Common use of Recipient Information Clause in Contracts

Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: Street Address: City, State, ZIP: Email: Phone: ( ) Fax: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1)? (Check one box): YES NO

Appears in 3 contracts

Samples: Grant Agreement, Grant Agreement, Grant Agreement

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Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Addressaddress: City, Statestate, ZIPzip code: EmailEmail address: PhoneTelephone: ( ) Fax: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1), a foreign person, or a foreign entity? (Check one box): YES NO

Appears in 1 contract

Samples: Grant Agreement

Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Addressaddress: City, Statestate, ZIPzip code: EmailEmail address: PhoneTelephone: ( ) FaxFacsimile: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1)? (Check one box): YES NO

Appears in 1 contract

Samples: Vax Grant Agreement

Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Address: City, State, ZIP: Email: Phone: ( ) Fax: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1); a foreign person, or a foreign entity? (Check one box): YES NO

Appears in 1 contract

Samples: Grant Agreement

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Recipient Information. Recipient shall provide the information set forth below. PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION Recipient Name (exactly as filed with the IRS: ): Street Addressaddress: City, Statestate, ZIPzip code: EmailEmail address: PhoneTelephone: ( ) FaxFacsimile: ( ) Is Recipient a nonresident alien, as defined in 26 USC § 7701(b)(1)? (Check one box): YES NO

Appears in 1 contract

Samples: Grant Agreement

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