PDF document
- 1 -

Enlarge image
Form  W-9S                                            Request for Student's or Borrower's Taxpayer                        Give form to the  
(Rev. December 2017)                                    Identification Number and Certification                          requester. Do not  
                                                                                                                          send to the IRS. 
Internal Revenue Service                                   
Department of the Treasury                              ▶ Go to www.irs.gov/FormW9S for the latest information.
Part I                      Student or Borrower Identification (All must complete.) 
                            Name of student or borrower (see instructions)                                      Taxpayer identification number 

                            Address (number, street, and apt. or suite no.) 

              Print or type City, state, and ZIP code 

Part II                     Student Loan Certification (Complete for student loans only.)
I certify that all of the loan proceeds are solely to pay for qualified higher education expenses. 
Sign  
Here                                                  ▶                                      Date ▶
                            Signature of borrower  
Part III                    Requester Information (Optional)
Requester’s name and address                                                                                    Tuition account number 

                                                                                                                Loan account number 

General Instructions                                                        address of the borrower if the request for the borrower’s SSN or 
                                                                            ITIN is being made because of a student loan. 
Future developments. For the latest information about                       Note: If you pay tuition to and have a student loan from the 
developments related to Form W-9S and its instructions, such                same educational institution and the student is not the loan 
as legislation enacted after they were published, go to                     borrower (for example, the borrower is the student’s parent), 
www.irs.gov/FormW9S.                                                        complete two Forms W-9S, one for the student and one for the 
Purpose of form. An eligible educational institution, such as a             loan borrower.
college or university, or a lender of a student loan must get your          Taxpayer’s identifying number. Enter your SSN or ITIN. If you 
correct identifying number to file certain information returns with         do not have an SSN or ITIN and you have applied for one or you 
the IRS and to furnish a statement to you. For students, this will          intend to apply for one soon, write “Applied For” in the space 
be your social security number (SSN) or, if you are not eligible to         provided. If the IRS has deactivated your ITIN, you may still use 
obtain an SSN, your individual taxpayer identification number               it on Form W-9S. However, you will have to apply to renew your 
(ITIN). The returns they must file contain information about                deactivated ITIN when you need to file a tax return. For more 
qualified tuition and related expenses (Form 1098-T, Tuition                information, see the Instructions for Form W-7.
Statement) and student loan interest (Form 1098-E, Student 
Loan Interest Statement). The information about your tuition will           How to get an SSN or ITIN. To apply for an SSN, use Form  
help to determine whether you, or the person who can claim you              SS-5, Application for a Social Security Card, that you can get  
as a dependent, may take either the tuition and fees deduction              from your local Social Security Administration office or get this 
or claim an education credit to reduce federal income tax. The              form online atwww.SSA.gov/forms. You may also get this form 
information about your student loan interest will help to                   by calling 1-800-772-1213. 
determine your deduction for such interest. For more                                To apply for an ITIN because you are not eligible to get an 
information, see Pub. 970, Tax Benefits for Education.                      SSN, use Form W-7, Application for IRS Individual Taxpayer 
Use Form W-9S to give your correct SSN or ITIN to the                       Identification Number. Go to www.irs.gov/Forms to view, 
person requesting it and, if applicable, to certify that the                download, or print Form W-7. Or, you can go to www.irs.gov/
proceeds of a loan are being used, or will be used, solely to pay           OrderForms to place an order and have Form W-7 mailed to you 
for qualified higher education expenses (defined on page 2).                within 10 business days.
You are required to provide the requested information. 
                                                                            Part II. Student Loan Certification
Note: The educational institution or lender may request your  
SSN or ITIN and certification on paper or electronically.                   If your loan is a student loan incurred solely to pay for qualified 
                                                                            higher education expenses, sign the certification in Part II. If you 
                                                                            do not sign the certification, the lender may not issue or file 
Specific Instructions                                                       Form 1098-E for student loan interest on your behalf. Do not 
                                                                            sign the certification for a mixed use loan because such a loan 
Part I. Student or Borrower Identification                                  is not used solely for qualified higher education expenses. 
You must complete this part.                                                However, you may sign the certification for a revolving line of 
                                                                            credit or similar loan if you use the line of credit solely to pay for 
Name and address. Enter the name and mailing address of the                 qualified higher education expenses.
student if the request for the student’s SSN or ITIN is being 
made because of tuition payments. Enter the name and mailing
For Privacy Act Notice, see page 2.                                         Cat. No. 25240C                         Form  W-9S  (Rev. 12-2017) 



- 2 -

Enlarge image
Form W-9S (Rev. 12-2017)                                                                                                          Page  2 
Qualified higher education expenses. These expenses are               Protect yourself from suspicious emails or phishing  
the costs of attending an eligible educational institution,           schemes. Phishing is the creation and use of email and  
including graduate school, on at least a half-time basis.             websites designed to mimic legitimate business emails and  
Generally, these costs include tuition and certain related            websites. The most common act is sending an email to a user 
expenses. See Pub. 970 for more information.                          falsely claiming to be an established legitimate enterprise in an 
                                                                      attempt to scam the user into surrendering private information 
Part III. Requester Information                                       that will be used for identity theft. 
This part is not required to be completed. It is provided for the     The IRS does not initiate contacts with taxpayers via emails. 
convenience of the requester to help identify the account to          Also, the IRS does not request personal detailed information 
which this Form W-9S relates. The requester may enter its             through email or ask taxpayers for the PIN numbers, passwords, 
name and address and a tuition or loan account number.                or similar secret access information for their credit card, bank, 
Note: For information about electronic submission of Forms            or other financial accounts. 
W-9S, see the Instructions for Forms 1098-E and 1098-T.               If you receive an unsolicited email claiming to be from the 
                                                                      IRS, forward this message to phishing@irs.gov. You may also 
Penalties                                                             report misuse of the IRS name, logo, or other IRS personal 
Failure to furnish correct SSN or ITIN. If you fail to furnish        property to the Treasury Inspector General for Tax 
your correct SSN or ITIN to the requester, you are subject to a       Administration at 1-800-366-4484. You can forward suspicious 
penalty of $50 unless your failure is due to reasonable cause         emails to the Federal Trade Commission at: spam@uce.gov or 
and not to willful neglect.                                           contact them at www.ftc.gov/idtheft or 1-877-IDTHEFT 
                                                                      (1-877-438-4338). 
Misuse of SSN or ITIN. If the requester discloses or uses your 
SSN or ITIN in violation of federal law, the requester may be         Visit www.irs.gov/IdentityTheft to learn more about identity 
subject to civil and criminal penalties.                              theft and how to reduce your risk.
Secure Your Tax Records From Identity                                 Privacy Act Notice 
Theft                                                                 Section 6109 of the Internal Revenue Code requires you to give 
                                                                      your correct SSN or ITIN to persons who must file information 
Identity theft occurs when someone uses your personal                 returns with the IRS to report certain information. The IRS uses 
information such as your name, taxpayer identification number         the numbers for identification purposes and to help verify the 
(TIN), or other identifying information, without your permission,     accuracy of your tax return. The IRS may also provide this 
to commit fraud or other crimes. An identity thief may use your       information to the Department of Justice for civil and criminal 
SSN to get a job or may file a tax return using your TIN to           litigation and to cities, states, the District of Columbia, and U.S. 
receive a refund.                                                     possessions to carry out their tax laws. We may also disclose 
To reduce your risk:                                                  this information to other countries under a tax treaty, or to 
• Protect your TIN,                                                   federal and state agencies to enforce federal nontax criminal 
• Ensure the requester is protecting your TIN, and                    laws, or to federal law enforcement and intelligence agencies to 
                                                                      combat terrorism. 
• Be careful when choosing a tax preparer. 
If your SSN has been lost or stolen or you suspect you are a 
victim of tax-related identity theft, visit www.irs.gov/IdentityTheft 
to learn what steps you should take.
Victims of identity theft who are experiencing economic harm 
or a system problem, or are seeking help in resolving tax 
problems that have not been resolved through normal channels, 
may be eligible for Taxpayer Advocate Service (TAS) assistance. 
You can reach TAS by calling the TAS toll-free at 
1-877-777-4778 or TTY/TDD 1-800-829-4059. 






PDF file checksum: 1839974885

(Plugin #1/9.12/13.0)