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avernet/w9-with-signature.xhtml

Created March 5, 2016 01:22
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w9-with-signature.xhtml
<xh:html xmlns:xh="http://www.w3.org/1999/xhtml"
xmlns:xxf="http://orbeon.org/oxf/xml/xforms"
xmlns:xxi="http://orbeon.org/oxf/xml/xinclude"
xmlns:saxon="http://saxon.sf.net/"
xmlns:fr="http://orbeon.org/oxf/xml/form-runner"
xmlns:xf="http://www.w3.org/2002/xforms"
xmlns:sql="http://orbeon.org/oxf/xml/sql"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xmlns:ev="http://www.w3.org/2001/xml-events"
xmlns:xi="http://www.w3.org/2001/XInclude"
xmlns:exf="http://www.exforms.org/exf/1-0"
xmlns:xs="http://www.w3.org/2001/XMLSchema"
xmlns:fb="http://orbeon.org/oxf/xml/form-builder"
xmlns:soap="http://schemas.xmlsoap.org/soap/envelope/">
<xh:head>
<xh:title>Request for Taxpayer Identification Number and Certification</xh:title>
<xf:model id="fr-form-model" xxf:expose-xpath-types="true">
<xf:instance id="fr-form-instance" xxf:index="id">
<form>
<applicant>
<name/>
<business-name/>
</applicant>
<classification>
<federal-tax-classification/>
<llc-classification/>
<other-classification/>
<exempt-payee/>
</classification>
<address-account>
<address-1/>
<address-2/>
<account-numbers/>
<requester-name-address/>
</address-account>
<tin>
<ssn-or-ein/>
<ssn/>
<ein/>
</tin>
<section-20>
<signature/>
</section-20>
<hidden>
<current-date/>
</hidden>
</form>
</xf:instance>
<xf:bind id="fr-form-binds" ref="instance('fr-form-instance')">
<xf:bind id="applicant-bind" name="applicant" ref="applicant">
<xf:bind id="name-bind" name="name" ref="name" required="true()" xxf:whitespace="trim"/>
<xf:bind name="business-name" id="business-name-bind" ref="business-name"
xxf:whitespace="trim"/>
</xf:bind>
<xf:bind name="classification" id="classification-bind" ref="classification">
<xf:bind name="federal-tax-classification" id="federal-tax-classification-bind"
ref="federal-tax-classification"
required="true()"/>
<xf:bind name="llc-classification" id="llc-classification-bind" ref="llc-classification"
relevant="$federal-tax-classification = '6'"
required="true()"/>
<xf:bind name="other-classification" id="other-classification-bind"
ref="other-classification"
relevant="$federal-tax-classification = '7'"
required="$federal-tax-classification = '7'"
xxf:whitespace="trim"/>
<xf:bind name="exempt-payee" id="exempt-payee-bind" ref="exempt-payee" type="xf:boolean"/>
</xf:bind>
<xf:bind name="address-account" id="address-account-bind" ref="address-account">
<xf:bind name="address-1" id="address-1-bind" ref="address-1" required="true()"
xxf:whitespace="trim"/>
<xf:bind name="address-2" id="address-2-bind" ref="address-2" required="true()"
xxf:whitespace="trim"/>
<xf:bind name="account-numbers" id="account-numbers-bind" ref="account-numbers"
xxf:whitespace="trim"/>
<xf:bind name="requester-name-address" id="requester-name-address-bind"
ref="requester-name-address"/>
</xf:bind>
<xf:bind name="tin" id="tin-bind" ref="tin">
<xf:bind name="ssn-or-ein" id="ssn-or-ein-bind" ref="ssn-or-ein" required="true()"/>
<xf:bind name="ssn" id="ssn-bind" ref="ssn"
constraint="matches(., '^\d{3}-\d{2}-\d{4}$')"
relevant="$ssn-or-ein = 'ssn'"
xxf:whitespace="trim"/>
<xf:bind name="ein" id="ein-bind" ref="ein" constraint="matches(., '^\d{2}-\d{7}$')"
relevant="$ssn-or-ein = 'ein'"
xxf:whitespace="trim"/>
</xf:bind>
<xf:bind name="hidden" id="hidden-bind" ref="hidden" relevant="$fr-mode = 'pdf'">
<xf:bind name="current-date" id="current-date-bind" ref="current-date"
calculate="current-date()"
type="xf:date"/>
</xf:bind>
<xf:bind id="section-20-bind" ref="section-20" name="section-20">
<xf:bind id="signature-bind" ref="signature" name="signature"/>
</xf:bind>
</xf:bind>
<xf:instance xxf:readonly="true" id="fr-form-metadata">
<metadata>
<application-name>orbeon</application-name>
<form-name>w9</form-name>
<title xml:lang="en">Request for Taxpayer Identification Number and Certification</title>
<description xml:lang="en"/>
<singleton>false</singleton>
</metadata>
</xf:instance>
<xf:instance id="fr-form-attachments">
<attachments>
<css mediatype="text/css" filename="" size=""/>
<pdf mediatype="application/pdf" filename="fw9-orbeon.pdf" size="189922">file:/Users/avernet/Drive/Work/Components/apache-tomcat-6.0.29/temp/xforms_upload_4894288255802380164.tmp?filename=fw9-orbeon.pdf&amp;mediatype=application/pdf&amp;size=189922&amp;mac=fa1da8949f58eef15b42e7d9942ecc5b7fe2ae89</pdf>
</attachments>
</xf:instance>
<xf:instance id="fr-form-resources" xxf:readonly="false">
<resources>
<resource xml:lang="en">
<signature>
<label>Signature</label>
<hint/>
</signature>
<ssn-or-ein>
<label>SSN/EIN</label>
<hint/>
<help/>
<alert/>
<item>
<label>SSN</label>
<value>ssn</value>
</item>
<item>
<label>EIN</label>
<value>ein</value>
</item>
</ssn-or-ein>
<current-date>
<label>Date</label>
<hint/>
<help/>
<alert/>
</current-date>
<ssn>
<label>Social security number</label>
<hint>Format: 555-55-5555</hint>
<help/>
<alert/>
</ssn>
<ein>
<label>Employer identification number</label>
<hint>Format: 55-5555555</hint>
<help/>
<alert/>
</ein>
<name>
<label>Name</label>
<hint>as shown on your income tax return</hint>
<help/>
<alert/>
</name>
<business-name>
<label>Business name/disregarded entity name</label>
<hint>if different from above</hint>
<help/>
<alert/>
</business-name>
<federal-tax-classification>
<label>Federal tax classification</label>
<hint/>
<help/>
<alert/>
<item>
<label>Individual/sole proprietor</label>
<value>1</value>
</item>
<item>
<label>C Corporation</label>
<value>2</value>
</item>
<item>
<label>S Corporation</label>
<value>3</value>
</item>
<item>
<label>Partnership</label>
<value>4</value>
</item>
<item>
<label>Trust/estate</label>
<value>5</value>
</item>
<item>
<label>Limited liability company</label>
<value>6</value>
</item>
<item>
<label>Other</label>
<value>7</value>
</item>
</federal-tax-classification>
<llc-classification>
<label>Tax classification</label>
<hint/>
<help/>
<alert/>
<item>
<label>C corporation</label>
<value>c</value>
</item>
<item>
<label>S corporation</label>
<value>s</value>
</item>
<item>
<label>Partnership</label>
<value>p</value>
</item>
</llc-classification>
<other-classification>
<label>Other</label>
<hint/>
<help/>
<alert/>
</other-classification>
<exempt-payee>
<label>Exempt payee</label>
<hint/>
<help/>
<alert/>
</exempt-payee>
<address-1>
<label>Address, part 1</label>
<hint>number, street, and apt. or suite no.</hint>
<help/>
<alert/>
</address-1>
<address-2>
<label>Address, part 2</label>
<hint>city, state, and ZIP code</hint>
<help/>
<alert/>
</address-2>
<account-numbers>
<label>List account number(s) here (optional)</label>
<hint/>
<help/>
<alert/>
</account-numbers>
<requester-name-address>
<label>Requester’s name and address (optional)</label>
<hint/>
<help/>
<alert/>
</requester-name-address>
<classification>
<label>Classification</label>
<help/>
</classification>
<applicant>
<label>Name</label>
<help/>
</applicant>
<address-account>
<label>Addresses and accounts</label>
<help/>
</address-account>
<tin>
<label>Taxpayer Identification Number (TIN)</label>
<help/>
</tin>
<section-20>
<label>Certifications</label>
<help/>
</section-20>
<hidden>
<label>Hidden</label>
<help/>
</hidden>
</resource>
</resources>
</xf:instance>
<xf:instance id="fr-service-request-instance" xxf:exclude-result-prefixes="#all">
<request/>
</xf:instance>
<xf:instance id="fr-service-response-instance" xxf:exclude-result-prefixes="#all">
<response/>
</xf:instance>
</xf:model>
</xh:head>
<xh:body>
<fr:view>
<fr:body xmlns:p="http://www.orbeon.com/oxf/pipeline"
xmlns:oxf="http://www.orbeon.com/oxf/processors"
xmlns:xbl="http://www.w3.org/ns/xbl">
<fr:section id="applicant-control" bind="applicant-bind">
<xf:label ref="$form-resources/applicant/label"/>
<fr:grid>
<xh:tr>
<xh:td>
<xf:input id="name-control" bind="name-bind" class="fr-summary fr-search">
<xf:label ref="$form-resources/name/label"/>
<xf:hint ref="$form-resources/name/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
</xh:tr>
<xh:tr>
<xh:td>
<xf:input id="business-name-control" bind="business-name-bind"
class="fr-summary fr-search">
<xf:label ref="$form-resources/business-name/label"/>
<xf:hint ref="$form-resources/business-name/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
</xh:tr>
</fr:grid>
</fr:section>
<fr:section id="classification-control" bind="classification-bind">
<xf:label ref="$form-resources/classification/label"/>
<fr:grid>
<xh:tr>
<xh:td rowspan="2">
<xf:select1 id="federal-tax-classification-control" appearance="full"
bind="federal-tax-classification-bind">
<xf:label ref="$form-resources/federal-tax-classification/label"/>
<xf:hint ref="$form-resources/federal-tax-classification/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
<xf:itemset ref="$form-resources/federal-tax-classification/item">
<xf:label ref="label"/>
<xf:value ref="value"/>
</xf:itemset>
</xf:select1>
</xh:td>
<xh:td>
<xf:select1 id="llc-classification-control" appearance="full"
bind="llc-classification-bind">
<xf:label ref="$form-resources/llc-classification/label"/>
<xf:hint ref="$form-resources/llc-classification/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
<xf:itemset ref="$form-resources/llc-classification/item">
<xf:label ref="label"/>
<xf:value ref="value"/>
</xf:itemset>
</xf:select1>
</xh:td>
</xh:tr>
<xh:tr>
<xh:td>
<xf:input id="other-classification-control" bind="other-classification-bind">
<xf:label ref="$form-resources/other-classification/label"/>
<xf:hint ref="$form-resources/other-classification/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
</xh:tr>
<xh:tr>
<xh:td>
<fr:checkbox-input id="exempt-payee-control" bind="exempt-payee-bind">
<xf:label ref="$form-resources/exempt-payee/label"/>
<xf:hint ref="$form-resources/exempt-payee/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</fr:checkbox-input>
</xh:td>
<xh:td/>
</xh:tr>
</fr:grid>
</fr:section>
<fr:section id="address-account-control" bind="address-account-bind">
<xf:label ref="$form-resources/address-account/label"/>
<fr:grid>
<xh:tr>
<xh:td>
<xf:input id="address-1-control" bind="address-1-bind">
<xf:label ref="$form-resources/address-1/label"/>
<xf:hint ref="$form-resources/address-1/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
</xh:tr>
<xh:tr>
<xh:td>
<xf:input id="address-2-control" bind="address-2-bind">
<xf:label ref="$form-resources/address-2/label"/>
<xf:hint ref="$form-resources/address-2/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
</xh:tr>
<xh:tr>
<xh:td>
<xf:input id="account-numbers-control" bind="account-numbers-bind">
<xf:label ref="$form-resources/account-numbers/label"/>
<xf:hint ref="$form-resources/account-numbers/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
</xh:tr>
<xh:tr>
<xh:td>
<xf:textarea id="requester-name-address-control" bind="requester-name-address-bind">
<xf:label ref="$form-resources/requester-name-address/label"/>
<xf:hint ref="$form-resources/requester-name-address/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:textarea>
</xh:td>
</xh:tr>
</fr:grid>
</fr:section>
<fr:section id="tin-control" bind="tin-bind">
<xf:label ref="$form-resources/tin/label"/>
<fr:grid>
<xh:tr>
<xh:td>
<xf:select1 id="ssn-or-ein-control" appearance="full" bind="ssn-or-ein-bind">
<xf:label ref="$form-resources/ssn-or-ein/label"/>
<xf:hint ref="$form-resources/ssn-or-ein/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
<xf:itemset ref="$form-resources/ssn-or-ein/item">
<xf:label ref="label"/>
<xf:value ref="value"/>
</xf:itemset>
</xf:select1>
</xh:td>
<xh:td>
<xf:input id="ssn-control" bind="ssn-bind">
<xf:label ref="$form-resources/ssn/label"/>
<xf:hint ref="$form-resources/ssn/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
<xh:td>
<xf:input id="ein-control" bind="ein-bind">
<xf:label ref="$form-resources/ein/label"/>
<xf:hint ref="$form-resources/ein/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:input>
</xh:td>
</xh:tr>
</fr:grid>
</fr:section>
<fr:section id="section-20-control" bind="section-20-bind">
<xf:label ref="$form-resources/section-20/label"/>
<fr:grid>
<xh:tr>
<xh:td>
<fr:handwritten-signature xmlns="http://orbeon.org/oxf/xml/form-builder"
xmlns:xxbl="http://orbeon.org/oxf/xml/xbl"
id="signature-control"
bind="signature-bind">
<xf:label ref="$form-resources/signature/label"/>
<xf:hint ref="$form-resources/signature/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</fr:handwritten-signature>
</xh:td>
<xh:td/>
</xh:tr>
</fr:grid>
</fr:section>
<fr:section id="hidden-control" bind="hidden-bind">
<xf:label ref="$form-resources/hidden/label"/>
<fr:grid>
<xh:tr>
<xh:td>
<xf:output id="current-date-control" bind="current-date-bind">
<xf:label ref="$form-resources/current-date/label"/>
<xf:hint ref="$form-resources/current-date/hint"/>
<xf:alert ref="$fr-resources/detail/labels/alert"/>
</xf:output>
</xh:td>
</xh:tr>
</fr:grid>
</fr:section>
</fr:body>
</fr:view>
</xh:body>
</xh:html>
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