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Instructions for Completing <br />U.S. House of Representatives <br />Substitute W-9 and ACH Vendor/Miscellaneous Payment Enrollment Form <br /> <br /> <br />Section I - Agency Information – Includes the name and address, agency identifier, agency location code and <br />telephone number for the House of Representatives. <br /> <br />Section II - Payee/Company Information – Print or type the name of the payee/company and address that will <br />receive payment, social security or taxpayer ID number, contact person name , telephone number and email of the <br />payee/company. Print or type the purchase order and remit to addresses if different from the payee/company <br />address. Check the appropriate boxes for federal tax classification. <br /> <br />Section III - Financial Institution Information – Print or type the name and address of the payee/company’s <br />financial institution who will receive the ACH payment, ACH coordinator name and telephone number, nine-digit <br />routing transit number, depositor (payee/company) account title and account number. Check the appropriate box <br />for type of account. Payee/Company may include a voided check with this form. <br /> <br />ACH Account Information Located on a Check or Deposit Ticket <br /> <br />FINANCIAL INSTITUTION NAME name of the financial institution to which the payments are to be directed <br /> <br />ROUTING TRANSIT NUMBER (RTN) financial institution's 9 digit routing transit number; <br />found on the bottom of a check or deposit ticket or from your Financial Institution <br /> <br />ACCOUNT TITLE employee's or vendor's name on the account <br /> <br />ACCOUNT NUMBER account number at the financial institution <br /> <br /> <br /> <br />Section IV - Socio-Economic Information – Check the boxes for each category, if applicable: type of business, <br />small disadvantaged business program, HUBZone program, emerging small business, women-owned business, <br />other preference programs, Veteran owned status and size of business. Detailed information related to Small <br />Business programs can be found at http://www.sba.gov/. <br /> <br />Section V - Certification of Data By Payee/Company – Print or type the name, title/position and phone number of <br />the Authorized official. The Authorized official must sign and date the form. <br /> <br />1. Routing Transit Number (RTN) <br />– nine digits located between <br />two symbols. This number <br />identifies the bank holding your <br />account and check processing <br />center. <br /> <br />2. Account number – this is your <br />complete account number. <br />Your account number can be <br />up to 17 digits. Please include <br />leading zeros. <br /> <br />3. ACH Routing Transit Number – <br />Automated Clearing House <br />routing number, use this <br />number for your Routing <br />Transit Number (RTN) if you <br />bank with SunTrust Bank. <br /> <br />4. Check number – This <br />information is not necessary - <br />do not provide