TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER P.O. Box 5706 Lubbock, TX 79408-5706 Part 1 - Vendor Setup Information Name (as shown on your income tax return) Business name, if different from above Type of Business Check appropriate box: Address: City, state, and zip code: <a href="/keyword/social-security-number/" >social security number</a> TAXPAYER IDENTIFICATION NUMBER (TIN) _______________________________________________ Employer identification Enter your TIN in the appropriate box. The TIN provided must match the name given above to avoid backup withholding. For individuals, this is your <a href="/keyword/social-security-number/" >social security number</a> (SSN). However, if you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN) - enter it in the <a href="/keyword/social-security-number/" >social security number</a> box For sole proprietors the IRS prefers you use your SSN, but if you have an EIN you may enter either your SSN or EIN. <a href="/keyword/social-security-number/" >social security number</a> For Partnerships must furnish two partners names and SSN as shown on IRS records: Partner 1 Name: <a href="/keyword/social-security-number/" >social security number</a> Partner 2 Name: Texas Corporation Charter? If yes, Charter # Exemption: If exempt from Form 1099 reporting, check your qualifying exemption reason below Other explanation: Corporation Tax Exempt Entity Note that there is under 501 no corporate (a)(include exemption for s 501 C medical &amp; health (3), or IRA care payments or payments for legal services The United States or any of its agencies or instrument alities A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or agencies Vendor Bid Info Address/City, State: Phone: Fax: Contact: Contact email: A foreign government or any of its political subdivisions or an international organization in which the United States participates under a treaty or act of Congress Individual/Sole Proprietor Corporation Partnership (addtl Info reqd below) Other Part 2 - Purchasing Setup Information Vendor Purchase Order Info Address/City, State Phone: Fax: Contact: Contact email: Part 3 - Accounts Payable Setup Information Vendor Remittance Info: Address/City, St: Phone: Fax: Contact: Contact email: Remit Address (primary) Ad...