Fillable Request for Students Taxpayer Identification Number

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Request for Students Taxpayer Identification Number

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The Request for Students Taxpayer Identification Number form is 1 page long and contains:

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  • 2 check-boxes
  • 7 other fields

Country of origin: US
File type: PDF

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Request for Student’s Taxpayer
Identification Number
(Substitute for W-9S IRS Form)
For security and privacy reasons,
return completed signed form by replying
to the email (1098T@ncu.edu).
DO NOT SUBMIT THIS FORM TO THE IRS
Name of student:
Address:
Taxpayer identification number (SSN OR ITIN)
___ ___ ___ - ___ ___ - ___ ___ ___ ___
Northcentral University identification number
90-0171867
I certify that the number shown on this form is my taxpayer identification number.
____________________________________________________________ _____________________
Signature Date
PART 1 PART II
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 Northcentral University at this time. I
understand that I may be 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 Northcentral University to confirm my eligibility for certain
education tax benefits without my taxpayer identification number.
____________________________________________________________ ______________________________
Signature Date
OR
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See instructions below.
Purpose: Northcentral University must collect 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 Registrar’s Office 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, Northcentral University must ask you at least once a
year for your taxpayer identification number in order to meet its obligation to file Form 1098-T.
Please mail the completed form attached in the mail, by replying to the mail received from 1098T@NCU.EDU.
This will provide encryption to the personal information.
Penalties
Failure to furnish correct SSN: If you fail to furnish your correct SSN or ITIN to Northcentral University, the IRS may
impose a penalty of $50 unless your failure is due to reasonable cause and not to willful neglect.
Misuse of SSNs: If Northcentral University discloses or uses your SSN in violation of Federal law, Northcentral
University 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 2014 | National Association of College and University Business Officers
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Request for Students Taxpayer Identification Number

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Completed 7 January 2022

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