Form 7 5 Vendor Update Form by C9Jd1Z2

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									                                      City and County of Denver

                                      Vendor Update Form

Date
 Instructions




                      Complete and email this form to the Controller's Office Vendor Desk at vendor.desk@denvergov.org when the vendor's remittance or legal
                      address, legal name, and/or entity type has changed. A Substitute Form W-9 must also be completed and submitted along with this form. Do not
                      submit this form without all the required information.

                      All fields in this section are required.
 Agency Information




                      Business Unit                                                                      Agency/Department Name


                      Requestor                                                                          Email address


                      Full Phone Number

                      Check the box, or the boxes, that describes the vendor change. This is required.
                               Change Legal Name                                                                  Other (please specify)
                               Change Official/Mailing Address
                               Change Trade/Remittance Address
                               Change Entity Type

                      Vendor ID Number


                      Vendor's Previous Name and Address                                                 Vendor's New Name and Address
                      Requests to change a vendor’s address will automatically result in both the remit address and withholding address (if one exists) to be changed.


                      Legal Name                                                                         Legal Name


                      Official Business/Mailing Address                                                  Official Business/Mailing Address
 Vendor Information




                      City, State, Zip of Official Business/Mailing Address                              City, State, Zip of Official Business/Mailing Address


                      Trade/Remittance Address (if different from Official)                              Trade/Remittance Address (if different from Official)


                      City, State, Zip of Trade/Remittance Address (if different from Official)          City, State, Zip of Trade/Remittance Address (if different from Official)


                      Tax ID # (EIN or SSN)                                                              Tax ID # (EIN or SSN)
                      Vendor's Previous Entity Type                                                      Vendor's New Entity Type
                               Sole Proprietor                                                                    Sole Proprietor

                               Individual                                                                         Individual

                               General Partnership                                                                General Partnership

                               Corporation                                                                        Corporation

                               S-Corporation                                                                      S-Corporation

                               LLC                                                                                LLC

                               LLP                                                                                LLP

                               Government Entity                                                                  Government Entity
                               Exempt or Non-Profit Organization                                                  Exempt or Non-Profit Organization

                                                                                                                                                                       Revised 12/05/2007
Questions? Call the Controller's Office at 720-913-5500




                                                          Revised 12/05/2007
Revised 12/05/2007

								
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