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  • Exhibit 5 Payee Data Record - Department Of Housing And ... - Hcd Ca

Get Exhibit 5 Payee Data Record - Department Of Housing And ... - Hcd Ca

Exhibit 5 State of California Department of Health Services PAYEE DATA RECORD (Required when receiving payment from the State of California in lieu of IRS W-9) STD. 204 (Rev. 6-2003) 1 INSTRUCTIONS:.

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How to fill out the Exhibit 5 PAYEE DATA RECORD - Department Of Housing And Community Development online

The Exhibit 5 Payee Data Record is an essential form required by the State of California for individuals and entities receiving payments. This guide will provide step-by-step instructions to help you complete this form accurately and efficiently online.

Follow the steps to complete the Exhibit 5 Payee Data Record online.

  1. Press the 'Get Form' button to access the payee data record form and open it in your preferred online document editor.
  2. In the first section, enter the payee’s legal business name. If you are a sole proprietor, include both your business name and your full name.
  3. Identify the payee entity type by checking only one box that applies to your business. Options include sole proprietor, partnership, corporation (with subcategories), estate, or trust.
  4. Provide your email address, mailing address, and business address. Ensure all addresses are complete, including city, state, and zip code.
  5. Input your Federal Employer Identification Number (FEIN) or Social Security Number (SSN) as required. Note that payment will not be processed without a taxpayer ID number.
  6. Select your residency type. Indicate whether you are a California resident or nonresident and check the appropriate box. If applicable, provide a copy of the Franchise Tax Board waiver.
  7. Certify the information by including the authorized payee representative's name, title, signature, and date. Provide a contact telephone number.
  8. Finally, save your completed form, and you can choose to download, print, or share the document as needed.

Complete your Exhibit 5 Payee Data Record online today to ensure timely processing of your payments.

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Both state and federal laws require that all reportable payments be identified and reported in the Payee Data Record (STD. 204) form. This includes any state department that participates in a transaction resulting in a payment to any individual or entity that is not a governmental entity.

A completed Payee Data Record, STD 204 form, is required for all payees (non-governmental entities or individuals) entering into a transaction that may lead to a payment from the state.

Complete name, title, e-mail address, telephone number, date, and handwritten or electronic signature of the payee's authorized representative. This signature certifies the accuracy of the information provided. All data on the submitted STD 204 must be unalterable including the signature.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232