Fillable W9 Tax Identification Number FormW9-S-TaxIdentificationNumber.pages

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W9 Tax Identification Number FormW9-S-TaxIdentificationNumber.pages

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File type: PDF

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Updated 10/2018
Saint Louis University
Request for Student's
Taxpayer Identification Number
Form
W9-S
Enrollment Services Center - DuBourg Hall, Room 119
1 Grand Blvd. St. Louis, MO 63103 314.977.2269 www.slu.edu/questions
Section 1
Student Name
Student ID
Section 3
Student Signature
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 Saint Louis University at this
time. I understand that I may be subject to an IRS fine of $100 for failure to do so. I further
understand that the IRS will not be able to use the Form 1098-T filed by Saint Louis University to
confirm my eligibility for certain education tax benefits without my taxpayer identification number.
Section 2
Student Signature
I certify that the number shown below is my correct taxpayer identification number.
OR
Please see Form Instructions on reverse. Please mail/return the completed form to the
address listed below or fax to 314.977.3447.
Saint Louis University
Identification Number
Taxpayer Identification Number
(SSN or ITIN)
43-0654872
Student Address
click to sign
signature
click to edit
click to sign
signature
click to edit
Enrollment Services Center - DuBourg Hall, Room 119
1 Grand Blvd. St. Louis, MO 63103 314.977.2269 www.slu.edu/questions
Form Instructions
Purpose.
Saint Louis University 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.
Section 1.
Enter your name and mailing address. The name should match that used by the Social Security Administration or
Internal Revenue Service. Enter your Saint Louis University Student ID.
Section 2.
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.
Sign your name in the space provided to confirm the information provided. The Office of the University Registrar
cannot change your records without your signature.
Section 3.
Please fill out this section 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, Saint Louis 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.
Deliver or 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 Saint Louis University, the IRS may
impose a penalty up to $100 unless your failure is due to reasonable cause and not to willful neglect.
Misuse of SSNs. If Saint Louis University discloses or uses your SSN in violation of Federal law, Saint Louis 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.
Saint Louis University
Request for Student's
Taxpayer Identification Number
Form
W9-S
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Completed 19 March 2020

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