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Thank you for your interest in the city of Kingsport. In order for the Purchasing Department to add you to the vendor data base, please fill out the form below or please download, print, fill out, and fax/mail both your completed Vendor Information Form and W-9 form to:
City of Kingsport
415 Broad Street
Kingsport, TN 37660
Email Address: OliviaNickens@KingsportTN.gov
You may download both forms Vendor Information and W9 by clicking each one or fill out the form below.
Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements.
A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)
B—The United States or any of its agencies or instrumentalities
C—A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities
D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Reg. section 1.1472-1(c)(1)(i)
E—A corporation that is a member of the same expanded affiliated group as a corporation described in Reg. section 1.1472-1(c)(1)(i)
F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state
G—A real estate investment trust
H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940
I—A common trust fund as defined in section 584(a)
J—A bank as defined in section 581
L—A trust exempt from tax under section 664 or described in section 4947(a)(1)
M—A tax exempt trust under a section 403(b) plan or section 457(g) plan
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below), and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Briefly list up to six products and/or services your company can provide.
Paying your utility, miscellaneous receivables bill or building permits payment has never been easier! Click the link below to be directed to Click2Gov, the online payment system that allows users to view their account and pay with a credit or debit card through the secure website.
Pay your red light citation bill online by clicking the button below. You will be redirected to the payment page.
Pay Water (Utility) Bill
Pay Red Light Citation
Pay Other Receivables
Online Tax Payments
Building Permit Payments
To report a non-emergency, please use the new ConnectKingsport app.
You can also use the app to find information about the City of Kingsport with links to the city website, animal services, ongoing events and more. Download the free app today to be a part of making Kingsport a great place to live, work and play!
To download the free app, please search for it on the Apple App Store or on Google Play. You can also use the online portal below.
Please note that the use of ConnectKingsport is intended for the reporting of non-emergency issues only. If you need immediate Police or Fire response, please call 911.
Download on the Apple App Store
Download on the Google Play Store