SSN or TIN definition

SSN or TIN. Business Address: Residence Address: Occupation: Years in business: Are you a U. S. Citizen? Yes No: What is your residency status? Email Address: Drivers License Number: Home Phone: Cell Phone: Have you or any partners been bankrupt or insolvent? Yes: Provide explanation on Application Supplement No Are there any lawsuits, judgments, or liens outstanding against applicant? Yes: Explain using Application Supplement No Name and Address of Attorney: Will the attorney remain involved throughout the duration of the case? Yes No Has any Surety denied application for the bonds listed? Yes: Provide explanation on Application Supplement No Prior Surety Yes: give name and reason for change: No Type of Bond Required: Bond Amount: Legal Name of Deceased: Date of Death: Date of appointment: Court and Docket No.: Applicant’s relationship to Deceased: Estimated Estate Assets: Personalty $ Realty $ Estimated Estate Debts: List each heir of the estate with its relationship and percentage (%) share: Will any business of the estate be continued by fiduciary? Is applicant indebted to the estate? Did Decedent execute a Last Will and Testament? Does applicant replace a prior Fiduciary? Is this an additional bond? Does this bond replace a prior bond? Is this bond required on the demand of an interested person? Yes: Attach copy of Court Order No Yes No Yes: Attach copy if bond exceeds $1Million No Yes No Yes No Yes No Yes: Whom? No Type of Bond Required: Bond Amount: Legal Name of Minor Incapacitated: Date of Birth: Estimated Estate Assets: Personalty $ Realty $ Estimated Estate Debts: Date of appointment: Court and Docket No.: Applicant’s relationship to the wards or minors: Will Guardianship funds be used for the support of minors? Yes: Attach copy of Court Order authorizing monthly expenditures No Will any business of the wards be continued by Fiduciary? Yes: Attach copy of Court Order No Is the bond required on the demand of an interested person? Yes: Whom? No Is applicant indebted to the wards? Yes No Will joint control be exercised? Yes No Is this an additional bond? Yes No Does applicant replace a prior Fiduciary? Yes No Does this bond replace a prior bond? Yes No Will a Supplemental Needs Trust be created? Yes: Attach copy of the Trust, if executed No Has the xxxx(s) executed a Last Will and Testament? Yes: Attach copy if bond exceeds $1 Million No Agency Name Code: Agency Address Agent’s Recommendation The undersigned (collectively “Indemnitor”) represents that all stat...

Examples of SSN or TIN in a sentence

• If I fail to provide my SSN or TIN to the University, I agree to pay any and all IRS fines assessed as a result of my missing SSN/TIN.

• Part III reports the name, SSN (or TIN for covered individuals other than the employee listed in Part I), and coverage information about each individual (including any full-time employee and non-full-time employee, and any employee's family members) covered under the employer's health plan, if the plan is "self-insured." A date of birth will be entered in column (c) only if an SSN (or TIN for covered individuals other than the employee listed in Part I) is not entered in column (b).

• Include as much information as possible, including account registration, shareholder/account owner’s name, SSN or TIN, address, and custodian information (if applicable).

• Include as much information as possible, including account registration, shareholder/account owner’s name, SSN or TIN, address and custodian information.

• If you have applied for a SSN or TIN prior to completing your account application but you have not received your number, please indicate this on the application and include a copy of the form applying for the SSN or TIN.

• Taxes are not withheld from distributions to U.S. investors if certain IRS requirements regarding the SSN or TIN are met.

• If I fail to provide my SSN or TIN to CCAC, I agree to pay any and all IRS fines assessed as a result of my missing SSN/TIN.

• Part III reports the name, SSN (or TIN for covered individuals other than the employee listed in Part I), and coverage information about each individual (including any full-time employee and non-full-time employee, and any employee’s family members) covered under the employer’s health plan, if the plan is “self-insured.” A date of birth will be entered in column (c) only if an SSN (or TIN for covered individuals other than the employee listed in Part I) is not entered in column (b).

• You must notify us promptly if you change your personal information such as your name, address, email address, phone number, SSN or TIN, or resident/citizenship status, and we may require you to confirm this change in writing.

• Yes No-Skip to #3 N/A-Skip to #3 If yes, list the name and the SSN or TIN of the other provider or entity in which the Owner identified in Section I also has an Ownership or Controlling Interest (42 CFR §455.104(b)(3)).