Contractor Information Sheet, Form W-9 - Request For Taxpayer Identification Number And Certification

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CONTRACTOR INFORMATION SHEET
Complete this form for each 1099 contractor.
General Information
Contractor Type
Individual
Business
Contractor Name
__________________________________________________
Address
__________________________________________________
City, State, Zip
___________________________________________________
Email Address
___________________________________________________
Social Security No./
Employer Identification No. __________________________________________________
Direct Deposit Information
Will this contractor be paid by direct deposit?
Direct deposit
Yes
No
If yes, attach completed Authorization of Direct Deposit form.
Pay Information
Has this contractor already been paid this calendar year?
Yes
No
If yes, enter the total compensation and/or reimbursement amounts that you have paid the contractor during the
current year.
Compensation amount $ ___________
Reimbursement amount $___________
Notes

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