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2D1000045_SOP_3 - fglinc. com Office use only: Form Completed by: _____________________________________________________ Print Name, Initials, Date To make your payment, please submit this signed form to: by mail to: Fruit Growers Laboratory, Inc dba FGL Environmental 853 Corporation Street Santa Paula, CA 93060 ATTN: Accounts Receivable
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Form W-9 (Rev. March 2024) - fglinc. com dba FGL Environmental 3a Check the appropriate box for federal tax classification of the entity individual whose name is entered on line 1 Check only one of the following seven boxes 4 Exemptions (codes apply only to certain entities, not individuals; Individual sole proprietor C corporation