TAX ID Verification Name(Required) as shown on your income tax return Is business name different from name in your income tax return? Business name Check appropriate box(Required) Individual/Sole proprietor Corporation Partnership Limited liability company Other Enter the tax classification D=disregarded entity, C=corporation, P=partnershipExempt payee?(Required) Yes No Address(Required) Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Social security number orEmployer identification number Signature of U.S. person(Required)Date(Required) Month Day Year Δ ShareTweetSharePin0 Shares