Request for Student’s Taxpayer Identification Number
(Substitute Form W-9S)
Return completed, signed form and a copy of your signed social security card, application
for a replacement card, or a copy of your individual taxpayer identification card (ITIN)
issued by the Internal Revenue Service and photo identification in person or by U.S. mail,
to:
Office of Admissions and Records
Tallahassee Community College
444 Appleyard Drive
Tallahassee, FL 32304
PART I
Name of Student
Address
Taxpayer Identification Number
(SSN or ITIN)
___________________
Tallahassee Community College
Student Identification Number
______________________
PART II
I certify that the number shown on this form is my correct taxpayer
identification number.
____________________________________________ ________________
Signature Date
OR
PART III
I am a foreign national/nonresident alien and do not have a social security
number or individual taxpayer identification number. I do not plan to file an
income tax return in the U.S.
I do not wish to provide my taxpayer identification number to Tallahassee
Community College at this time. I understand that I am subject to an IRS fine
of $50 for failure to do so. I further understand that the IRS will not be able to
use the Form 1098-T filed by Tallahassee Community College to confirm my
eligibility for certain education tax benefits without my taxpayer identification
number.
____________________________________________ ________________
Signature Date
Do not submit this
form to the IRS.
click to sign
signature
click to edit
Instructions
Purpose. Tallahassee Community College must get your correct identifying number to file
Form 1098-T, Tuition Statement, with the IRS and to furnish a statement to you. This will
be your Social Security number (SSN) or, if you are not eligible to obtain an SSN, your
individual taxpayer identification number (ITIN). Form 1098-T contains information about
qualified tuition and related expenses to help determine whether you, or the person who
can claim you as a dependent, may take either the tuition and fees deduction or claim an
education credit to reduce Federal income tax. For more information, see IRS Pub. 970, Tax
Benefits for Higher Education.
Under federal law, you are required to provide the requested information.
Part I.
Enter your name and mailing address. The name should match that used by the Social
Security Administration or Internal Revenue Service.
Taxpayer identification number. Enter your SSN or ITIN. If you do not have an SSN or ITIN,
apply for one and fill out and return this form when you receive it.
Part II.
Sign your name in the space provided to confirm the information provided. The College
personnel cannot change your records without your signature.
Part III.
Please fill out this part only if you are unwilling or unable to provide a taxpayer identification
number. Check either the first or second box and sign the statement. By law, Tallahassee
Community College must ask you at least once a year for your taxpayer identification
number in order to meet its obligation to file Form 1098-T.
Deliver or mail, via U.S. Mail, the completed form to the address provided. Do not email the
form. Email is not a secure way to transmit
personal information.
Penalties
Failure to furnish correct SSN.
If you fail to furnish your correct SSN or ITIN to Tallahassee
Community College, you are subject to a penalty of $50 unless your failure is due to
reasonable cause and not to willful neglect.
Misuse of SSNs.
If Tallahassee Community College discloses or uses your SSN in violation of
Federal law, Tallahassee Community College may be subject to civil and criminal penalties.
Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to give your correct SSN or ITIN to
persons who must file information returns with the IRS to report certain information. The
IRS uses the numbers for identification purposes and to help verify the accuracy of your tax
return. The IRS may also provide this information to the Department of Justice for civil and
criminal litigation and to cities and states to carry out their tax laws.
October 2018
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome