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The Rhode Island W-9 form plays a crucial role in the tax reporting process for individuals and businesses alike. This form is a request for taxpayer identification information, specifically your Social Security Number (SSN) if you are an individual, or your Employer Identification Number (EIN) if you represent a company or corporation. Completing the W-9 accurately is essential, as the IRS mandates that this information be provided to avoid potential penalties, which can reach up to $50 for non-compliance. The form requires you to certify that the taxpayer identification number you provide is correct and that you are not subject to backup withholding, unless otherwise notified by the IRS. Additionally, it’s important to include your full name and business address, as well as check the appropriate box to indicate your business type, whether you operate as an individual, partnership, corporation, or another entity. If your business operates in multiple locations, specific instructions must be followed to ensure proper tax reporting. Proper completion and timely submission of the Rhode Island W-9 form to the Supplier Coordinator at One Capitol Hill in Providence is not just a bureaucratic task; it is a vital step in maintaining compliance with federal tax regulations.

Rhode Island W 9 Example

Form W-9 (Rev. 3/7/11)

State of Rhode Island

 

PAYER'S REQUEST FOR TAXPAYER

 

IDENTIFICATION NUMBER AND CERTIFICATION

THE IRS REQUIRES THAT YOU FURNISH YOUR TAXPAYER IDENTIFICATION NUMBER TO US. FAILURE TO PROVIDE THIS INFORMATION CAN RESULT IN A $50 PENALTY BY THE IRS. IF YOU ARE AN INDIVIDUAL, PLEASE PROVIDE US WITH YOUR SOCIAL SECURITY NUMBER (SSN) IN THE SPACE INDICATED BELOW. IF YOU ARE A COMPANY OR A CORPORATION, PLEASE PROVIDE US WITH YOUR EMPLOYER IDENTIFICATION NUMBER (EIN) WHERE INDICATED.

Taxpayer Identification Number (T.I.N.)

Enter your taxpayer identification number in Social Security No. (SSN) the appropriate box. For most individuals,

this is your social security number.

NAME

ADDRESS

(REMITTANCE ADDRESS, IF DIFFERENT) CITY, STATE AND ZIP CODE

Employer ID No. (EIN)

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 withholding because either: (A) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (B) the IRS has notified me that I am no longer subject to backup withholding.

Certification Instructions -- You must cross out item (2) above if you have been notified by the IRS that you are subject to backup withholding because of under-reporting interest or dividends on your tax return. However, if after being notified by IRS that you were

subject to backup withholding you received another notification from IRS that you are no longer subject to backup withholding, do not cross out item (2).

PLEASE SIGN HERE

SIGNATURE

 

TITLE

 

DATE

 

TEL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

BUSINESS DESIGNATION:

Please Check One: Individual

Partnership

Medical Services Corporation

Corporation

Trust/Estate

Government/Nonprofit Corporation

Legal Services Corporation

NAME: Be sure to enter your full and correct name as listed in the IRS file for you or your business.

ADDRESS, CITY, STATE AND ZIP CODE: Enter your primary business address and remittance address if different from your primary address). If you operate a business at more than one location, adhere to the following:

1)Same T.I.N. with more than one location -- attach a list of location addresses with remittance address for each location and indicate to which location the year-end tax information return should be mailed.

2)Different T.I.N. for each different location -- submit a completed W-9 form for each T.I.N. and location. (One year-end tax information return will be reported for each T.I.N. and remittance address.)

CERTIFICATION -- Sign the certification, enter your title, date, and your telephone number (including area code and extension).

BUSINESS TYPE CHECK-OFF ‐‐ Check the appropriate box for the type of business ownership.

Mail to: Supplier Coordinator, One Capitol Hill, Providence, RI 02908

⇓ Rhode Island W 9

Form Specifications

Fact Name Details
Purpose of the W-9 Form The Rhode Island W-9 form is used to request a taxpayer's identification number, either a Social Security Number (SSN) for individuals or an Employer Identification Number (EIN) for businesses.
Penalty for Non-Compliance If a taxpayer fails to provide the required identification number, the IRS may impose a penalty of $50.
Certification Requirements Taxpayers must certify that the information provided is correct and indicate whether they are subject to backup withholding.
Business Designation Options The form allows individuals to select their business type, including options like Individual, Partnership, Corporation, and Government/Nonprofit Corporation.
Governing Law This form is governed by federal tax regulations as outlined by the Internal Revenue Service (IRS), specifically under the Internal Revenue Code.
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