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Vendor:         ________________________            From:   _______________________

Address:        ________________________            Address:  _____________________

                     ________________________                            _____________________



Please furnish the following information, so we may properly update our records:


Telephone #:  (       )  _____________________


Federal Tax ID # or Social Security #:  ___________________________


Is your business incorporated?                                     Yes or     No



_______________________________       _______________________________

Signature                                                       Position


Under current Federal Income Tax laws, you are required to provide us with the above information. If you are not a corporation and you do not provide us your taxpayer ID number, you might be subject to a $50.00 penalty imposed by the Internal Revenue Service.  Failure to furnish your taxpayer ID number could result in payments to you being subject to Federal Income Tax withholding at 20% rate.


Please note any corrections and return this letter to my attention.  Your prompt response is appreciated.



_____________________________, Accounts Payable

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