|
ATTACHMENT F
<br />Enter your TIN In theappropriatebox. The TIN provided must match the name given on line 1 to avoid I Social
<br />Q
<br />Request for Taxpayer
<br />G;ve Form to the
<br />Form
<br />Identification Number and Certification
<br />requester. Do not
<br />(Rev. 0ctober��/
<br />2ola)
<br />Depazimant often Treasury
<br />send to the IRS.
<br />Informal
<br />Revenue service
<br />It, Go to www.lrs.gov/FormWg for instructions and the latest information.
<br />1 Name (as shown on your Income tax return). Name is required on this line; do not leave this line blank.
<br />The Watershed Com p an
<br />2 Business name/disregarded entity name, If different from above
<br />3 Check appropriate box for federal tax dassificatlon of the person whose name Is entered on line 1. Check only one of the
<br />4 Exemptions(codes apply only to
<br />following seven boxes.
<br />certain entitles, not individuals; see
<br />a
<br />Instructions on page 3):
<br />p
<br />ElIndividual/sole proprietor or Ed Corporation ElS Corporation ElPar orshlp L1Trust/estate
<br />single -member LLC
<br />Exempt payee code (If any) 5-
<br />at
<br />ao
<br />ji�'t
<br />❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
<br />0 2
<br />Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Donotcheck
<br />Exemption from FATCA reporting
<br />'G
<br />LLC If the LLC Is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLQ Is
<br />code if an
<br />( y)
<br />it
<br />another LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that
<br />a'
<br />Is disregarded from the owner should check the appropriate box for the tax classification of Its owner.
<br />❑ Other (see instructions) 0-
<br />Moses to ocoouflls <meawmae n,e US)
<br />5 Address (number, street, and apt. or suite no.) See Instructions.
<br />Requester's name and address (optional)
<br />N
<br />750 Sixth Street South
<br />e City, state, and ZIP code
<br />Kirkland, WA 9B033
<br />-
<br />7 List account numbers) hero(optlonal)
<br />Taxpayer Identification Number
<br />(TIN)
<br />security number ]
<br />backup withholding. For individuals, this is generally your social security number ISSN). However, fora
<br />resident alien, sola proprietor, or disregarded entity, see the instructions for Part I, later. For other
<br />entities,. It is your employer Identification number (EIN). If you do not have a number, see How fo get a
<br />TIN, later. or
<br />Note: If the account is In more than one name, see the instructions for line 1. Also see What Name and Employer Identification number
<br />Number To Give the Requester for guidelines on whose number to enter. Ulf 11 — I 7 1 3 1 6 1 4 1 3 1 9 1 3
<br />Under penalties of perjury, I certify that: _
<br />1. The number shown on this form Is mycorrect taxpayer identification number (or I am waiting for a number to be Issued tome); and
<br />2. I am not subject to backup withholding because; (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
<br />Service (IRS) that I am subject to backup withholding as a result of a failure to report ail Interest or dividends, or (c) the IRS has notified me that I am
<br />no longer subject to backup withholding; and
<br />3. 1 am a U.S. citizen or other U,S. person (defined below); and
<br />4. The FATCA code(s) entered on this form if any) indicating that I am exempt. from FATCA reporting Is correct.
<br />Certification Instructions. You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because
<br />you have failed to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage Interest paid,
<br />acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments
<br />other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part ll, later.
<br />Signature of
<br />U.S. person �
<br />Date
<br />General Instructions
<br />Sectlonreferences are to the Internal Revenue Code unless otherwise
<br />noted.
<br />►
<br />ads, Including those from
<br />Putore developments. For the latest Information about developments
<br />related to Form W-9 and Its Instructions, such as legislation enacted
<br />after they were published, go to wwwirs.gov/F`ormW9.
<br />Purpose of Form
<br />An Individual or entity (Form W-9 requester) who is required to flle an
<br />information return with the IRS must obtain your correct taxpayer
<br />Identification number (TIN) which may be your social security number
<br />ISSN), Individual taxpayer Identification number (]TIN), adoption
<br />taxpayer Identification number (ATIN), or employer Identification number
<br />(EIN), to report on an Information return the amount paid to you, or other
<br />amount reportable on an Information return. Examples of Information
<br />returns Include, but are not limited to, the following.
<br />• Form 1099 -INT (interest earned or paid)
<br />• Form 1099 -DIV (dividestocks or mutual
<br />funds)
<br />• Form 1099-MISC (various types of Income, prizes, awards, or gross
<br />proceeds)
<br />• Form 1099-13 (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />• Form 1099-S (proceeds from real estate transactions)
<br />•Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage Interest), 1098-E (student loan Interest),
<br />1098-T (tultlon)
<br />• Form 1099-C (canceled debt)
<br />• Form 1099-A Iacqulsltlon or abandonment of secured property)
<br />Use Form W-9 only If you are a U.S. person (including a resident
<br />ellen), to provide your correct TIN.
<br />If you do not return Form W-9 to the requester with a TIN, you might
<br />be
<br />subject to backup withholding. See What is backup withholding,
<br />Tater.
<br />Cat. No. 10231X Form Vlf-9 (Rev. 10-2018)
<br />
|