Submission of Electronic W-9. Under penalty of perjury, you certify that (1) the number shown on this form is your correct taxpayer identification number (or you are waiting for a number to be issued), and (2), You are not subject to backup withholding because: (a) You are exempt from backup withholding, or (b) You have not been notified by the Internal Revenue Service (IRS) that you are subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified you that you are no longer subject to backup withholding, and (3) You are a U.S. Citizen or other U.S. person.
Appears in 6 contracts
Samples: Wellness Advisor Agreement, Wellness Advisor Agreement, Wellness Advisor Agreement
