W-9 Generator

Form W-9

Department of the Treasury · Internal Revenue Service

Request for Taxpayer
Identification Number
and Certification

Give form to the requester.
Do not send to the IRS.

1 · Name (as shown on income tax return)

Name is required — do not leave blank.

2 · Business name / disregarded entity name (if different)

3 · Federal Tax Classification

Individual / Sole Proprietor

Single-Member LLC

C Corporation

S Corporation

Partnership

Trust / Estate

LLC (C corp tax)

LLC (S corp tax)

LLC (Partnership tax)

Other ▶

4 · Exemptions (entities only)

Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

5 & 6 · Address

Street address, apt / suite no.

City

State

ZIP Code

7 · Account Numbers (optional)

List account numbers here (optional)

Part I · Taxpayer Identification Number (TIN)

Social Security Number (SSN) — Individuals / Sole Proprietors

Use SSN for individuals. For a sole proprietor who is also an LLC, use EIN if you have one.

Employer Identification Number (EIN) — Corporations / LLCs / Partnerships

Use EIN for corporations, LLCs, partnerships, and trusts/estates.

Part II · Certification

Under penalties of perjury, I certify that: (1) The number shown on this form is my correct taxpayer identification number; (2) I am not subject to backup withholding; (3) I am a U.S. citizen or other U.S. person; (4) The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Signature of U.S. person ▶

Date ▶

Requester Information

Requester name

Requester address

Form W-9