Instructions to Complete the Colorado Workman S Compensation Declaration of Independent

Please fill out the attached Colorado Workman’s Compensation Declaration of Independent Contractor Status. We are required by our insurance company to submit these forms on an annual basis. Our records show that the form we have on file for your company is out of date or we have never received it from you. We apologize for any inconvenience this may cause, but we enjoy doing business with you and would like to continue to do so in the future.

Instructions on how to complete the Colorado Workman’s Compensation Declaration of Independent Contractor Status: This form is used by our company to assure all independent contractors are covered by insurance while doing work on our properties. These forms are mandated or else before we can pay you. This information does not go anywhere but to Business Futures, Inc. and Colorado Compensation Insurance. Call 303-271-1491 if you have any questions.

1. Fill out name and trade name, address, phone and FEIN# (this is your social security # if you do not have a business tax ID #. Business Futures, Inc. name, address, policy number, phone and FEIN # goes directly below your information. This section simply states that you are not an employee of Business Futures, Inc. 2. Initial all boxes (the IC column on left) directly under the Business Futures, Inc. information. 3. Sign and date the Certification of Independent contraction section. Fill in social security #. This first section should be notarized. (Your bank will do it for nothing). Do not fill in the Certification by Business. 4. Return both copies to Business Futures, Inc., PO Box 650, Golden, CO 80402-0650.

Thank you for your timely response to this request. We appreciate doing business with you and would like to continue to do so in the future.

Complete the W-9 and send both forms back to us.