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W9 Submission Form
Details submitted on this page should match your federal income tax return for the IRS.
Name
*
Legally registered business name with the IRS.
Doing Business As
*
Name business goes by day to day.
Tax Classification
*
Individual/Sole Proprietor
Ccorp
Scorp
Partnership
Truste/Estate
LLS
LLC
LLP
Address 1
*
Address 2
Address 3
City
*
County
State
*
ZIP Code
*
Phone
Email
Fax
Name of Elephant Customer you are working with
(Or Elephant Claim Number if you have it)
File
*
Max. file size: 50 MB.
Consent
*
Selecting this box and submitting this form indicates you have completed this form accurately and have attached a digital copy of your signed W9. If this form has not been completed fully or your signed form not attached, this may cause delays in processing