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SAMPLE letter of authorization for FIRM EIN TAX IDENTIFICATION NUMBER*

Download Sample Certification (Word doc)
Download Sample Certification (WordPerfect doc)

 

Please follow the sample below, date and sign, and submit along with an IRS W-9 Form (PDF) to the Judicial Council (JCC).

IMPORTANT CHANGE:
Please DO NOT send Tax ID info to CCAP; the projects no longer require this information



[SUBMIT ON FIRM LETTERHEAD]

I certify (or declare) that all payments awarded by the court to [name of counsel] for services performed and expenses incurred while under appointment of the court are the income of the firm and are not the income of the individual attorney. As such, for tax purposes, the income may be reported under employer identification number [EIN] of the firm which is [insert firm's EIN]. This firm is [incorporated / unincorporated].

The effective date is [insert date].

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

 

____________

______________________________

___________________

Date

Signature

Title

 

 

Return completed original to JCC only (see address below)

  1. Declaration/letter (above)
  2. JCC Panel/Address Information form (PDF), and
  3. IRS W-9 Form (external link PDF)

 

NOTE: The tax ID number is the number under which a person is paid, and it is the number for tax reporting purposes. For the self-employed who are not corporations, the Social Security Number (SSN) is used as the tax ID. For those working for and receiving payment through a corporation that has a Federal Tax ID number, that EIN number is used as the individual's tax ID rather than the person's Social Security Number.

Effective 12/14/12: Switching tax IDs requires that counsel submit a new W-9 form: send the signed original directly to the JCC.

Send the signed original W-9 & JCC panel information sheet to:
Judicial Council of California
Attn: Yvonne Pham, Accounting Unit
455 Golden Gate Ave., 6th Floor
San Francisco, CA 94102-3688

 

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