Installation Guide
Financial
Insurance:
Home Depot Approved Insurance Number: 52168123
Aggregate Limit Requirement: $ 8000000
Insurance Forwarding Agent: LINDA CORDOR
Tax Status: Corporation, Exempt Charity, or Other Entity
Please complete the following information. The Home Depot is required to collect this information from you. If you do not provide us with this information, your
payment may be subject to 28% federal income tax backup withholding and you may be subject to a $50 penalty imposed by the Internal Revenue Service.
Use this form only if you are a U.S. person (including U.S. resident alien). If you are a foreign person, use the appropriate Form W-8.
Name of Corporation or Entity: AMEREX CORPORATION
Federal Employer ID: XX-XXX5141
Business Name: AMEREX CORPORATION
Global Location Number List:
GLN: 0850026795004
Does your Company qualify as any of the following targeted diverse businesses?
Minority Owned Business (at least 51%). Check applicable ethnic category(ies).
Hispanic American Asia-Pacific American
African American Native American
Woman Owned Business Small Business (SB)
HubZone Small Business (HZSB) Small Disadvantaged Business (SDB)
Veteran Owned Small Business (VOSB) Service Disabled Veteran Owned Small
Business (SDVOSB)
Is your company exempt from FORM 1099 reporting? No
If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain
types of income, you must attach a statement that specifies:
1) The Treaty country.
2) The treaty article addressing the income.
3) The article number in the tax treaty that contains the saving clause.
4) The type and amount of income that qualifies for the exemption from tax.
5) Sufficient facts to justify the exemption from tax under the terms of the treaty article.
Bank Information:
Name: REGIONS BANK
Account Number: XXXXXX5591
Routing Number: XXXXX0019
Bank Contact
Contact Name: LINDA CORDOR
Title: CREDIT MANAGER
Invitation Type:New Vendor 12/23/20 19:44:50
SBA# 48946_1
Page 2 of
17