Pursuant to IRS regulations, you must furnish your Federal Employer Identification Number (FEIN) or your social security number to The Citadel. If this number is not provided, you may be subject to a 31% withholding on each payment from The Citadel. To avoid this 31% withholding and to ensure that accurate tax information is reported to the IRS, please use this form to provide the requested information.
INDIVIDUALS OR SOLE PROPRIETORS:
NAME (as listed on your individual tax return)_______________________________________
SOCIAL SECURITY NUMBER __ __ __ - __ __ - __ __ __ __
Yes NoPARTNERSHIP, CORPORATION, OR OTHER ENTITY:
LEGAL BUSINESS NAME____________________________________________________
FEDERAL IDENTIFICATION NUMBER __ __ - __ __ __ __ __ __ __
ALL SOUTH CAROLINA NONRESIDENTS:
ARE YOU REGISTERED WITH THE SC DEPT. OF STATE OR THE SC DEPT. OF REVENUE & TAXATION ? _____ _____
Yes NoIF YES, PLEASE COMPLETE THE ENCLOSED SC FORM I-312.
Under penalties of perjury, I declare that the information provided is true, correct, and complete, to the best of my knowledge and belief.
Name (print or type)__________________________________________________________
Title (print or type)____________________________________________________________
Signature _________________________ Date ___________ Telephone (__)____________