Rush Lake Property Owners Association
P.O. Box 78
Pinckney, Michigan 48169
734-878-0340
rushlakepoa@yahoo.com
Tax Forms
The accountant for the Association requires us to have on file the attached forms. The
form on the letterhead is to prevent the Association from being held liable for any injuries or
employment taxes resulting from our contract with your company.
The Internal Revenue Service Form W-9 is a request for taxpayer identification and
certification. There is also a detailed instruction sheet for this form. The highlighted areas need
to be completed. This form is not filed with the government but kept in our files in case the
Internal Revenue Service ever questions our accounts. The form is our proof as to whether or
not it was necessary for us to file a 1099 for the payments we made to you. It also certifies to us
that you are not subject to backup withholding.
Please complete the attached forms and have them signed by the appropriate person. Our
accountant has informed us without these completed forms for our records, we will be required
to file a 1099 for payments made. Those same payments could also be subject to backup
withholding.
If you have any questions, please call 734-878-0340.
Rush Lake Property Owners Association
P.O. Box 78
Pinckney, Michigan 48169
734-878-0340
rushlakepoa@yahoo.com
Date ______________________________
This agreement entered into this date between RUSH LAKE PROPERTY OWNERS
ASSOCIATION, (hereinafter called the Association), and
______________________________________________ for the performance of
__________________________________________________ as directed by the parties herein
agreed is an agreement by the parties that such services so provided, shall be those performed by
the contract of the parties and that such parties shall in no way enter any employment contract
for the performance of such services. It is further agreed that the Association shall not withhold,
payover, remit, or be concurrently liable for any employment taxes that would arise out of any
employer/employee relationship. Further, the Association may at its option, carry Workers
Compensation Insurance covering the signatories of this agreement for the express purpose of
indemnifying the Association against any liability for injury to the signatories of this contract.
The parties to this agreement shall each use their own separate employees, materials,
tools and equipment, knowledge and practices as is customary in the industry to complete said
performance required under this agreement, and further, said subcontractor shall periodically
submit billings to the Association as work progresses.
Whereby setting our hand to this agreement, we the parties agree to the foregoing terms
and conditions herein contained.
For: The Association ________________________________________
President
_________________________________ _____________________________________
Contractor Name Contractor Signature
_________________________________ _____________________________________
Address E.I.N.
_________________________________
City, State, Zip Code