Instructions to Payors and Operators for Form W-9 - Request for Taxpayer Identification Number and Certification

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Instructions to Payors and Operators
for
Form W-9
Request for Taxpayer Identification Number and Certification
All payors and operators must send an original, signed Form W-9 to the Office
of Natural Resources Revenue. Put your five-digit, ONRR-assigned
Payor Code or Operator Number at the top of the form.
The Debt Collection Improvement Act of 1996 (31 U.S.C. § 7701) requires the Office of Natural
Resources Revenue (ONRR) to collect a Taxpayer Identification Number (TIN) from all persons
with whom we do business. We request your cooperation in completing and sending an Internal
Revenue Service (IRS) Form W-9 with an Employer Identification Number (Federal tax ID
number) to ONRR. You may obtain a Federal tax ID number on line from the IRS or by filing
an IRS Form SS-4, Application for Employer Identification Number.
The following instructions describe how to complete a W-9 for ONRR
purposes. Please make sure all information is complete and legible. For
ease of reference, each item is entitled exactly as it appears on the form.
Give form to the requester. Do not send to the IRS.
(instruction in the top right corner)
Mail your completed, signed, original W-9 to ONRR at the address that follows these
instructions.
Name (as shown on your income tax return)
Clearly print the name of the individual who filled out the form.
Notes: If this individual is the payor, the name must correspond with the Payor Code
assigned by ONRR. If these items do not match, ONRR cannot process your TIN.
If you put more than one Payor Code on a form, ONRR cannot process it.
Business name, if different from above
Enter the legal name of the company or reporting entity (if different from the individual
above). This name must go with the Payor Code assigned by ONRR. If these items do not
match, ONRR cannot process your TIN. If you put more than one Payor Code or Operator
Number on a form, ONRR cannot process it.
Check appropriate box
Please check the appropriate box.
Updated on 9/4/13
Page 1 of 2
Instructions to Payors and Operators
for
Form W-9
Request for Taxpayer Identification Number and Certification
All payors and operators must send an original, signed Form W-9 to the Office
of Natural Resources Revenue. Put your five-digit, ONRR-assigned
Payor Code or Operator Number at the top of the form.
The Debt Collection Improvement Act of 1996 (31 U.S.C. § 7701) requires the Office of Natural
Resources Revenue (ONRR) to collect a Taxpayer Identification Number (TIN) from all persons
with whom we do business. We request your cooperation in completing and sending an Internal
Revenue Service (IRS) Form W-9 with an Employer Identification Number (Federal tax ID
number) to ONRR. You may obtain a Federal tax ID number on line from the IRS or by filing
an IRS Form SS-4, Application for Employer Identification Number.
The following instructions describe how to complete a W-9 for ONRR
purposes. Please make sure all information is complete and legible. For
ease of reference, each item is entitled exactly as it appears on the form.
Give form to the requester. Do not send to the IRS.
(instruction in the top right corner)
Mail your completed, signed, original W-9 to ONRR at the address that follows these
instructions.
Name (as shown on your income tax return)
Clearly print the name of the individual who filled out the form.
Notes: If this individual is the payor, the name must correspond with the Payor Code
assigned by ONRR. If these items do not match, ONRR cannot process your TIN.
If you put more than one Payor Code on a form, ONRR cannot process it.
Business name, if different from above
Enter the legal name of the company or reporting entity (if different from the individual
above). This name must go with the Payor Code assigned by ONRR. If these items do not
match, ONRR cannot process your TIN. If you put more than one Payor Code or Operator
Number on a form, ONRR cannot process it.
Check appropriate box
Please check the appropriate box.
Updated on 9/4/13
Page 1 of 2
Instructions to Payors and Operators for the Form W-9
Address (number, street, and apt. or suite no.)
Clearly enter complete mailing address information.
Note: ONRR cannot change official Address and/or Addressee of Record based on a
Form W-9. If your company’s mailing or contact information has changed, you
must send a signed, original Form ONRR-4444 to ONRR to update our records.
Requester’s name and address (optional)
This section is not required.
List account number(s) here (optional)
This section is not required.
Part I
Taxpayer Identification Number (TIN)
ONRR cannot accept a Social Security Number as a TIN. Whether you are paying as an
individual payor or a company, you must enter an Employee Identification Number (EIN). If
you do not have an EIN, follow page 3 of the instructions attached to the Form W-9.
Part II
Certification
The person who certifies this form must be an employee, not a contractor.
Please write your ONRR-assigned Payor Code or Operator Number at
the top of the completed Form W-9.
Send a separate W-9 for each Payor Code or Operator Number for which you report/pay
(i.e., do not submit a W-9 for more than one Payor Code or Operator Number).
Mail printed and signed original Form W-9(s) to:
Office of Natural Resources Revenue
PO Box 25627, MS 63230B
Denver CO 80225-0627
Note: If you are sending a Form W-9 and a Form ONRR-4444, or if you are sending multiple
copies of either form, you can mail them to ONRR in the same envelope.
Updated on 9/4/13
Page 2 of 2

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