Form AOC-FS-9 "Certification of Taxpayer Identification Number (Tin)" - North Carolina

What Is Form AOC-FS-9?

This is a legal form that was released by the North Carolina Court System - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the North Carolina Court System;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form AOC-FS-9 by clicking the link below or browse more documents and templates provided by the North Carolina Court System.

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Download Form AOC-FS-9 "Certification of Taxpayer Identification Number (Tin)" - North Carolina

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STATE OF NORTH CAROLINA
CERTIFICATION OF TAXPAYER
County
IDENTIFICATION NUMBER (TIN)
NOTE TO CLERK:
For bookkeeping purposes only. DO NOT place in public file.
PART 1. GENERAL INFORMATION
Name (as shown on your income tax return) (Please Print Or Type)
Business Name (if different from your income tax return)
Address (number, street, suite, city, state, zip code)
Check All Appropriate Boxes That Apply For Federal Tax Classification
COLUMN A
COLUMN B
Attorney (individual or firm)
Corporation
Medical Services Provider
C Corporation
Sole Proprietor
S Corporation
Partnership
Financial Institution
Trust/Estate
Local Government (city, county, etc.)
Limited Liability Company
State Government
Individual
Federal Government
PART 2. TAXPAYER IDENTIFICATION NUMBER (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line to avoid backup
withholding. For individuals, this is your Social Security Number (SSN). For other entities, it is your Employer Identification
Number (EIN).
Social Security Number (SSN)
Employer Identification Number (EIN)
-
-
-
PART 3. CERTIFICATION
Under penalties of perjury, I certify that:
1.
The number shown on this form is my correct taxpayer identification number.
2.
I am not subject to backup withholding.
3.
I am a U.S. citizen or other U.S. person. For federal tax purposes, you are considered a U.S. person if you are:
l
An individual who is a U.S. citizen or U.S. resident alien,
l
A partnership, corporation, company, or association created or organized in the United States or under the
laws of the United States,
l
An estate (other than a foreign estate), or
l
A domestic trust (as defined in Regulations section 301.7701-7).
The Internal Revenue Service does not require your consent to any provision of this document other than the
certifications required to avoid backup withholding. For additional instructions on providing taxpayer
identification number (TIN) and related certification(s) visit the IRS website at www.irs.gov
Sign Here
Date
Signature Of U.S. Person
AOC-FS-9
© 2011 Administrative Office of the Courts
STATE OF NORTH CAROLINA
CERTIFICATION OF TAXPAYER
County
IDENTIFICATION NUMBER (TIN)
NOTE TO CLERK:
For bookkeeping purposes only. DO NOT place in public file.
PART 1. GENERAL INFORMATION
Name (as shown on your income tax return) (Please Print Or Type)
Business Name (if different from your income tax return)
Address (number, street, suite, city, state, zip code)
Check All Appropriate Boxes That Apply For Federal Tax Classification
COLUMN A
COLUMN B
Attorney (individual or firm)
Corporation
Medical Services Provider
C Corporation
Sole Proprietor
S Corporation
Partnership
Financial Institution
Trust/Estate
Local Government (city, county, etc.)
Limited Liability Company
State Government
Individual
Federal Government
PART 2. TAXPAYER IDENTIFICATION NUMBER (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line to avoid backup
withholding. For individuals, this is your Social Security Number (SSN). For other entities, it is your Employer Identification
Number (EIN).
Social Security Number (SSN)
Employer Identification Number (EIN)
-
-
-
PART 3. CERTIFICATION
Under penalties of perjury, I certify that:
1.
The number shown on this form is my correct taxpayer identification number.
2.
I am not subject to backup withholding.
3.
I am a U.S. citizen or other U.S. person. For federal tax purposes, you are considered a U.S. person if you are:
l
An individual who is a U.S. citizen or U.S. resident alien,
l
A partnership, corporation, company, or association created or organized in the United States or under the
laws of the United States,
l
An estate (other than a foreign estate), or
l
A domestic trust (as defined in Regulations section 301.7701-7).
The Internal Revenue Service does not require your consent to any provision of this document other than the
certifications required to avoid backup withholding. For additional instructions on providing taxpayer
identification number (TIN) and related certification(s) visit the IRS website at www.irs.gov
Sign Here
Date
Signature Of U.S. Person
AOC-FS-9
© 2011 Administrative Office of the Courts