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Get Purdue Payee Certification Form

Payee Certification Business Services Form PC Purdue University A. Payee Information 1. Name 2. Home Please enter name as shown on your Social Security Card Address 3. Fund Earmarked Funds Note The Internal Revenue Service does not require your consent to any provision of this document other than the certification required to avoid backup withholding. By Signing this invoice I a Certify that this invoice is correct and just the amount claimed is .

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