Get W 9 Form Maine

State of Maine Substitute W-9 Vendor Authorization Form PURPOSE To establish or update an account with the State of Maine s accounting system. This form replaces the IRS W-9 form per the IRS W-9 language If a requester gives you a form other than Form W-9 to request your TIN you must use the requester s form if it is substantially similar to this Form W-9. Complete this form if 1 You will receive payment from the State of Maine 2 You are a vendor who provides services or goods to the State of Maine and/or 3 You are a U*S* citizen with valid Tax ID Number SSN/EIN. Reset Form All items with an astrisk needs to be completed* TYPE OF REQUEST Must select one. New Legal Name DBA Name New Location/Additional Change Choose Request Entry Contact Info Ordering Address Payment Address TAXPAYER ID NUMBER TIN Provide ONE only OR Social Security Number SSN Organization Type Individual choose ONE Classification Sole Proprietorship Federal Employer ID Number FEIN Company Foreign W8 required Corporation Trust Nonresident Alien State Gov t Partnership Other Gov t Other LEGAL NAME Must provide Legal name filed with IRS tied to the ID number SSN first last name/FEIN business name Alias/DBA Other Info Vendor Customer Number if known VC /VS Account/Client/Provider Number if known Billing Address My Address Admin* Address is the same. C/O Phone City/State/Zip Contact Name Ext Send me Email notifications of DD/EFT Email requires Direct Deposit/EFT form to be completed Procurement/Physical Address Authorized Signature Title Current Date I certify that the above information is accurate correct as of the current date signed on this form* I am responsible for updating maintaining my information on a regular basis by written communication via this form or via the internet at the Vendor Self Service web site. OFFICE USE ONLY State Agency SHS Information on State Agency Submitting Vendor Form Agency Contact Person Name Title Contact s Phone ME W9 V1 6/24/11. Complete this form if 1 You will receive payment from the State of Maine 2 You are a vendor who provides services or goods to the State of Maine and/or 3 You are a U*S* citizen with valid Tax ID Number SSN/EIN. Reset Form All items with an astrisk needs to be completed* TYPE OF REQUEST Must select one. New Legal Name DBA Name New Location/Additional Change Choose Request Entry Contact Info Ordering Address Payment Address TAXPAYER ID NUMBER TIN Provide ONE only OR Social Security Number SSN Organization Type Individual choose ONE Classification Sole Proprietorship Federal Employer ID Number FEIN Company Foreign W8 required Corporation Trust Nonresident Alien State Gov t Partnership Other Gov t Other LEGAL NAME Must provide Legal name filed with IRS tied to the ID number SSN first last name/FEIN business name Alias/DBA Other Info Vendor Customer Number if known VC /VS Account/Client/Provider Number if known Billing Address My Address Admin* Address is the same. Reset Form All items with an astrisk needs to be completed* TYPE OF REQUEST Must select one. New Legal Name DBA Name New Location/Additional Change Choose Request Entry Contact Info Ordering Address Payment Address TAXPAYER ID NUMBER TIN Provide ONE only OR Social Security Number SSN Organization Type Individual choose ONE Classification Sole Proprietorship Federal Employer ID Number FEIN Company Foreign W8 required Corporation Trust Nonresident Alien State Gov t Partnership Other Gov t Other LEGAL NAME Must provide Legal name filed with IRS tied to the ID number SSN first last name/FEIN business name Alias/DBA Other Info Vendor Customer Number if known VC /VS Account/Client/Provider Number if known Billing Address My Address Admin* Address is the same. C/O Phone City/State/Zip Contact Name Ext Send me Email notifications of DD/EFT Email requires Direct Deposit/EFT form to be completed Procurement/Physical Address Authorized Signature Title Current Date I certify that the above information is accurate correct as of the current date signed on this form* I am responsible for updating maintaining my information on a regular basis by written communication via this form or via the internet at the Vendor Self Service web site.