the Social Security Administration of

failure unless your failure is due to reasonable

and the 8233.

the name change, please enter your first name,

cause and not to willful neglect.

the last name shown on your social security

Backup Withholding What is Backup

card, and your new last name.

Withholding? - Persons making certain

Civil Penalty for False Information With

Respect to Withholding. - If you make a false

payments to you after 1992 are required to

If you are a sole proprietor, you must furnish

withhold and pay to the IRS 31% of such

statement with no reasonable basis that results in

your individual name and your SSN. You may

no backup withholding, you are subject to a

payments under certain conditions. This is

also enter your business name or "doing

called "backup withholding." Payments that

$500 penalty.

business as" name on the business name line.

could be subject to backup withholding include

The SSN will be used for your vendor record

Criminal Penalty for Falsifying

rents, royalties, non-employee compensation,

with UT. If you prefer the use of your EIN for

Information. - Willfully falsifying

and payments for medical and health care

any required tax reporting, enter that number

certifications or affirmations may subject you

services. Reportable payments you receive will

also. Enter your name(s) as shown on your

to criminal penalties including fines and/or

be subject to backup withholding if:

social security card and/or as it was used to

imprisonment.

You do not furnish your TIN to the

apply for your EIN on Form SS-4.

requestor, or

Misuse of TINs. - If the requester discloses or

What Name and Number to Give the

The IRS notifies the requester that

uses TINs in violation of Federal law, the

you furnished an incorrect TIN.

Requestor

requester may be subject to civil and criminal

penalties.

Type of Payee:

Name to Use

SSN/EID

Payees and Payments Exempt From Backup

1. Individual

Individual

SSN

Withholding. - Certain payees and payments

Historically Underutilized Businesses

2. Sole

are exempt from backup withholding and

(HUB)

Proprietor

Owner

SSN

information reporting. The following is a list of

The State of Texas is encouraging state

or both

payees exempt from backup withholding and for

agencies to utilize these businesses. You or

3. Partnership

Partnership

EIN

which no information reporting is required.

your firm qualifies if 51% owned by a person

Payments subject to reporting under Internal

or persons who have been historically

4. Corporation

Corporation

EIN

Revenue Code (IRC) sections 6041 and 6041A

underutilized because of their identification as

5. Other Entity

Organization

EIN

are generally exempt from backup withholding

a member of certain groups: Black

only if made to payees described in items (1)

Americans, Hispanic Americans, Asian-

Nonresident Alien Individual

through (7), except a corporation that provides

Pacific Americans, Native Americans, or

For income tax purposes, "nonresident alien

medical and health care services or bills and

Women-any ethnicity. To obtain a

individual" means an individual who is neither

collects payments for such services is not

certification form, contact the U.T. Purchasing

a U.S. citizen nor resident. Generally, an alien

exempt from backup withholding or information

Office at 471-4266.

is considered to be a US resident if:

reporting.

The individual was a lawful permanent resident

Payee Information Form Page 2

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