Component Developer - IRS W-9 Form $100

We need a fully functional component that duplicates the functionality and data of the IRS w-9 form: https://www.irs.gov/pub/irs-pdf/fw9.pdf

We prefer the form to look similar to the paper form while in full screen on desktop but also useable on mobile devices.

We are willing to pay up to $100.

Hi Barry,
If you are still on the lookout for someone I would be happy to help you, as I am an experienced Radzen consultant and what you are wanting done is well within my area of expertise
You can reach me on andrewjohnson.56782@gmail.com
Cheers and Have a great day ahead,
Andrew