My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2004-06-23 City Executive Session, WS & CC Meeting
Centerville
>
City Council
>
Agenda Packets
>
1996-2022
>
2004
>
2004-06-23 City Executive Session, WS & CC Meeting
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/19/2009 8:36:14 AM
Creation date
6/19/2009 8:33:47 AM
Metadata
Fields
Template:
General
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
121
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<br />REQUEST FOR TAXPAYER IDENTIFICATION NUMBER <br />Instructions for Substitute Fonu W-9 <br />(Section references are to the Internal Revenue Code.) <br /> <br />Purpose of Form <br /> <br />Complete this fonn and give it to the payer of interest, dividends and certaill other payments (including broker and barter exchange <br />transactions) so that you will not be subject to the 31% backup withholding that became effective January I, 1984. <br /> <br />Use this form to report and certif'y your taxpayer identification number (TIN) to the payer, to certif'y that you are not subject to backup <br />withholding because of under-reporting of interest and dividends on your tax return, and to claim exemption from backup withholding if <br />you are an exempt payee, <br /> <br />lfyou do not complete this form properly and return it to the payer, the payer may be required to withhold 31 % of payments made to you. <br /> <br />What is Backup Withholding <br /> <br />The Interest and Dividend Tax Compliance Act of 1983 requires payers to withhold and pay to the Internal Revenue Service ("lRS") 31 % <br />of payments of interest, dividends, and certain other payments under certain conditions. This is called "backup withholding". If you give <br />the payer your correct TIN, certif'y your TIN when required, and report all your taxable interest and dividends on your tax return, your <br />payments will not be subject to backup withholding. <br /> <br />Payments you receive will be subject to backup withholding if: <br /> <br />(1) You do not furnish your TIN to the payer, or <br /> <br />(2) The lRS notifies the payer that you fumished an incorreet TIN, or <br /> <br />(3) You are notified by the lRS that you are subject to backup withholding because you failed to report all your interest and dividends on <br />your tax return (for interest and dividend accounts only), or <br /> <br />(4) You fail to certif'y to the payer that you are not subject to backup withholding under (3) above (for interest and dividend accounts <br />opened after 1983 only), or <br /> <br />(5) You fail to certiJy your TIN. This applies only to interest, dividood, broker or barter exchange accounts opened after 1983, or broker <br />accounts considered inactive in 1983. For other paymoots, you are subject to backup withholding only if(l) or (2) above applies. <br /> <br />How to Obtain a TIN <br /> <br />lfyon do not have a TIN, you should apply for one immediately. To appJy for the number obtain Form SS-5, Application for a Social <br />Security Card (for individuals), or Form SS-4, Application for Employer Identification Number (for businesses and all other entities), at <br />your Jocal office of the Social Security Administration or the lRS. Complete and file the appropriate form according to its instructions. <br /> <br />If you do not have a TIN, write "Applied For" in the space for the TIN, sign and date the form, and give it to the payer. You will thoo bave <br />60 days to obtsin a TIN and furnish it to the payer. During the 6O-day period, the paymoots you receive will not be subject to the 31 % <br />backup withholding. However, if the payer does not receive your TIN from you within 60 days, backup withholding will begin and <br />conTinue until you furnish the TIN to the payer. <br /> <br />Note: Writing "Applied For" on the form means that you have already applied/or a TIN, OR that you intend to apply for one in the near <br />fUture. <br /> <br />As soon as you receive your TIN, complete another Form W-9, including your new TIN, sign and date the form, aud give it to the payer. <br /> <br />Northland Securities, Inc. . 45 South 7th Street . Suite 2500 . Minneapolis, MN 55402 . 1-800-851-2920 . www.northlandsecllrities.com <br />NA 1001 {Hl/02} <br /> <br />. <br />
The URL can be used to link to this page
Your browser does not support the video tag.