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W-9 Request for Taxpayer Identification Number and Certification

Registration as a Lansing Community College vendor is not complete until you complete the online W-9 Form and submit or download the W-9 Form and mail along with the completed Vendor Application to the address below: 

7130 - Purchasing Department
Lansing Community College
PO Box 40010
Lansing, MI 48901-7210

Name (as shown on your income tax return):
Business Name/disregarded entity name, If different from above.
Check appropriate box for federal tax classification (required): 

Individual/Sole Proprietor
S Corporation
C Corporation
Limited liability company.  Enter the tax classification
    (C-C corporation, S-S corporation, P-partnership)


Exempt payee


Address (number, street, and apt or suite no.) City, State, Zip Code


List account number(s) here (optional)

Federal ID Number:    
Social Security Number:     If you prefer not to submit your SS # online, please print form and fax to 517-483-5289 or call Purchasing at 517-483-1785 with your SS #. Thank You
Signature of U.S. Person (Please Type Name)

Purchasing Department at Lansing Community College

Purchasing Department
Washington Court Place, Room 214
Phone: (517) 483-1785
Additional contact information »