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  1. Check appropriate box:
  2. Taxpayer Identification Number (TIN)
    Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instruction on page 2. For other entities, it is your employer identification number (EIN).
  3. Supplemental Vendor Information(Check ALL that apply):
  4. Leave This Blank:

  5. This field is not part of the form submission.