Vendor Onboarding Form

Step 1 of 3

If you already have W9, please attach the file below.

Max. file size: 64 MB.

W-9 Request for Tax Payer Identification Number and Certification

▶ Go to www.irs.gov/FormW9 for instructions and the latest information

1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor or single-member LLC

C Corporation

S Corporation

Partnership

Trust/Estate

Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Limited liability company.

Other (see instructions) ▶

Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ▶

4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any)

Exemption from FATCA reporting code (if any)

(Applies to accounts maintained outside the U.S.)

5 Address (number, street, and apt. or suite no.) See instructions

Requester’s name and address (optional)

6 City, state, and ZIP code

7 List account number(s) here (optional)

PART 1 Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social Security Number

Employer Identification Number

PART 2 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: (a) I am exempt from backup withholding, or (b) 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 (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. 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. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Name of Signatory:(Required)

Signature(Required)

Date(Required)

ACH Vendor Authorization

I authorize All Pro Realty of Tampa Bay, LLC and The Bank of Tampa as listed below to initiate electronic entries to my account. Originating depository financial institution: The Bank of Tampa, 601 Bayshore Blvd, Tampa, FL 33606, Routing number: 063108680 I accept full responsibility for the accuracy of the information given below to All Pro Realty of Tampa Bay, LLC. I, the undersigned, take full responsibility for the account listed below and I agree to report any discrepancies to All Pro Realty of Tampa Bay, LLC immediately. I, the undersigned, understand it is my responsibility to contact All Pro Realty of Tampa Bay, LLC and immediately if I fail to receive payments for my services in the account listed below. This authorization is to remain in full force and effect until All Pro Realty of Tampa Bay, LLC has received written notification from me (or either of us) of its termination in such time and in such a manner as to afford All Pro Realty of Tampa Bay, LLC and DEPOSITORY a reasonable opportunity to act on it.

Company Name

Authorized Agent

First Last

Financial Institution

Financial Institution Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of Account

Checking

Savings

Full Name on the Account:

Routing Number:

Account Number: