<% %> Nationwide Public Employees Trust in Liquidation -W9 Form
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Division of Rehabilitation and Liquidation

W-9 Form download and instructions - Nationwide Public Employees Trust ("NPET")

Please select the link below to download an I.R.S. Form W-9. "Request for Taxpayer Identification Number and Certification". The Receiver will not release any NPET checks unless we are in possession of a valid W-9 from the check's recipient. The W-9 form can be sent to the Receiver at

Attention: Receiver of NPET
Post Office Box 110
Tallahassee, Florida 32301

or sent to the Receiver via facsimile at (850) 922-2555.

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Click here to download the Adobe Acrobat Reader Plug-in. You may also download the MS Word version. If you do not have MS Word you may download a free Word Viewer (you are leaving the DFS website and opening a new browser window) from Microsoft (you are leaving the DFS website and opening a new browser window)

PDF form Download Form or MS Word form Download Form

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