Form Wrd 213 PDF Details

Form W-9 is a form required to be filed by all entities, regardless of whether they are subject to backup withholding, that receive payments reportable on Form 1099. This article will provide an overview of Form W-9 and the backup withholding process. More specifically, we'll go over: What is Form W-9? Who must file Form W-9? What information must be provided on Form W-9? What is backup withholding? When is backup withholding applied? How is backup withholding calculated? What happens if Backup Withholding Is Applied?"Form W 9" this form required filed entities receiving payments reportable "Form 1099" regardless subject backup withholding will provide overview including: payments reportable , who must file form , what information must provided , what backups withholding , when applied , how calculated & consequences applied.

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Form NameForm Wrd 213
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesWRD 213 wrd 213 form

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WRD-213

Revised May, 2009

CERTIFICATION REGARDING LOBBYING

The undersigned certifies, to the best of his or her knowledge and belief, that:

1.No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2.If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL "Disclosure Form to Report Lobbing," in accordance with its instructions.

3.The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 U.S.C. §1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less that $10,000 and not more than $100,000 for each such failure.

Head of Agency or Organization

Date

Type Name & Title

Name and Address of Agency/Organization:

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