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W-9 Request for Taxpayer Molina Healthcare. http://www.molinahealthcare.com /providers/nm/PDF/Medicaid/forms nm IRS-Form-W9.pdf. Send to the IRS.
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How to fill out w 9:

01
Obtain a blank W-9 form from the Internal Revenue Service (IRS) website or your employer.
02
Provide your name, address, and Social Security number or taxpayer identification number in the first section of the form.
03
Indicate your federal tax classification by selecting the appropriate checkbox, such as individual, sole proprietorship, partnership, or corporation.
04
If you are subject to backup withholding, mark the checkbox and enter your exemption code, if applicable.
05
If you are exempt from FATCA reporting, indicate so by checking the appropriate box.
06
Sign and date the W-9 form, confirming that the information provided is accurate.
07
Submit the completed W-9 form to your employer or the party requesting it.

Who needs W-9:

01
Individuals or businesses that are independent contractors and expect to receive $600 or more in payments during the tax year.
02
Businesses that are paying an individual or another business for services rendered.
03
Landlords requesting information from their tenants for tax reporting purposes.
04
Financial institutions that require customer information for compliance with regulatory requirements.

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A person or entity that is required to file a W-9 form is any U.S. person or business entity that receives payments for services or goods, including a non-employee independent contractor.
1. Enter your name. Enter your full name as it appears on your federal income tax return. 2. Enter your address. Enter your full address, including your city, state, and zip code. 3. Enter your Social Security Number (SSN). Your SSN must match the one on your federal income tax return. 4. Choose your tax classification. Select “individual/sole proprietor” if you are an independent contractor or a single-member LLC. Select “corporation” if you are a C-corporation or S-corporation. 5. Enter your Exempt Payee Code. Check the box next to “Exempt Payee Code” if you are exempt from backup withholding. If not, leave this blank. 6. Sign the form. Sign and date the form and include your title if applicable.
A W-9 form is used by businesses to collect a person or entity's tax ID number for purposes of making payments to them. It is also used to report payments to the Internal Revenue Service (IRS). The form requests the name, address, and taxpayer identification number of the recipient.
The deadline to file a W-9 in 2023 is April 15, 2023.
Form W-9 is a tax document used in the United States to request the taxpayer identification number (TIN) of a person or business. It is typically requested by individuals or organizations that need to report certain types of payments made to the taxpayer to the Internal Revenue Service (IRS). The form asks for the taxpayer's name, address, and TIN (usually a Social Security Number or Employer Identification Number), and it certifies that the taxpayer is not subject to backup withholding.
On a Form W-9, the following information must be reported: 1. Name: Provide your legal name or the name of your business. 2. Business Name: This field is optional if you are operating under your legal name. However, if you have a separate business name, you should provide it here. 3. Federal Tax Classification: Indicate the type of entity you are, such as an individual, sole proprietor, partnership, corporation, etc. 4. Address: Include your mailing address, city, state, and ZIP code. 5. Taxpayer Identification Number (TIN): Provide your Social Security Number (SSN) or Employer Identification Number (EIN). For individuals, it is typically the SSN, while businesses use the EIN. 6. Certification: By signing the form, you certify that the TIN provided is correct, you are not subject to backup withholding, and you are a U.S. citizen or resident alien. It is important to note that the information provided on Form W-9 is used by the requester to prepare other tax documents, such as Form 1099, to report certain payments made to you.
There is no specific penalty for the late filing of a W-9 form. The W-9 form itself is used to provide a taxpayer identification number (TIN) for a person or business to report income earned or paid. However, if you fail to provide a correct TIN or fail to report the income accurately, there may be penalties associated with those actions. These penalties can range from fines to interest charges, depending on the circumstances. It's always best to file the W-9 form and report income accurately and on time to avoid potential penalties.
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