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The City utilizes the TIN Matching Program provided by the Internal Revenue Service (IRS). The information in this section must match your business information on file with the IRS. If this information does not match, the City may be required to withhold backup withholding tax from vendor payments.
Check all that apply.
If you answered 'Yes,' complete question 2; otherwise, skip to Part 5.
If you answered yes to any of the above, you will be contacted by the City's Purchasing Department, and all related parties may be required to complete additional forms. A list of City Officials, Officers, Council Members, and Committee Members can be obtained from the City's website, or by contacting the City's Purchasing Department at
By signing below, I attest that the above information is true, accurate, and complete to the best of my knowledge, and I am authorized to act on behalf of this Company.
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