Purchasing

BID #: N/A

DUE: TBD

VALUE: TBD

100

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Executive Summary

The Township of Little Falls' Finance Department, through its Purchasing division, manages the procurement of goods and services. The Township aims to foster a fair, open, and competitive purchasing environment guided by the Local Public Contracts Law, State Regulation, and the Township of Little Falls Code. Vendors interested in doing business with the Township are encouraged to familiarize themselves with the purchasing procedures. A purchase order is mandatory for all transactions, and proper invoicing procedures must be followed to ensure timely payment within 30 days.

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Purchasing
Purchasing is a function of the Department of Finance and is responsible for oversight of the Township's purchasing functions. All purchase orders for goods or services are processed through this office.
The Township of Little Falls encourages and welcomes the interest of new vendors as well as current suppliers. The information provided here is intended to help businesses understand the purchasing procedures and practices of the Township of Little Falls. This information will help you understand our practices and; therefore, make it easier for us to help you.
The Department promotes a fair, open and competitive purchasing environment under the pretext of the Local Public Contracts Law, State Regulation and the Township of Little Falls Code.
The Local Public Contracts Law, under N.J.S.A. 40 A.11-1 et seq., governs the activities of the Township in contracting for the performance of any work or service, the purchasing of any equipment and/or supplies, which are utilized by the Township of Little Falls for all its daily operations. The purpose of the Local Public Contracts Law is to secure economy and the benefits of unfettered competition for the public in the procurement activities of the contract unit.
Doing Business with the Township of Little Falls
Purchase Order Required
No items are to be purchased or services rendered to the Township of Little Falls without a properly executed purchase order.
Billing and Payment
The purchase order number must appear on all invoices, shipping tags and all correspondence relevant to the order.
Payment is made after receipt of invoice and white copy of purchase order is signed and returned and acceptance of goods and/or services as specified on the purchasing order. Signed purchase order, along with the invoice should be submitted to:
TOWNSHIP OF LITTLE FALLS
225 MAIN ST. LITTLE FALLS, NJ 07424
Sending your invoice and/or purchase order to any other department may delay payment. The Township strives to pay all invoices within (30) days of receipt of invoice and acceptance of the order.
Questions regarding payment of invoices should be made to the Purchasing Department at
(973) 256-1070
. You will need to reference the purchase order number when calling with questions.
Business Registration Act
P.L. 2004, C.57 requires that vendors are to provide municipal governments proof of business registration. If you have not already done so, please provide a copy of your "Business Registration Certificate" to the purchasing office. We cannot accept your "Certificate of Authority" as proof of registration. If you need assistance obtaining your "Business Registration Certificate", contact the New Jersey Division of Revenue at
(609) 292-1730
or visit their website at
www.nj.gov/treasury/revenue/busregcert.shtml
.
W-9 Form
The Township of Little Falls requires completion of a
W-9 Form
to verify/establish your name, address and taxpayer ID on township records.
New Vendor Information Form
The Township of Little Falls requires completion of a
New Vendor Form
, in addition to a NJ BRC & W9 to do business as a vendor with the Township.
Appointments
Vendors should make an appointment before calling the Finance Department to assure availability of appropriate Township personnel. No assurance can be given to vendors who arrive unannounced.
Methods of Procurement
The Township employs various procurement methodologies in order to procure goods and services. These include, but are not limited to, Bids, RFQ’s (request for quote), RFP’s (request for proposal) and quotes.
Departments
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Document Text

--- Document: W-9 Form ---
Form  W-9
(Rev. March 2024)
Request for Taxpayer 
Identification Number and Certification
Department of the Treasury  
Internal Revenue Service 
Go to www.irs.gov/FormW9 for instructions and the latest information.
Give form to the  
requester. Do not 
send to the IRS.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
Print or type. 
See Specific Instructions on page 3.
1    Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded 
entity’s name on line 2.)
2    Business name/disregarded entity name, if different from above.
3a  Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check 
only one of the following seven boxes. 
Individual/sole proprietor
C corporation
S corporation
Partnership
Trust/estate
LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) 
.
.
.
.
Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax 
classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate 
box for the tax classification of its owner.
Other (see instructions) 
3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, 
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check 
this box if you have any foreign partners, owners, or beneficiaries. See instructions .
.
.
.
.
.
.
.
.
4  Exemptions (codes apply only to 
certain entities, not individuals; 
see instructions on page 3):
Exempt payee code (if any)
Exemption from Foreign Account Tax 
Compliance Act (FATCA) reporting 
 code (if any)
(Applies to accounts maintained 
outside the United States.)
5    Address (number, street, and apt. or suite no.). See instructions.
6    City, state, and ZIP code
Requester’s name and address (optional)
7    List account number(s) here (optional)
Part I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid 
backup withholding. For individuals, this is generally your social security number (SSN). However, for a 
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other 
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a 
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and 
Number To Give the Requester for guidelines on whose number to enter.
Social security number
–
–
or
Employer identification number 
–
Part II
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue 
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am 
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding 
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, 
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments 
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign 
Here
Signature of 
U.S. person
Date
General Instructions
Section references are to the Internal Revenue Code unless otherwise 
noted.
Future developments. For the latest information about developments 
related to Form W-9 and its instructions, such as legislation enacted 
after they were published, go to www.irs.gov/FormW9.
What’s New
Line 3a has been modified to clarify how a disregarded entity completes 
this line. An LLC that is a disregarded entity should check the 
appropriate box for the tax classification of its owner. Otherwise, it 
should check the “LLC” box and enter its appropriate tax classification.
New line 3b has been added to this form. A flow-through entity is 
required to complete this line to indicate that it has direct or indirect 
foreign partners, owners, or beneficiaries when it provides the Form W-9 
to another flow-through entity in which it has an ownership interest. This 
change is intended to provide a flow-through entity with information 
regarding the status of its indirect foreign partners, owners, or 
beneficiaries, so that it can satisfy any applicable reporting 
requirements. For example, a partnership that has any indirect foreign 
partners may be required to complete Schedules K-2 and K-3. See the 
Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an 
information return with the IRS is giving you this form because they
Cat. No. 10231X
Form W-9 (Rev. 3-2024)


Form W-9 (Rev. 3-2024)
Page 2 
must obtain your correct taxpayer identification number (TIN), which 
may be your social security number (SSN), individual taxpayer 
identification number (ITIN), adoption taxpayer identification number 
(ATIN), or employer identification number (EIN), to report on an 
information return the amount paid to you, or other amount reportable 
on an information return. Examples of information returns include, but 
are not limited to, the following.
• Form 1099-INT (interest earned or paid).
• Form 1099-DIV (dividends, including those from stocks or mutual 
funds).
• Form 1099-MISC (various types of income, prizes, awards, or gross 
proceeds).
• Form 1099-NEC (nonemployee compensation).
• Form 1099-B (stock or mutual fund sales and certain other 
transactions by brokers).
• Form 1099-S (proceeds from real estate transactions).
• Form 1099-K (merchant card and third-party network transactions).
• Form 1098 (home mortgage interest), 1098-E (student loan interest), 
and 1098-T (tuition).
• Form 1099-C (canceled debt).
• Form 1099-A (acquisition or abandonment of secured property).
Use Form W-9 only if you are a U.S. person (including a resident 
alien), to provide your correct TIN. 
Caution: If you don’t return Form W-9 to the requester with a TIN, you 
might be subject to backup withholding. See What is backup 
withholding, later.
By signing the filled-out form, you: 
1. Certify that the TIN you are giving is correct (or you are waiting for a 
number to be issued);
2. Certify that you are not subject to backup withholding; or
3. Claim exemption from backup withholding if you are a U.S. exempt 
payee; and
4. Certify to your non-foreign status for purposes of withholding under 
chapter 3 or 4 of the Code (if applicable); and
5. Certify that FATCA code(s) entered on this form (if any) indicating 
that you are exempt from the FATCA reporting is correct. See What Is 
FATCA Reporting, later, for further information.
Note: If you are a U.S. person and a requester gives you a form other 
than Form W-9 to request your TIN, you must use the requester’s form if 
it is substantially similar to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are 
considered a U.S. person if you are:
• An individual who is a U.S. citizen or U.S. resident alien;
• A partnership, corporation, company, or association created or 
organized in the United States or under the laws of the United States;
• An estate (other than a foreign estate); or
• A domestic trust (as defined in Regulations section 301.7701-7).
Establishing U.S. status for purposes of chapter 3 and chapter 4 
withholding. Payments made to foreign persons, including certain 
distributions, allocations of income, or transfers of sales proceeds, may 
be subject to withholding under chapter 3 or chapter 4 of the Code 
(sections 1441–1474). Under those rules, if a Form W-9 or other 
certification of non-foreign status has not been received, a withholding 
agent, transferee, or partnership (payor) generally applies presumption 
rules that may require the payor to withhold applicable tax from the 
recipient, owner, transferor, or partner (payee). See Pub. 515, 
Withholding of Tax on Nonresident Aliens and Foreign Entities.
The following persons must provide Form W-9 to the payor for 
purposes of establishing its non-foreign status.
• In the case of a disregarded entity with a U.S. owner, the U.S. owner 
of the disregarded entity and not the disregarded entity.
• In the case of a grantor trust with a U.S. grantor or other U.S. owner, 
generally, the U.S. grantor or other U.S. owner of the grantor trust and 
not the grantor trust.
• In the case of a U.S. trust (other than a grantor trust), the U.S. trust 
and not the beneficiaries of the trust.
See Pub. 515 for more information on providing a Form W-9 or a 
certification of non-foreign status to avoid withholding.
Foreign person. If you are a foreign person or the U.S. branch of a 
foreign bank that has elected to be treated as a U.S. person (under 
Regulations section 1.1441-1(b)(2)(iv) or other applicable section for 
chapter 3 or 4 purposes), do not use Form W-9. Instead, use the 
appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a 
qualified foreign pension fund under Regulations section 1.897(l)-1(d), or 
a partnership that is wholly owned by qualified foreign pension funds, 
that is treated as a non-foreign person for purposes of section 1445 
withholding, do not use Form W-9. Instead, use Form W-8EXP (or other 
certification of non-foreign status).
Nonresident alien who becomes a resident alien. Generally, only a 
nonresident alien individual may use the terms of a tax treaty to reduce 
or eliminate U.S. tax on certain types of income. However, most tax 
treaties contain a provision known as a saving clause. Exceptions 
specified in the saving clause may permit an exemption from tax to 
continue for certain types of income even after the payee has otherwise 
become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an exception 
contained in the saving clause of a tax treaty to claim an exemption 
from U.S. tax on certain types of income, you must attach a statement 
to Form W-9 that specifies the following five items.
1. The treaty country. Generally, this must be the same treaty under 
which you claimed exemption from tax as a nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that contains the 
saving clause and its exceptions.
4. The type and amount of income that qualifies for the exemption 
from tax.
5. Sufficient facts to justify the exemption from tax under the terms of 
the treaty article.
Example. Article 20 of the U.S.-China income tax treaty allows an 
exemption from tax for scholarship income received by a Chinese 
student temporarily present in the United States. Under U.S. law, this 
student will become a resident alien for tax purposes if their stay in the 
United States exceeds 5 calendar years. However, paragraph 2 of the 
first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the 
provisions of Article 20 to continue to apply even after the Chinese 
student becomes a resident alien of the United States. A Chinese 
student who qualifies for this exception (under paragraph 2 of the first 
Protocol) and is relying on this exception to claim an exemption from tax 
on their scholarship or fellowship income would attach to Form W-9 a 
statement that includes the information described above to support that 
exemption.
If you are a nonresident alien or a foreign entity, give the requester the 
appropriate completed Form W-8 or Form 8233.
Backup Withholding
What is backup withholding? Persons making certain payments to you 
must under certain conditions withhold and pay to the IRS 24% of such 
payments. This is called “backup withholding.” Payments that may be 
subject to backup withholding include, but are not limited to, interest, 
tax-exempt interest, dividends, broker and barter exchange 
transactions, rents, royalties, nonemployee pay, payments made in 
settlement of payment card and third-party network transactions, and 
certain payments from fishing boat operators. Real estate transactions 
are not subject to backup withholding.
You will not be subject to backup withholding on payments you receive 
if you give the requester your correct TIN, make the proper certifications, 
and report all your taxable interest and dividends on your tax return.
Payments you receive will be subject to backup withholding if: 
1. You do not furnish your TIN to the requester;
2. You do not certify your TIN when required (see the instructions for 
Part II for details);
3. The IRS tells the requester that you furnished an incorrect TIN;
4. The IRS tells you that you are subject to backup withholding 
because you did not report all your interest and dividends on your tax 
return (for reportable interest and dividends only); or
5. You do not certify to the requester that you are not subject to 
backup withholding, as described in item 4 under “By signing the filled-
out form” above (for reportable interest and dividend accounts opened 
after 1983 only).


Form W-9 (Rev. 3-2024)
Page 3 
Certain payees and payments are exempt from backup withholding. 
See Exempt payee code, later, and the separate Instructions for the 
Requester of Form W-9 for more information.
See also Establishing U.S. status for purposes of chapter 3 and 
chapter 4 withholding, earlier.
What Is FATCA Reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a 
participating foreign financial institution to report all U.S. account 
holders that are specified U.S. persons. Certain payees are exempt from 
FATCA reporting. See Exemption from FATCA reporting code, later, and 
the Instructions for the Requester of Form W-9 for more information.
Updating Your Information
You must provide updated information to any person to whom you 
claimed to be an exempt payee if you are no longer an exempt payee 
and anticipate receiving reportable payments in the future from this 
person. For example, you may need to provide updated information if 
you are a C corporation that elects to be an S corporation, or if you are 
no longer tax exempt. In addition, you must furnish a new Form W-9 if 
the name or TIN changes for the account, for example, if the grantor of a 
grantor trust dies.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a 
requester, you are subject to a penalty of $50 for each such failure 
unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. If you 
make a false statement with no reasonable basis that results in no 
backup withholding, you are subject to a $500 penalty.
Criminal penalty for falsifying information. Willfully falsifying 
certifications or affirmations may subject you to criminal penalties 
including fines and/or imprisonment.
Misuse of TINs. If the requester discloses or uses TINs in violation of 
federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions
Line 1
You must enter one of the following on this line; do not leave this line 
blank. The name should match the name on your tax return.
If this Form W-9 is for a joint account (other than an account 
maintained by a foreign financial institution (FFI)), list first, and then 
circle, the name of the person or entity whose number you entered in 
Part I of Form W-9. If you are providing Form W-9 to an FFI to document 
a joint account, each holder of the account that is a U.S. person must 
provide a Form W-9.
• Individual. Generally, enter the name shown on your tax return. If you 
have changed your last name without informing the Social Security 
Administration (SSA) of the name change, enter your first name, the last 
name as shown on your social security card, and your new last name.  
Note for ITIN applicant: Enter your individual name as it was entered 
on your Form W-7 application, line 1a. This should also be the same as 
the name you entered on the Form 1040 you filed with your application.
• Sole proprietor. Enter your individual name as shown on your Form 
1040 on line 1. Enter your business, trade, or “doing business as” (DBA) 
name on line 2.
• Partnership, C corporation, S corporation, or LLC, other than a 
disregarded entity. Enter the entity’s name as shown on the entity’s tax 
return on line 1 and any business, trade, or DBA name on line 2.
• Other entities. Enter your name as shown on required U.S. federal tax 
documents on line 1. This name should match the name shown on the 
charter or other legal document creating the entity. Enter any business, 
trade, or DBA name on line 2.
• Disregarded entity. In general, a business entity that has a single 
owner, including an LLC, and is not a corporation, is disregarded as an 
entity separate from its owner (a disregarded entity). See Regulations 
section 301.7701-2(c)(2). A disregarded entity should check the 
appropriate box for the tax classification of its owner. Enter the owner’s 
name on line 1. The name of the owner entered on line 1 should never 
be a disregarded entity. The name on line 1 should be the name shown 
on the income tax return on which the income should be reported. For
example, if a foreign LLC that is treated as a disregarded entity for U.S. 
federal tax purposes has a single owner that is a U.S. person, the U.S. 
owner’s name is required to be provided on line 1. If the direct owner of 
the entity is also a disregarded entity, enter the first owner that is not 
disregarded for federal tax purposes. Enter the disregarded entity’s 
name on line 2. If the owner of the disregarded entity is a foreign person, 
the owner must complete an appropriate Form W-8 instead of a Form 
W-9.  This is the case even if the foreign person has a U.S. TIN. 
Line 2
If you have a business name, trade name, DBA name, or disregarded 
entity name, enter it on line 2.
Line 3a
Check the appropriate box on line 3a for the U.S. federal tax 
classification of the person whose name is entered on line 1. Check only 
one box on line 3a.
IF the entity/individual on line 1 
is a(n) . . .
THEN check the box for . . .
•  Corporation
Corporation.
•  Individual or 
•  Sole proprietorship
Individual/sole proprietor.
•  LLC classified as a partnership 
for U.S. federal tax purposes or 
•  LLC that has filed Form 8832 or 
2553 electing to be taxed as a 
corporation
Limited liability company and 
enter the appropriate tax 
classification:  
P = Partnership, 
C = C corporation, or 
S = S corporation.
•  Partnership
Partnership.
•  Trust/estate
Trust/estate.
Line 3b
Check this box if you are a partnership (including an LLC classified as a 
partnership for U.S. federal tax purposes), trust, or estate that has any 
foreign partners, owners, or beneficiaries, and you are providing this 
form to a partnership, trust, or estate, in which you have an ownership 
interest. You must check the box on line 3b if you receive a Form W-8 
(or documentary evidence) from any partner, owner, or beneficiary 
establishing foreign status or if you receive a Form W-9 from any 
partner, owner, or beneficiary that has checked the box on line 3b.
Note: A partnership that provides a Form W-9 and checks box 3b may 
be required to complete Schedules K-2 and K-3 (Form 1065). For more 
information, see the Partnership Instructions for Schedules K-2 and K-3 
(Form 1065).
If you are required to complete line 3b but fail to do so, you may not 
receive the information necessary to file a correct information return with 
the IRS or furnish a correct payee statement to your partners or 
beneficiaries. See, for example, sections 6698, 6722, and 6724 for 
penalties that may apply.
Line 4 Exemptions
If you are exempt from backup withholding and/or FATCA reporting, 
enter in the appropriate space on line 4 any code(s) that may apply to 
you.
Exempt payee code.
•  Generally, individuals (including sole proprietors) are not exempt from 
backup withholding.
•  Except as provided below, corporations are exempt from backup 
withholding for certain payments, including interest and dividends.
•  Corporations are not exempt from backup withholding for payments 
made in settlement of payment card or third-party network transactions.
•  Corporations are not exempt from backup withholding with respect to 
attorneys’ fees or gross proceeds paid to attorneys, and corporations 
that provide medical or health care services are not exempt with respect 
to payments reportable on Form 1099-MISC.
The following codes identify payees that are exempt from backup 
withholding. Enter the appropriate code in the space on line 4.
1—An organization exempt from tax under section 501(a), any IRA, or 
a custodial account under section 403(b)(7) if the account satisfies the 
requirements of section 401(f)(2).


Form W-9 (Rev. 3-2024)
Page 4 
2—The United States or any of its agencies or instrumentalities.
3—A state, the District of Columbia, a U.S. commonwealth or territory, 
or any of their political subdivisions or instrumentalities.
4—A foreign government or any of its political subdivisions, agencies, 
or instrumentalities.
5—A corporation.
6—A dealer in securities or commodities required to register in the 
United States, the District of Columbia, or a U.S. commonwealth or 
territory.
7—A futures commission merchant registered with the Commodity 
Futures Trading Commission.
8—A real estate investment trust.
9—An entity registered at all times during the tax year under the 
Investment Company Act of 1940.
10—A common trust fund operated by a bank under section 584(a).
11—A financial institution as defined under section 581.
12—A middleman known in the investment community as a nominee or 
custodian.
13—A trust exempt from tax under section 664 or described in section 
4947.
The following chart shows types of payments that may be exempt 
from backup withholding. The chart applies to the exempt payees listed 
above, 1 through 13.
IF the payment is for . . .
THEN the payment is exempt 
for . . .
•  Interest and dividend payments
All exempt payees except 
for 7.
•  Broker transactions
Exempt payees 1 through 4 and 6 
through 11 and all C corporations. 
S corporations must not enter an 
exempt payee code because they 
are exempt only for sales of 
noncovered securities acquired 
prior to 2012.
•  Barter exchange transactions 
and patronage dividends
Exempt payees 1 through 4.
•  Payments over $600 required to 
be reported and direct sales over 
$5,0001
Generally, exempt payees 
1 through 5.2
•  Payments made in settlement of 
payment card or third-party 
network transactions
Exempt payees 1 through 4.
1 See Form 1099-MISC, Miscellaneous Information, and its instructions.
2 However, the following payments made to a corporation and  
reportable on Form 1099-MISC are not exempt from backup 
withholding: medical and health care payments, attorneys’ fees, gross 
proceeds paid to an attorney reportable under section 6045(f), and 
payments for services paid by a federal executive agency.
Exemption from FATCA reporting code. The following codes identify 
payees that are exempt from reporting under FATCA. These codes 
apply to persons submitting this form for accounts maintained outside 
of the United States by certain foreign financial institutions. Therefore, if 
you are only submitting this form for an account you hold in the United 
States, you may leave this field blank. Consult with the person 
requesting this form if you are uncertain if the financial institution is 
subject to these requirements. A requester may indicate that a code is 
not required by providing you with a Form W-9 with “Not Applicable” (or 
any similar indication) entered on the line for a FATCA exemption code.
A—An organization exempt from tax under section 501(a) or any 
individual retirement plan as defined in section 7701(a)(37).
B—The United States or any of its agencies or instrumentalities.
C—A state, the District of Columbia, a U.S. commonwealth or 
territory, or any of their political subdivisions or instrumentalities.
D—A corporation the stock of which is regularly traded on one or 
more established securities markets, as described in Regulations 
section 1.1472-1(c)(1)(i).
E—A corporation that is a member of the same expanded affiliated 
group as a corporation described in Regulations section 1.1472-1(c)(1)(i).
F—A dealer in securities, commodities, or derivative financial 
instruments (including notional principal contracts, futures, forwards, 
and options) that is registered as such under the laws of the United 
States or any state.
G—A real estate investment trust.
H—A regulated investment company as defined in section 851 or an 
entity registered at all times during the tax year under the Investment 
Company Act of 1940.
I—A common trust fund as defined in section 584(a).
J—A bank as defined in section 581.
K—A broker.
L—A trust exempt from tax under section 664 or described in section 
4947(a)(1).
M—A tax-exempt trust under a section 403(b) plan or section 457(g) 
plan.
Note: You may wish to consult with the financial institution requesting 
this form to determine whether the FATCA code and/or exempt payee 
code should be completed.
Line 5
Enter your address (number, street, and apartment or suite number). 
This is where the requester of this Form W-9 will mail your information 
returns. If this address differs from the one the requester already has on 
file, enter “NEW” at the top. If a new address is provided, there is still a 
chance the old address will be used until the payor changes your 
address in their records.
Line 6
Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and 
you do not have, and are not eligible to get, an SSN, your TIN is your 
IRS ITIN. Enter it in the entry space for the Social security number. If you 
do not have an ITIN, see How to get a TIN below.
If you are a sole proprietor and you have an EIN, you may enter either 
your SSN or EIN. 
If you are a single-member LLC that is disregarded as an entity 
separate from its owner, enter the owner’s SSN (or EIN, if the owner has 
one). If the LLC is classified as a corporation or partnership, enter the 
entity’s EIN.
Note: See What Name and Number To Give the Requester, later, for 
further clarification of name and TIN combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately. 
To apply for an SSN, get Form SS-5, Application for a Social Security 
Card, from your local SSA office or get this form online at 
www.SSA.gov. You may also get this form by calling 800-772-1213. Use 
Form W-7, Application for IRS Individual Taxpayer Identification 
Number, to apply for an ITIN, or Form SS-4, Application for Employer 
Identification Number, to apply for an EIN. You can apply for an EIN 
online by accessing the IRS website at www.irs.gov/EIN. Go to 
www.irs.gov/Forms to view, download, or print Form W-7 and/or Form 
SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and 
have Form W-7 and/or Form SS-4 mailed to you within 15 business 
days.
If you are asked to complete Form W-9 but do not have a TIN, apply 
for a TIN and enter “Applied For” in the space for the TIN, sign and date 
the form, and give it to the requester. For interest and dividend 
payments, and certain payments made with respect to readily tradable 
instruments, you will generally have 60 days to get a TIN and give it to 
the requester before you are subject to backup withholding on 
payments. The 60-day rule does not apply to other types of payments. 
You will be subject to backup withholding on all such payments until 
you provide your TIN to the requester.
Note: Entering “Applied For” means that you have already applied for a 
TIN or that you intend to apply for one soon. See also Establishing U.S. 
status for purposes of chapter 3 and chapter 4 withholding, earlier, for 
when you may instead be subject to withholding under chapter 3 or 4 of 
the Code.
Caution: A disregarded U.S. entity that has a foreign owner must use 
the appropriate Form W-8.


Form W-9 (Rev. 3-2024)
Page 5 
Part II. Certification
To establish to the withholding agent that you are a U.S. person, or 
resident alien, sign Form W-9. You may be requested to sign by the 
withholding agent even if item 1, 4, or 5 below indicates otherwise.
For a joint account, only the person whose TIN is shown in Part I 
should sign (when required). In the case of a disregarded entity, the 
person identified on line 1 must sign. Exempt payees, see Exempt payee 
code, earlier.
Signature requirements. Complete the certification as indicated in 
items 1 through 5 below.
1. Interest, dividend, and barter exchange accounts opened 
before 1984 and broker accounts considered active during 1983. 
You must give your correct TIN, but you do not have to sign the 
certification.
2. Interest, dividend, broker, and barter exchange accounts 
opened after 1983 and broker accounts considered inactive during 
1983. You must sign the certification or backup withholding will apply. If 
you are subject to backup withholding and you are merely providing 
your correct TIN to the requester, you must cross out item 2 in the 
certification before signing the form.
3. Real estate transactions. You must sign the certification. You may 
cross out item 2 of the certification.
4. Other payments. You must give your correct TIN, but you do not 
have to sign the certification unless you have been notified that you 
have previously given an incorrect TIN. “Other payments” include 
payments made in the course of the requester’s trade or business for 
rents, royalties, goods (other than bills for merchandise), medical and 
health care services (including payments to corporations), payments to 
a nonemployee for services, payments made in settlement of payment 
card and third-party network transactions, payments to certain fishing 
boat crew members and fishermen, and gross proceeds paid to 
attorneys (including payments to corporations).  
5. Mortgage interest paid by you, acquisition or abandonment of 
secured property, cancellation of debt, qualified tuition program 
payments (under section 529), ABLE accounts (under section 529A), 
IRA, Coverdell ESA, Archer MSA or HSA contributions or 
distributions, and pension distributions. You must give your correct 
TIN, but you do not have to sign the certification.
What Name and Number To Give the Requester
For this type of account:
Give name and SSN of:
1. Individual
The individual
2. Two or more individuals (joint account) 
other than an account maintained by 
an FFI
The actual owner of the account or, 
if combined funds, the first individual 
on the account1
3. Two or more U.S. persons 
    (joint account maintained by an FFI)
Each holder of the account 
4. Custodial account of a minor 
(Uniform Gift to Minors Act)
The minor2
5. a. The usual revocable savings trust 
(grantor is also trustee)
The grantor-trustee1
b. So-called trust account that is not  
a legal or valid trust under state law
The actual owner
1
6. Sole proprietorship or disregarded 
entity owned by an individual
The owner3
7. Grantor trust filing under Optional 
Filing Method 1 (see Regulations 
section 1.671-4(b)(2)(i)(A))**
The grantor*
For this type of account:
Give name and EIN of:
8. Disregarded entity not owned by an 
individual
The owner
9. A valid trust, estate, or pension trust
Legal entity4
10. Corporation or LLC electing corporate 
status on Form 8832 or Form 2553
The corporation
11. Association, club, religious, charitable, 
educational, or other tax-exempt 
organization
The organization
12. Partnership or multi-member LLC
The partnership
13. A broker or registered nominee
The broker or nominee
14. Account with the Department of 
Agriculture in the name of a public 
entity (such as a state or local 
government, school district, or prison) 
that receives agricultural program 
payments
The public entity
15. Grantor trust filing Form 1041 or 
under the Optional Filing Method 2, 
requiring Form 1099 (see Regulations 
section 1.671-4(b)(2)(i)(B))**
The trust
1 List first and circle the name of the person whose number you furnish.  
If only one person on a joint account has an SSN, that person’s number 
must be furnished.
2 Circle the minor’s name and furnish the minor’s SSN.
3 You must show your individual name on line 1, and enter your business 
or DBA name, if any, on line 2. You may use either your SSN or EIN (if 
you have one), but the IRS encourages you to use your SSN.
4 List first and circle the name of the trust, estate, or pension trust. (Do  
not furnish the TIN of the personal representative or trustee unless the 
legal entity itself is not designated in the account title.) 
* Note: The grantor must also provide a Form W-9 to the trustee of the 
trust.
** For more information on optional filing methods for grantor trusts, see 
the Instructions for Form 1041.
Note: If no name is circled when more than one name is listed, the 
number will be considered to be that of the first name listed.
Secure Your Tax Records From Identity Theft
Identity theft occurs when someone uses your personal information, 
such as your name, SSN, or other identifying information, without your 
permission to commit fraud or other crimes. An identity thief may use 
your SSN to get a job or may file a tax return using your SSN to receive 
a refund.
To reduce your risk:
• Protect your SSN,
• Ensure your employer is protecting your SSN, and
• Be careful when choosing a tax return preparer.
If your tax records are affected by identity theft and you receive a 
notice from the IRS, respond right away to the name and phone number 
printed on the IRS notice or letter.
If your tax records are not currently affected by identity theft but you 
think you are at risk due to a lost or stolen purse or wallet, questionable 
credit card activity, or a questionable credit report, contact the IRS 
Identity Theft Hotline at 800-908-4490 or submit Form 14039.
For more information, see Pub. 5027, Identity Theft Information for 
Taxpayers.


Form W-9 (Rev. 3-2024)
Page 6 
Victims of identity theft who are experiencing economic harm or a 
systemic problem, or are seeking help in resolving tax problems that 
have not been resolved through normal channels, may be eligible for 
Taxpayer Advocate Service (TAS) assistance. You can reach TAS by 
calling the TAS toll-free case intake line at 877-777-4778 or TTY/TDD 
800-829-4059.
Protect yourself from suspicious emails or phishing schemes.  
Phishing is the creation and use of email and websites designed to 
mimic legitimate business emails and websites. The most common act 
is sending an email to a user falsely claiming to be an established 
legitimate enterprise in an attempt to scam the user into surrendering 
private information that will be used for identity theft.
The IRS does not initiate contacts with taxpayers via emails. Also, the 
IRS does not request personal detailed information through email or ask 
taxpayers for the PIN numbers, passwords, or similar secret access 
information for their credit card, bank, or other financial accounts.
If you receive an unsolicited email claiming to be from the IRS, 
forward this message to phishing@irs.gov. You may also report misuse 
of the IRS name, logo, or other IRS property to the Treasury Inspector 
General for Tax Administration (TIGTA) at 800-366-4484. You can 
forward suspicious emails to the Federal Trade Commission at 
spam@uce.gov or report them at www.ftc.gov/complaint. You can 
contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). 
If you have been the victim of identity theft, see www.IdentityTheft.gov 
and Pub. 5027.
Go to www.irs.gov/IdentityTheft to learn more about identity theft and 
how to reduce your risk.
Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your 
correct TIN to persons (including federal agencies) who are required to 
file information returns with the IRS to report interest, dividends, or 
certain other income paid to you; mortgage interest you paid; the 
acquisition or abandonment of secured property; the cancellation of 
debt; or contributions you made to an IRA, Archer MSA, or HSA. The 
person collecting this form uses the information on the form to file 
information returns with the IRS, reporting the above information. 
Routine uses of this information include giving it to the Department of 
Justice for civil and criminal litigation and to cities, states, the District of 
Columbia, and U.S. commonwealths and territories for use in 
administering their laws. The information may also be disclosed to other 
countries under a treaty, to federal and state agencies to enforce civil 
and criminal laws, or to federal law enforcement and intelligence 
agencies to combat terrorism. You must provide your TIN whether or not 
you are required to file a tax return. Under section 3406, payors must 
generally withhold a percentage of taxable interest, dividends, and 
certain other payments to a payee who does not give a TIN to the payor. 
Certain penalties may also apply for providing false or fraudulent 
information.