Affiliate Program

Table of Contents
Introduction .................................................................................. 2 Album Pressing ........................................................................... 2 Digital Distribution.......................................................................3 Graphic Design ............................................................................ 3 Mastering ...................................................................................... 4 Merchandise Printing .................................................................. 4 Rock Band Encoding...................................................................4 Download Cards .......................................................................... 5 Products/Services ....................................................................... 6 Additional Information ................................................................ 7 Affiliate Program Sign Up Form ................................................. 8 Additional Information ................................................................ 9

Distrophonix, LLC Based in Baltimore, MD, Distrophonix specializes in serving the music community by providing marketing and distribution opportunities for artists, bands, small labels, and other musical entities.


com Here at Distrophonix. If any questions or concerns come to light. Distrophonix also offers duplicated packages that start at just 100 units.distrophonix. Album Pressing www. In this packet. you will find information on a referral program specifically designed for each service we offer. please feel free to contact the office. We appreciate your desire to refer your clients to us for our excellent services.Affiliate Program www. having a professional and high quality album not only makes fans more responsive. we will go into more detail about the specific services that we offer in regards to our affiliate program. Below. but also gives the artist an air of expertise. Feel free to contact us about special packages and prices. Our referral services are designed to help your company retain customers while utilizing our quality services offered. Packages for replicated CDs start at as few as 500 Thank you for your interest in the Distrophonix referral program. we offer professional album pressing services that properly showcase any artist’s work. keeping the difference between our wholesale price and your own pricing. -2- . Refer us to your clients and we will then cut you a monthly check. Packages can be tailored to meet any artist’s budget and/or goals. You can choose one of two options: Sell these products as your own.

We can provide numerous options for your clients. logos.distrophonix. we offer a highly personalized service that is designed to enhance your client’s musical career while enabling your company to collect commissions. merchandise designs. Graphic Design www. anything from album covers. and more. and many other digital venues. Distrophonix is one of the leading digital music distribution companies in the world. Our graphic designers specialize in various fields so we will be able to match almost any artist’s expectations. we do not charge any upfront fees for distribution. eMusic. You can choose from two options: Straight commission: We will handle the sales tracking and music In addition to our many services. Distrophonix employs a graphic design team to ensure that its customers are seen as professional as possible. Sprint.Digital Distribution Reaching over 400 mp3 stores globally. Rhapsody. Verizon. Digital dashboard: We provide your own online dashboard where you can manage/track sales and handle music uploads to the numerous digital retailers. Amazon MP3. Unlike our competitors. -3- . Napster. giving your firm more time to focus on more pertinent tasks.distrophonix. Your clients can benefit immensely by providing their product to digital retailers such as iTunes.

we are quite confident that we will not only meet but exceed expectations. with competitive pricing available. he or she is unknowingly spreading the word about that One of our premier services that we offer is the encoding of music into Rock Band Audio mastering is an essential process for any serious artist who wants to release the best tracks possible. we can help you accomplish the best sounding recordings. Merchandise Printing www.Mastering www. -4- .distrophonix. With prices as low as $45 per song. even on the tightest budget. We can satisfy all of your clients’ merchandise needs. we can help brand your artist’s name through merchandising in addition to providing both revenue and advertising for the artist. Being one of the first companies to offer the Every time someone wears an artist’s shirt or hat. By maximizing sonic quality. This is where Distrophonix comes in. With thousands of mastered tracks under our belt. Distrophonix has the experience and knowledge to provide the best tracks available to your clients. artists will be more likely to retain fans and gain new ones as well.distrophonix. encoding Rock Band tracks are an excellent way to get your artist’s music out into the public. Enabling fans to purchase and learn songs that they regularly enjoy will surely strengthen the connection between the artist and its fan base. Rock Bank Encoding www. this helps to capture a more diverse audience. from apparel to stickers and much more.distrophonix. Quantities start as low as 25 units. Having an ever increasing customer base.

Each card can be designed to the artist’s expectations. where they can then download the content to a computer. This portability gives the artist the ability to both sell and advertise their music. Firms that become part of our affiliate program are treated with the utmost respect and given ample attention. while not having to lug around boxes of CDs. artists are able keep 100% of profits from the download card sales. specific files for your firm’s use. demos. concerts. and additional digital media on our server for fans to retrieve via our download cards. -5- . with either a custom or pre-made template. or iPhone. why not integrate music with the growing phenomenon? This is where our download cards come into play. but as opposed to using a program such as iTunes.Download Cards Since digital media is such a huge part of daily life. artists will be able to host albums. mp3 player. Fans can then unlock the content with a code that will be printed on the back of the card. artists still have a physical item to give to fans . We will provide monthly statements and checks. and a host of other beneficial amenities.

if you feel your firm would like to participate in our affiliate program. uncapped DIGITAL DIST (DIGITAL IMPRINT) Commission: 85% of digital sales. then we can begin to fill whatever needs your firm may have* -6- .Products or Services ALBUM PRESSING Commission: 5% of total referred sale ROCK BAND ENCODING Commission: 7% of total sale DIGITAL DIST (STRAIGHT REFERRAL) Commission: 5% of digital sales. please fill out our signup sheet so we can get in contact with you as soon as possible. uncapped GRAPHIC DESIGN Commission: 7% of total sale MASTERING Commission: 15% of total sale MERCHANDISE PRINTING Commission: 7% of total sale DOWNLOAD CARDS Commission: 10% of total sale *After reviewing this packet.

com -7- .We give you four easy ways to contact us: Visit us on the Web Fill out the signup sheet and mail it to us Call us Email us Distrophonix LLC 517 Cathedral Street Suite B Baltimore. MD 21201 Phone (443) 763-3939 Fax 1(443) 703-0510 www.distrophonix.

Affiliate Program Sign Up Form Company Name: _____________________________________________ Contact Name: _____________________________________________ Address: _____________________________________________ _____________________________________________ Email: _____________________________________________ Phone: _____________________________________________ Fax: _____________________________________________ Website: _____________________________________________ Myspace: __________________________________________ Twitter: __________________________________________ Facebook: __________________________________________ Other: __________________________________________ -8- .

) __________________________________________ Signed W9: _____ YES ______ NO Description of Business: _____________________________________________ _____________________________________________ _____________________________________________ Where did you hear about Distrophonix’ affiliate program: _____________________________________________ _____________________________________________ Please send forms to: Mail: Distrophonix 517 Cathedral St Suite B Baltimore MD. a W9 will be required by year’s end. You are not required to fill out the TAX ID request at this time. if your earnings are over $ -9- . we are required to file a w9 tax form with the IRS to report your income. 21201 Fax: 1 443 703 0510 Email: info@distrophonix.Payment Name (name you want your checks made out to): _______________________________ TAX ID or Social Security #: (If your payments are over $600 a year. however.

payments other than interest and dividends. For federal tax purposes. Check appropriate box for federal tax classification (required): Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate Exempt payee Limited liability company. a partnership is required to presume that a partner is a foreign person. this is your social security number (SSN). For individuals. corporation.S. and apt.Form (Rev. it is your employer identification number (EIN). For mortgage interest paid. and ZIP code List account number(s) here (optional) Requester’s name and address (optional) Part I Taxpayer Identification Number (TIN) Social security number Enter your TIN in the appropriate box. For real estate transactions. I certify that: 1. in certain cases where a Form W-9 has not been received. to provide your correct TIN to the person requesting it (the requester) and. • An estate (other than a foreign estate). The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me). or (c) the IRS has notified me that I am no longer subject to backup withholding. but you must provide your correct TIN. or disregarded entity. you are not required to sign the certification. 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. 1-2011) . person if you are: • An individual who is a U. However. your allocable share of any partnership income from a U.S. Cat. if you are a U. If you do not have a number. Enter the tax classification (C=C corporation. Note. Use Form W-9 only if you are a U.S. and 3.S. person Date General Instructions Section references are to the Internal Revenue Code unless otherwise noted. or association created or organized in the United States or under the laws of the United States. or • A domestic trust (as defined in Regulations section 301. see the chart on page 4 for guidelines on whose number to enter. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners’ share of income from such business. January 2011) Department of the Treasury Internal Revenue Service W-9 Request for Taxpayer Identification Number and Certification Give Form to the requester. person (defined below). If a requester gives you a form other than Form W-9 to request your TIN. state. acquisition or abandonment of secured property. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. citizen or other U. you must use the requester’s form if it is substantially similar to this Form W-9.7701-7). person. you are also certifying that as a U. real estate transactions. for example.S. company. when applicable.S. or 3. item 2 does not apply. If applicable. mortgage interest you paid.) City. sole proprietor.S. cancellation of debt. I am a U. exempt payee. Certify that you are not subject to backup withholding. Name (as shown on your income tax return) Business name/disregarded entity name. you are considered a U. and 2. person. resident alien. trade or business is not subject to the withholding tax on foreign partners’ share of effectively connected income. provide Form W-9 to the partnership to establish your U. citizen or U. person (including a resident alien). Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report.S. and generally. cancellation of debt. person that is a partner in a partnership conducting a trade or business in the United States.S. No. Special rules for partnerships. if different from above Print or type See Specific Instructions on page 2. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued).S. contributions to an individual retirement arrangement (IRA).S. street. – – Employer identification number – Part II Certification Under penalties of perjury. See the instructions on page 4. If the account is in more than one name. Definition of a U. status and avoid withholding on your share of partnership income. acquisition or abandonment of secured property.S. and pay the withholding tax.S. Claim exemption from backup withholding if you are a U. Sign Here Signature of U. for a resident alien. 10231X Form W-9 (Rev. The TIN provided must match the name given on the “Name” line to avoid backup withholding. P=partnership) Other (see instructions) Address (number. For other entities. or suite no. see How to get a TIN on page 3. Note. to: 1. Therefore. 2. see the Part I instructions on page 3. I am not subject to backup withholding because: (a) I am exempt from backup withholding. Do not send to the IRS. Certification instructions. or contributions you made to an IRA. income paid to you. S=S corporation. • A partnership. Further.

check the “Limited liability company” box only and enter the appropriate code for the tax classification in the space provided. Disregarded entity. See the instructions below and the separate Instructions for the Requester of Form W-9. and certain payments from fishing boat operators. . for example. Instead. Sole proprietor. you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. However. list first. Trust/estate). trade. If you fail to furnish your correct TIN to a requester. If the account is in joint names. the requester may be subject to civil and criminal penalties. Penalties Failure to furnish TIN. If you are a U. enter “P” for partnership.S. this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. 4. or if you no longer are tax exempt. In addition. However. If the requester discloses or uses TINs in violation of federal law. if a foreign LLC that is treated as a disregarded entity for U. Nonresident alien who becomes a resident alien. If you are an LLC that has filed a Form 8832 or a Form 2553 to be taxed as a corporation. resident alien for tax purposes. If you are an LLC that is treated as a partnership for federal tax purposes. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. if you have changed your last name.-China treaty (dated April 30. Partnership. you must attach a statement to Form W-9 that specifies the following five items: 1.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States.” Payments that may be subject to backup withholding include interest. Misuse of TINs. the last name shown on your social security card. If you are an LLC that is disregarded as an entity separate from its owner under Regulation section 301. 1-2011) Page 2 The person who gives Form W-9 to the partnership for purposes of establishing its U. Certain payees and payments are exempt from backup withholding. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only). If you are a foreign person. you are subject to a $500 penalty. 2. you may need to provide updated information if you are a C corporation that elects to be an S corporation. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U. for instance. Enter the disregarded entity's name on the “Business name/disregarded entity name” line. 4. Criminal penalty for falsifying information. For example. What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS a percentage of such payments. C Corporation. do not use Form W-9. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. do not check the LLC box unless the owner of the LLC (required to be identified on the “Name” line) is another LLC that is not disregarded for federal tax purposes. you must generally enter the name shown on your income tax return. Under U. enter “C” for C corporation or “S” for S corporation. The IRS tells the requester that you furnished an incorrect TIN. Enter your individual name as shown on your income tax return on the “Name” line. or “doing business as (DBA) name” on the “Business name/disregarded entity name” line.S. Real estate transactions are not subject to backup withholding.S.S. S Corporation. If the owner of the disregarded entity is a foreign person. You do not furnish your TIN to the requester. Sufficient facts to justify the exemption from tax under the terms of the treaty article. tax on certain types of income. Article 20 of the U. federal tax purposes has a domestic owner. 3. The treaty country. Partnership. Generally.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U. only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U. royalties. Generally.S. Note. make the proper certifications. tax on certain types of income. law. This is called “backup withholding. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. Example. and your new last name. Payments you receive will be subject to backup withholding if: 1. and • The U. use the appropriate Form W-8 (see Publication 515. For example. You do not certify your TIN when required (see the Part II instructions on page 3 for details). enter your first name. The name on the “Name” line must be the name shown on the income tax return on which the income will be reported. C Corporation. paragraph 2 of the first Protocol to the U. The treaty article addressing the income. If the person identified on the “Name” line is an LLC. If you make a false statement with no reasonable basis that results in no backup withholding. or 5.S. Enter the owner's name on the “Name” line. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN. most tax treaties contain a provision known as a “saving clause.S. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only). due to marriage without informing the Social Security Administration of the name change.S. trade. 3. enter the appropriate tax classification of the owner identified on the “Name” line. if the grantor of a grantor trust dies. 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. dividends.S. You may enter your business. the domestic owner's name is required to be provided on the “Name” line. nonemployee pay. you must complete an appropriate Form W-8. you must furnish a new Form W-9 if the name or TIN changes for the account. or S Corporation.S. owner of a disregarded entity and not the entity. The name of the entity entered on the “Name” line should never be a disregarded entity. or “doing business as (DBA)” name on the “Business name/disregarded entity name” line. broker and barter exchange transactions. Specific Instructions Name If you are an individual. this must be the same treaty under which you claimed exemption from tax as a nonresident alien. The type and amount of income that qualifies for the exemption from tax. If you are a nonresident alien or a foreign entity not subject to backup withholding. Civil penalty for false information with respect to withholding. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. rents. If the LLC is disregarded as an entity separate from its owner. trust (other than a grantor trust) and not the beneficiaries of the trust. Limited Liability Company (LLC). and then circle. give the requester the appropriate completed Form W-8. Foreign person. Also see Special rules for partnerships on page 1.Form W-9 (Rev. tax-exempt interest. 5. Check the appropriate box for the federal tax classification of the person whose name is entered on the “Name” line (Individual/sole proprietor. • The U. grantor or other owner of a grantor trust and not the trust. enter the first owner that is not disregarded for federal tax purposes.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States is in the following cases: • The U. Withholding of Tax on Nonresident Aliens and Foreign Entities). and report all your taxable interest and dividends on your tax return. 2. If the direct owner of the entity is also a disregarded entity.S. Enter the entity's name on the “Name” line and any business.7701-3 (except for employment and excise tax). However. the name of the person or entity whose number you entered in Part I of the form.

Exempt payees. enter your name as described above and check the appropriate box for your status. to apply for an ITIN. from your local Social Security Administration office or get this form online at www. or 5.S. Interest. If you are a sole proprietor and you have an EIN. Generally. dividend. See the chart on page 4 for further clarification of name and TIN Corporations are exempt from backup withholding for certain payments. If you are a single-member LLC that is disregarded as an entity separate from its owner (see Limited Liability Company (LLC) on page 2). and items 4 and 5 on page 4. A real estate investment trust.irs. Interest. to apply for an EIN. Signature requirements. If you are subject to backup withholding and you are merely providing your correct TIN to the requester. . such as interest and dividends. 7. or resident alien. A foreign government or any of its political subdivisions. An organization exempt from tax under section 501(a). 9. 8. How to get a TIN. the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments. the District of or by calling 1-800-TAX-FORM (1-800-829-3676).gov/businesses and clicking on Employer Identification Number (EIN) under Starting a Business. You must sign the certification. If you are a resident alien and you do not have and are not eligible to get an SSN. sign Form W-9. or 15. Part I. see Exempt Payee on page 3. A middleman known in the investment community as a nominee or custodian. 1. or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2). but you do not have to sign the certification.” sign and date the form. C corporations. . You will be subject to backup withholding on all such payments until you provide your TIN to the requester. your TIN is your IRS individual taxpayer identification number (ITIN). . and certain payments made with respect to readily tradable instruments. and its instructions. If the LLC is classified as a corporation or partnership. then check the “Exempt payee” box in the line following the “Business name/ disregarded entity name. The following payees are exempt from backup withholding: 1. or a possession of the United States. An entity registered at all times during the tax year under the Investment Company Act of 1940. Complete the certification as indicated in items 1 through 3. or DBA name on the “Business name/ disregarded entity name” line. attorneys' fees. 10. Interest and dividend payments Broker transactions Barter exchange transactions and patronage dividends THEN the payment is exempt for . a possession of the United States. You can apply for an EIN online by accessing the IRS website at www. gross proceeds paid to an attorney. exempt payees reported and direct sales over 1 through 7 2 1 $5. Do not enter the disregarded entity’s EIN. Real estate transactions. Application for a Social Security Card. Exempt Payee If you are exempt from backup withholding. . Caution: A disregarded domestic entity that has a foreign owner must use the appropriate Form W-8. A financial institution. An international organization or any of its agencies or instrumentalities. A common trust fund operated by a bank under section 584(a). write “Applied For” in the space for the TIN. enter the entity’s EIN.000 1 2 See Form 1099-MISC. 1-2011) Page 3 Other entities. Exempt payees 1 through 5 Part II. 3. A futures commission merchant registered with the Commodity Futures Trading Commission. or any of their political subdivisions or instrumentalities. enter the owner’s SSN (or EIN. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. any IRA. The following chart shows types of payments that may be exempt from backup withholding. You must give your correct TIN. and give it to the requester. the IRS prefers that you use your SSN. You may be requested to sign by the withholding agent even if item 1. or instrumentalities. For interest and dividend payments. You must sign the certification or backup withholding will apply. you must cross out item 2 in the certification before signing the form. To apply for an SSN. only the person whose TIN is shown in Part I should sign (when required). You may also get this form by calling 1-800-772-1213. You can get Forms W-7 and SS-4 from the IRS by visiting IRS. A state. 14. agencies. A corporation. below. This name should match the name shown on the charter or other legal document creating the entity. you may enter either your SSN or EIN. get Form SS-5. and payments for services paid by a federal executive agency. However. Certification To establish to the withholding agent that you are a U. 3. and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. The United States or any of its agencies or instrumentalities. The chart applies to the exempt payees listed above. or Form SS-4. 1 through 15. Application for IRS Individual Taxpayer Identification Number. person. if the owner has one). dividend. IF the payment is for . If you are asked to complete Form W-9 but do not have a TIN. Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon. Application for Employer Identification Number. 13. generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. you should still complete this form to avoid possible erroneous backup withholding. and items 4 and 5 on page 4 indicate otherwise. A foreign central bank of issue. Payments over $600 required to be Generally. If you do not have an ITIN. below. sign and date the form. The 60-day rule does not apply to other types of payments.ssa. trade. Note. Note. see How to get a TIN below. and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You may enter any business. . In the case of a disregarded entity. 11. However. You may cross out item 2 of the certification. If you are exempt from backup withholding. If you do not have a TIN. Enter your business name as shown on required federal tax documents on the “Name” line.Form W-9 (Rev. 12. 2. All exempt payees except for 9 Exempt payees 1 through 5 and 7 through 13. individuals (including sole proprietors) are not exempt from backup withholding. broker. Enter it in the social security number box. the person identified on the “Name” line must sign. 2. Miscellaneous Income. Use Form W-7. For a joint account. Note. apply for one immediately. 4. Also. A dealer in securities or commodities required to register in the United States. A trust exempt from tax under section 664 or described in section 4947. the District of Columbia. Other payees that may be exempt from backup withholding include: 6.

You may use either your SSN or EIN (if you have one). Corporation or LLC electing corporate status on Form 8832 or Form 2553 10. payments to certain fishing boat crew members and to learn more about identity theft and how to reduce your or pension trust 9. may be eligible for Taxpayer Advocate Service (TAS) assistance. the first 1 individual on the account The minor 2 The grantor-trustee The actual owner The owner 3 1 1 The grantor* Give name and EIN of: The owner Legal entity 4 The corporation The organization The partnership The broker or nominee The public entity The trust List first and circle the name of the person whose number you furnish. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulation section 1. Archer MSA or HSA contributions or distributions. or to federal law enforcement and intelligence agencies to combat terrorism. mortgage interest you paid. or similar secret access information for their credit card. Certain penalties may also apply for providing false or fraudulent information. that person’s number must be furnished.671-4(b)(2)(i)(A)) For this type of account: 7. questionable credit card activity or credit report. or are seeking help in resolving tax problems that have not been resolved through normal channels. social security number (SSN).671-4(b)(2)(i)(B)) 1 Give name and SSN of: The individual The actual owner of the account or. If only one person on a joint account has an SSN. passwords. You must give your correct TIN. the cancellation of debt. Under section 3406. estate. payments to a nonemployee for services. to federal and state agencies to enforce civil and criminal laws. the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers. A valid trust. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059. Two or more individuals (joint account) 3. or HSA. dividend. educational. the District of Columbia. or prison) that receives agricultural program payments 14. What Name and Number To Give the Requester For this type of account: 1. or contributions you made to an or contact them at www. possessions for use in administering their laws. but you do not have to sign the certification. 2 3 List first and circle the name of the trust. contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. dividends. The usual revocable savings trust (grantor is also trustee) b. religious. Also. 4 Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. payers must generally withhold a percentage of taxable interest. bank. Association. You must show your individual name and you may also enter your business or “DBA” name on the “Business name/disregarded entity” name line. . If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title. charitable. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities. see Publication 4535. and U. You must give your correct TIN. Account with the Department of Agriculture in the name of a public entity (such as a state or local government. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. If your tax records are affected by identity theft and you receive a notice from the IRS. royalties. logo. 1-2011) Page 4 4. a. states. The information also may be disclosed to other countries under a treaty. estate. acquisition or abandonment of secured property. A broker or registered nominee 13. club. Archer MSA. medical and health care services (including payments to corporations).S. Victims of identity theft who are experiencing economic harm or a system problem. So-called trust account that is not a legal or valid trust under state law 5. forward this message to phishing@irs. Secure Your Tax Records from Identity Theft Identity theft occurs when someone uses your personal information such as your name. 5. to commit fraud or other crimes. or other identifying or 1-877-IDTHEFT (1-877-438-4338). reporting the above information. but the IRS encourages you to use your SSN. For more information. *Note. Other payments. if combined funds. or other financial accounts. “Other payments” include payments made in the course of the requester’s trade or business for rents. and gross proceeds paid to attorneys (including payments to corporations). and certain other payments to a payee who does not give a TIN to the payer. Partnership or multi-member LLC 12.ftc. and • Be careful when choosing a tax preparer. cancellation of debt. Custodian account of a minor (Uniform Gift to Minors Act) 4. but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. Disregarded entity not owned by an individual 8. Visit IRS. The IRS does not initiate contacts with taxpayers via emails. or other IRS property to the Treasury Inspector General for Tax Administration at 1-800-366-4484. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulation section 1. qualified tuition program payments (under section 529). Identity Theft Prevention and Victim Assistance. school district. You must provide your TIN whether or not you are required to file a tax return. • Ensure your employer is protecting your SSN. or other tax-exempt organization 11. respond right away to the name and phone number printed on the IRS notice or letter. Circle the minor’s name and furnish the minor’s SSN. goods (other than bills for merchandise). The person collecting this form uses the information on the form to file information returns with the IRS.) Also see Special rules for partnerships on page 1. Grantor also must provide a Form W-9 to trustee of trust. Sole proprietorship or disregarded entity owned by an individual 6. Individual 2. or certain other income paid to you.Form W-9 (Rev. To reduce your risk: • Protect your SSN. If you receive an unsolicited email claiming to be from the IRS. without your permission. If no name is circled when more than one name is listed. or pension trust. Note. You can forward suspicious emails to the Federal Trade Commission at: spam@uce. the number will be considered to be that of the first name listed. and pension distributions. the acquisition or abandonment of secured property. You may also report misuse of the IRS name. IRA. Coverdell ESA. Mortgage interest paid by you.

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