West Music Company, Inc. Important Tax Document
Office Use Only
(Substitute Form W-9) Please complete, sign and mail or fax as soon as possible to: West Music Company, Inc. Should you have any questions regarding Accounts Payable this request, please contact West Music 1212 5th St Acounts Payable at 319-351-2000 ext. 127 or ext.129 Coralville, Iowa 52241 or fax to (319) 351-0479 The IRS requires that you provide information which will allow us to complete 1099 reporting. West Music must file an information return to the IRS, and you are required to provide a correct Taxpayer Identification Number (TIN) appropriate to the classification you checkmark below. Helpful Hints on reverse side of this form.
1099 Address-please complete all sections Taxpayer Name (as shown on your income tax return)
Business Name (Sole proprietors see Helpful Hints on reverse side)
City, State and Zip +4
( ) Taxpayer Identification Number (9 digits) and check appropriate line Federal Employer Identification Number Social Security Number __ __ - __ __ __ __ __ __ __
__ __ __ - __ __ - __ __ __ __
___ Corporation ___ Partnership ___ Sole Proprietorship (Using business name and FEIN) ___ Federal or State Agency ___ Other (define) ____________________
Individual Sole Proprietor (Using business name and SSN)
Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup witholding because :(a) I am exempt from backup witholding, or (b) I have not been notified by the Internal Revenue service (IRS) that I am subject to backup witholding as a result of a failure to report all interest or dividends, or (c)the IRS has notified me that I am no longer subject to backup witholding, and 3. I am a U.S. person (including a U.S. resident alien). Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup witholding because you have failed to report all interest and dividends on your tax return.
Signature (required) ____________________________________________________