RunLab™ Pro Account

W9 Information

This information is required in order for RunLab to pay Pro Account users on a monthly basis.
Name (as shown on your income tax return)*
Business name/disregarded entity name, if different from above
Select appropriate item for federal tax classification*
- Individual/Sole Proprietor
- C Corporation
- S Corporation
- Partnership
- Trust/Estate
Address*
Street Address City State ZIP Code
List account number(s) here (optional)
Taxpayer Identification Number
Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN).
Select Either SSN or EIN*
- Social Security Number
- Employer Identification Number
Social Security Number
Employer Identification Number
Certification
Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below).
W9 Privacy Agreement*
- I agree to allow RunLab to securely store my W9 information
Date
Month
Day
Year

W9 Information

Taxpayer Identification Number

Certification