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4.
Independent Contractor Reporting
Yes
No
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a.
Does the entity make payments for services to independent contractors
If yes, is Form W-9, Request for Taxpayer Identification Number and Certification, used to secure
b.
taxpayer identification numbers (TINs) from the independent contractors prior to initial payment
Note: Form W-9, or its equivalent, should be secured from all contractors before any payments are
made, to help ensure that the payee's name and taxpayer identification number are accurate.
c.
Are all Forms W-9 properly and thoroughly completed and signed
d.
Are Forms 1099-MISC filed for all independent contractors (except for some legally exempt ones) for
payments aggregating $600 or more per year
e.
Does the entity file Form 1099-MISC for payments to individuals, partnerships and certain
corporations
f.
Does the entity file Form 1099-MISC for attorney payments (including incorporated payees)
g.
Does the entity file Form 1099-MISC for medical and health care payments (including incorporated
payees)
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5.
Backup Withholding
Yes
No
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Did the entity backup withhold income tax on any reportable payments
Backup withholding is required on reportable payments made to a U.S. person if:
1) The U.S. person did not provide its TIN in the manner required; or
2) The IRS notifies the payer that the TIN is incorrect. Generally, a TIN must be provided on Form W-9. A payer reports backup
withholding on Form 945.
Note: Payments subject to backup withholding at the source are reported on forms 1099-B, DIV, INT, K, MISC, PATR, OID.
Note: Notice CP2100 is issued in situations where prior year information returns contained missing or incorrect TINs and name/
identification number mismatches.
For additional information on backup withholding, see Publication 1281, Backup Withholding for Missing and Incorrect Name/TINs and
Publication 15, (Circular E), Employer's Tax Guide.
Notes/Follow-up
You have completed the Other Tax Issues Compliance Self-Assessment.
14581-D
Catalog Number 69847F
Form
(6-2017)