templates/registration/steps/w9.html.twig line 1

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  1. {% if formLabel == 'W-9 Tax Information' or formLabel == 'Tax Info (US)' %}
  2. <div class="row">
  3. <div class="col-12">
  5. <div class="alert alert-warning font-weight-bold">
  6. <p>
  7. In order to comply with Internal Revenue Service (IRS) regulations, we require taxpayer identification information. This information will be used to determine whether you will receive a Form 1099-NEC and/or 1099-MISC for payment(s) made to you through the Jewelry Rewards program, and whether payments are subject to Federal withholding.
  8. </p>
  9. <p>
  10. The information you provided below must match the information that you provide to the IRS for income tax reporting. Federal law requires us to take backup withholding from certain future payments if you fail to provide the information requested.
  11. </p>
  12. <p>
  13. <strong>
  14. We utilize and maintain industry standard encryption and store all sensitive data behind a firewall on a secured server with strict access protocols (SOC2 Compliant).
  15. </strong>
  16. </p>
  17. <p>
  18. Click here for more information <a target="_blank" href="https://www.irs.gov/pub/irs-pdf/fw9.pdf" class="btn-link">IRS Form W-9</a>
  19. </p>
  20. </div>
  21. <table class="table table-condensed table-bordered">
  22. <tr>
  23. <td>
  24. <strong>Name (as shown on your income tax return)</strong><br>
  25. {{ user.fullName }}
  26. </td>
  27. </tr>
  28. <tr>
  29. <td>
  30. <strong>Federal tax classification of the person</strong><br>
  31. Individual/sole proprietor or single-member LLC
  32. </td>
  33. </tr>
  34. <tr>
  35. <td>
  36. <strong>Address</strong><br>
  37. {{ user.address1 }} {{ user.address2 }}
  39. </td>
  40. </tr>
  41. <tr>
  42. <td>
  43. <strong>State</strong><br>
  44. {{ user.state }}
  46. </td>
  47. </tr>
  48. <tr>
  49. <td>
  50. <strong>City</strong><br>
  51. {{ user.city }}
  52. </td>
  53. </tr>
  54. <tr>
  55. <td>
  56. <strong>ZIP</strong><br>
  57. {{ user.zip }}
  58. </td>
  59. </tr>
  60. {% if user.ssn %}
  61. <tr>
  62. <td>
  63. <strong>SSN</strong><br>
  64. XXX-XX-{{ user.ssn|slice(-4) }}
  65. </td>
  66. </tr>
  67. {% endif %}
  68. </table>
  70. <div class="card card-info mb-3">
  71. <div class="card-header bg-warning ">Under penalties of perjury, I certify that:</div>
  72. <div class="card-body">
  73. <ol>
  74. <li>The number shown on this form is my correct taxpayer information AND</li>
  75. <li>
  76. I am subject to backup withholding OR
  77. <ol type="a">
  78. <li>I am exempt from backup withholding</li>
  79. <li>I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result or failure to report all interest or dividends, or</li>
  80. <li>the IRS has notified me that I am no longer subject to backup withholding AND</li>
  81. </ol>
  82. </li>
  83. <li>I am a U.S. citizen or other U.S. person (including U.S. resident alien)</li>
  84. </ol>
  85. <p><b>Certification Instructions</b>: To certify the statement above, complete your information below.</p>
  86. <p>By typing my name and contact email address, I confirm that I agree to the electronic submission of my completed W-9 Form and that I accept the information provided constitutes a legally binding digital signature.</p>
  88. {{ form_row(form.w9Name) }}
  89. {{ form_row(form.w9Email) }}
  90. {% if form.ssn is defined %}
  91. {{ form_row(form.ssn) }}
  92. {% endif %}
  93. </div>
  94. </div>
  95. </div>
  96. </div>
  97. {% endif %}