W-9, Request for Taxpayer Identification Number and Certification Completed Form Examples and Samples

See completed W-9 form examples and samples for single-member LLCs and C Corporations. Learn how to fill out each section correctly with downloadable PDF examples.
W-9, Request for Taxpayer Identification Number and Certification has a basic Form Complexity Index of 39/100 — Instafill’s AI completes it in under a minute.
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Completed W-9 Form (2024) for a single-member LLC taxed as a sole proprietorship

W-9 Example – Single-Member LLC (2024)

How this form was filled:

The owner's name appears on the first line, with the LLC’s business name on the second line. The tax classification selected is "Individual/sole proprietor or single-member LLC." A properly formatted EIN is provided, no exemption codes were necessary, and the form is signed and dated.

Information used to fill out the document:

  • Owner’s Name: John Doe
  • Business Name: Acme Consulting LLC
  • Entity Type: Single-member LLC
  • Tax Classification: Individual/sole proprietor or single-member LLC
  • Employer Identification Number (EIN): 12-3456789
  • Address: 123 Main Street, Springfield, USA
  • Signature: John Doe
  • Date: 04/15/2024

What this filled form sample shows:

  • Properly completed business name and tax classification fields
  • Appropriate exemption codes for a typical small business
  • Correct EIN format with proper spacing
  • Properly formatted signature and date

Form specifications and details:

Form Version: 2024 (Rev. January 2024)
Use Case: Single-member LLC taxed as sole proprietorship
Categories: certification forms, identification forms, tax forms, taxpayer identification forms
Completed W-9 Form (2024) for a single-member LLC taxed as a sole proprietorship

W-9 Example – C Corporation (2024)

How this form was filled:

The corporation’s legal name appears on the first line, with no entry on the second line. The tax classification selected is "C Corporation." A valid EIN is listed, with no exemption codes needed. The form is signed and dated by an authorized officer.

Information used to fill out the document:

  • Owner’s Name: BrightTech Solutions Inc.
  • Entity Type: C Corporation
  • Tax Classification: C Corporation
  • Employer Identification Number (EIN): 98-7654321
  • Address: 456 Innovation Drive, Tech City, USA
  • Signature: Alice Morgan
  • Date: 04/15/2024

What this filled form sample shows:

  • Only the legal business name is entered, as there is no DBA
  • The C Corporation tax classification box is correctly selected
  • A valid EIN is provided in standard format
  • No exemption codes are needed for this corporation
  • Authorized signature and accurate date included

Form specifications and details:

Form Version: 2024 (Rev. January 2024)
Use Case: C Corporation providing services to a client
Categories: certification forms, identification forms, tax forms, taxpayer identification forms
Completed W-9 Form (2024) for a C Corporation