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CERTIFICATE OF ORIGINAL
DESIGN/ARTICLE
I, __________________________________________,
do certify that the Design and / or Article submitted to Ultimate
Knitting and Bond America for publication is of an original nature.
I do certify that
the material contained within the Design / Article submitted by
me as an original does not contain printed excerpts of materials,
written, printed or published elsewhere without the written permission
of the original publisher and original author. Attach letter of
permission to this form.
I hereby agree
that any Design / Article found to contain materials other than
those of an original nature remain sole responsibility of the individual
submitting and not the responsibility of Ultimate Knitting.
I understand that
Ultimate Knitting and Bond America accept no responsibility in this
certification other than to maintain the original copy for use as
a disclaimer.
I do consent to
uphold this agreement for any additional Designs / Articles submitted
to Ultimate Knitting and Bond America for future publication.
Signatures affixed to this certification constitute a binding legal
contract.
Signed this _________
day of ______________, 20_________
____________________________________________________________________________________
Signature of Original Desiger/Author Printed
or Typed Full Name
Per IRS Regulations,
we must report any yearly income $600 and above paid to Designers
/ Article on Form 1099-MISC. If you exceed this level with Bond
America, we will send a form to you for your tax preparations in
late January. You will not need to contact us. The following information
must be collected per Form W-9, Request for Taxpayer Identification
Number and Certification.
____________________________________________________________________________________
Name as it appears on your IRS return
____________________________________________________________________________________
Business Name
Type of Business (circle one)
(Individual / Sole Proprietor, Corporation, Partnership, Other,__________________________)
____________________________________________________________________________________
Address
____________________________________________________________________________________
Taxpayer Identification Number. This is your Social Security Number
or your Employer Identification Number.
____________________________________________________________________________________
Signature Date
Ultimate Knitting
73 Main Street Suite 29
Montpelier, VT 05602
888-731-KNIT, 802-229-9991, Fax: 802-229-0909
kathyp@bond-america.com
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