IRS Form — Rev. March 2024

Form W-9 Request for Taxpayer
Identification Number and Certification

Complete and submit to Far West Talent & Promotions. Do not send to the IRS.

ⓘ Before you begin — for guidance related to the purpose of Form W-9, visit www.irs.gov/FormW9. Print or type. For full instructions see Page 2 of the downloadable PDF version.

Name of entity / individual *

An entry is required. For a sole proprietor or disregarded entity, enter the owner's name here and the business name on line 2.

Business name / disregarded entity name, if different from above

Federal tax classification — check only one *

Foreign partners, owners, or beneficiaries

If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P," and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries.

I have foreign partners, owners, or beneficiaries

Exemptions (codes apply only to certain entities, not individuals)

Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

Address (number, street, apt. or suite no.) *

Requester's name and address (optional)

City, state, and ZIP code *

List account number(s) here (optional)

Part I — Taxpayer Identification Number (TIN)

Enter SSN or EIN — not both

Enter your TIN in the appropriate box. For individuals this is generally your Social Security Number (SSN). For other entities it is your Employer Identification Number (EIN).

Social Security Number

– –

— or —

Employer Identification Number

–

Part II — Certification

Under penalties of perjury, I certify that:

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
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the IRS that I am subject to backup withholding 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 withholding; and
I am a U.S. citizen or other U.S. person; and
The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.

Signature of U.S. person *

Date *

By submitting, you certify the information above is accurate. A copy will be sent to Far West Talent & Promotions for their records.

Form W-9 Request for TaxpayerIdentification Number and Certification

Part II — Certification

W-9 Submitted!

Form W-9 Request for Taxpayer
Identification Number and Certification