Form Nj W-9 - Questionnaire With Instructions - State Of New Jersey

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STATE OF NEW JERSEY W-9/QUESTIONNAIRE INSTRUCTIONS
The enclosed form is required by the State of New Jersey’s Comprehensive Financial System, and must be completed by
vendors/payees who intend to do business with the State of New Jersey or by New Jersey State employees who are seeking
reimbursement for travel or training expenses. Please answer ALL questions and print clearly. If you have questions or need assistance
completing the form, please contact vendor control at (609) 633-8183 or via email: AAIUNIT@treas.nj.gov.
PART I. REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION
Part One is a W-9 form as required by the Internal Revenue Service to verify the name, address, and federal identification number for
vendor/payees who may receive a 1099.
For questions 1-4:
If there is no preprinted data, populate the form with the vendor/payee’s name (as shown on your tax return), address, city, state,
and zip code, and sign and date the form under question number five.
If the form contains preprinted data and the preprinted information is correct, sign and date the form under question five.
If the form contains preprinted data and the preprinted information is not correct, cross out the incorrect data and make any
changes immediately to the right of the preprinted information and sign and date the form under question five.
PART II. VENDOR/PAYEE DATA: STATE OF NEW JERSEY VENDOR/PAYEE INFORMATION QUESTIONNAIRE
1. Enter the code that best describes the primary business function from the choices provided.
2. Print the name, phone number, and e-mail address of the primary contact person for the vendor listed in Part One.
If you are an employee of the State of New Jersey or manage a Confidential Fund or a Petty Cash Fund for a State agency, do not
answer the remaining portion of the questionnaire (Questions three and four).
3. Enter the principle activity of your organization from the choices provided.
4. Enter the code that best describes your organization from the choices provided.
SUBMISSION OF THE STATE OF NEW JERSEY W-9/QUESTIONNAIRE
Mail or fax completed forms to The Office of Management and Budget (OMB):
OMB-Vendor Control Unit
PO Box 221
Trenton, NJ 08625-0221
Fax: (609) 984-5210
ACCESSING YOUR ACCOUNT INFORMATION
Details regarding specific payments, similar to a check stub, may be obtained over the internet through the Vendor Payment Inquiry
(VPI) system. To access VPI, users must first create a ‘MyNewJersey’ portal account.
Begin by logging onto the State of New Jersey’s web page,
and creating a log in and password (click on the
‘register’ link under the ‘home’ tab). Once the ‘MyNewJersey’ portal account has been established, users will have to sign up for the
VPI application by clicking the ‘enroll here’ button on our website,
https://www20.state.nj.us/TYM_VPI/
The online tutorial for VPI can be found at
https://www20.state.nj.us/treasury/omb/TYM_VPI/docs/GettingStarted.pdf
VPI provides two years of historical data (such as issuing agency, payee reference, payment amount, payment date, etc) and allows for
the review of scheduled payments.
Form NJ W-9 (Rev 6/2014)

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