Fill - Free fillable Vendor Application Sept 2015 With W9 PDF form

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OfficialBusinessName:

Name:____________________________________________________

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Correspondence/

PurchaseOrder/mailto:

Address:___________________________________________________

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 StreetCity  State ZIP

AlternateName/Paymentaddress

(Ifdifferentthanabove):

Address:___________________________________________________

StreetCity  State ZIP

Phone:________________________Fax:________________________

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Corporation Partnership Individual SoleProprietorship Other(PleaseExplain)_____________

EIN: _____________________

SSN: _____________________

(Federal Tax ID #)

Pleasevisithttp://dor.wa.gov/Content/FindTaxesAndRates/BAndOTax/EconomicNexus.aspx.Ifyour

companymeetstheEconomicNexusrequirementspleaseprovideyourUBInumber.

UBI Number________________________________________

PLEASEATTACHACOMPLETEDANDSIGNEDW‐9FORM.

AuthorizedSignature:_________________________________________

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PrintedName:_______________________________________________

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Title:_____________________________Date:_____________________

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Auburn School District

VENDOR

APPLICATION

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The Internal Revenue Code 3406(b) requires a form 1099 for

payments to every person or organization other than a corporation

for services performed in the course of trade or business. Further

IRS code requires the Auburn School District to withhold 28% in

reportable amounts paid to unincorporated businesses or

individuals who have not supplied a correct Employer

Identification Number (EIN or Social Security Number (SSN).

Please complete and sign the information below and return it to

Auburn School District, 915 4th St NE, Auburn, WA 98002 or

fax to 253-931-8006 prior to providing services. If you have any

uestions

lease call Purchasin

Services at 253-931-4970.

click to sign

signature

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Fill Online, Printable, Fillable, Blank Vendor Application Sept 2015 With W9 Form

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Fillable Vendor Application Sept 2015 With W9

Fill Online, Printable, Fillable, Blank Vendor Application Sept 2015 With W9 Form

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