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Click ‘Get Form’ to open the payee data record 2003 form in the editor.
Begin by entering the payee’s legal business name in the designated field. If you are a sole proprietor, include your full name as shown on your Social Security Number (SSN).
Fill in your email address and mailing address, ensuring all details are accurate for correspondence purposes.
Next, indicate your business address if it differs from your mailing address. Complete the city, state, and ZIP code fields.
Enter your Federal Employer Identification Number (FEIN) or Social Security Number (SSN) as required based on your entity type.
Select one box that corresponds to your payee entity type—options include Corporation, Partnership, Individual/Sole Proprietor, etc.
Indicate your residency status by checking the appropriate box regarding California residency.
Finally, provide the authorized representative's name, signature, title, date of completion, and telephone number before submitting the form to the specified State agency.
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A completed Payee Data Record, STD. 204, is required for payments to all non-governmental entities and will be kept on file at each State agency. Since each State agency with which you do business must have a separate STD. 204 on file, it is possible for a payee to receive this form from various State agencies.
What is a 204 form?
204 form is to obtain payee information for income tax reporting and to ensure tax compliance with federal and state law. The STD. 204 is required for any non-governmental entity or individual entering into a transaction that may lead to a payment from the state.
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Information provided in this form will be used by State agencies to prepare Information Returns (1099). See reverse side for more information and Privacy.
Information provided in this form will be used by state agencies to prepare Information Returns (Form 1099) and for withholding on payments to nonresident
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