=$disclosure['name']?>
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Signature
Erasess
Date
Signature
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Date
Signature
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Date
Signature
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Signature
Erasess
Date
qualification_type == "4" || $q_e_type->qualification_type == "5" || $q_e_type->qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "contrator" ){ if($ab_type=="true"){ ?>
qualification_type == "4" || $q_e_type->qualification_type == "5") && $q_e_type->employee_type == "inhouse"){ if($c_type=="true"){ ?>
I agree to the Terms and Conditions
qualification_type == "4" || $q_e_type->qualification_type == "5" || $q_e_type->qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "contrator" ){ if($ab_type=="true"){ ?>
qualification_type == "4" || $q_e_type->qualification_type == "5") && $q_e_type->employee_type == "inhouse"){ if($c_type=="true"){ ?>
qualification_type == "4" || $q_e_type->qualification_type == "5" || $q_e_type->qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "contrator" ){ ?>
qualification_type == "4" || $q_e_type->qualification_type == "5") && $q_e_type->employee_type == "inhouse"){ ?>
I agree to the Terms and Conditions
qualification_type == "4" || $q_e_type->qualification_type == "5" || $q_e_type->qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "contrator" ){ ?>
qualification_type == "4" || $q_e_type->qualification_type == "5") && $q_e_type->employee_type == "inhouse"){ ?>
Signature
Erasess
Date
Signature
Erasess
Date
Signature
Erasess
Date
qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "inhouse"){ if($d_type=="true"){ ?>
I agree to the Terms and Conditions
qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "inhouse"){ if($d_type=="true"){ ?>
qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "inhouse"){ ?>
I agree to the Terms and Conditions
qualification_type == "6" || $q_e_type->qualification_type == "7") && $q_e_type->employee_type == "inhouse"){ ?>
*/ ?>
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Yes
checkbox_agree){if($con_agree->checkbox_agree=="yes"){echo "checked";}}?>>
No
checkbox_agree){if($con_agree->checkbox_agree=="no"){echo "checked";}}?>>
background_check_report){if($bak_check->background_check_report=="yes"){echo "checked";}}?>>
country_citizen){if($i_nine->country_citizen=="citizen"){echo "checked";}}?>>
1. A citizen of the United States
country_citizen){if($i_nine->country_citizen=="non_citizen"){echo "checked";}}?>>
2. A noncitizen national of the United States (See instructions)
country_citizen){if($i_nine->country_citizen=="lawful_citizen"){echo "checked";}}?>>
3. A lawful permanent resident
(Alien Registration Number/USCIS Number):
country_citizen){if($i_nine->country_citizen=="alien_authorized"){echo "checked";}}?>>
4. An alien authorized to work
until (expiration date, if applicable):
1. Alien Registration Number/USCIS Number:
OR
2. Form I-94 Admission Number:
OR
3. Foreign Passport Number:
Country of Issuance:
translator_use){if($i_nine->translator_use=="no"){echo "checked";}}?>>
I did not use a preparer or translator
translator_use){if($i_nine->translator_use=="yes"){echo "checked";}}?>>
A preparer(s) and/or translator(s) assisted the employee in completing Section 1
Last Name (Family Name)
First Name (Given Name)
Address (Street Number and Name)
City or Town
State
ZIP Code
Citizenship/Immigration Status
tax_classification){if($w_nine->tax_classification=="individual"){echo "checked";}}?>>
Individual/sole proprietor or single-member LLC
tax_classification){if($w_nine->tax_classification=="c_corporation"){echo "checked";}}?>>
C Corporation
tax_classification){if($w_nine->tax_classification=="s_corporation"){echo "checked";}}?>>
S Corporation
tax_classification){if($w_nine->tax_classification=="partnership"){echo "checked";}}?>>
Partnership
tax_classification){if($w_nine->tax_classification=="estate"){echo "checked";}}?>>
Trust/estate
tax_classification){if($w_nine->tax_classification=="liability"){echo "checked";}}?>>
Limited liability company
tax_classification){if($w_nine->tax_classification=="other"){echo "checked";}}?>>
Other (see instructions)
account1_type){if($dir_depo->account1_type=="checking"){echo "checked";}}?>>
Checking
account1_type){if($dir_depo->account1_type=="saving"){echo "checked";}}?>>
Savings
account2_type){if($dir_depo->account2_type=="checking"){echo "checked";}}?>>
Checking
account2_type){if($dir_depo->account2_type=="saving"){echo "checked";}}?>>
Savings