Longship ● PO Box 12590 ● Lexington, KY 40583
INDIVIDUALS, SOLE PROPRIETORS, PARTNERSHIPS
Company or Individual Name
Doing Business As, Trade Name or Alias (*If applicable)
Federal Tax ID #
Social Security #
CORPORATIONS
Company Name
Doing Business As, Trade Name or Alias (*If applicable)
State of Incorporation Federal Tax ID#
CERTIFICATION
Under penalty of perjury, I (we) 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 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. I (we) agree to the terms and conditions in the Longship Carrier
Form consisting of the previous 5 pages and including this page, And that all information provided to Longship is true and accurate and is
communicated so that Longship may, and will in fact, reasonably rely upon it.
For United States Carriers
Only
FORM W-9
Longship’s Form W-9 is used to determine whether or not Longship should file Form 1099-MISC annually for a
specific payee. The Internal Revenue Service requires Longship to supply our payees with either the standard
federal W-9 form or our substitute W-9 form to hold in the payee’s file. Please complete Longship’s substitute
Form W-9 and return it with your contract carrier approval paperwork. Should you have any questions, please feel
free to contact us at 855-440-2828.
Please be sure to supply your “Doing Business As” information, if applicable. Your DBA is important
information for proper tax reporting. If your company is registered as “Inc.” or “LLC,” you will not receive
a 1099 for tax purposes.
Name:
Title:
Address:
City: State: Zip:
Signature:
Date:
