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ATTACHMENT F
<br />Form W-9 Request for Taxpayer Give Form to the
<br />(Rev, Octobe r 201 B) Identification Number and Certification requester. Do not
<br />Dep ar tment of the Treasury send to the IRS.
<br />Internal Revenue Service • Go to www.lrs.gov/FormW9 for In structions and the latest information.
<br />1 Name (as shown on you r Income tax return ). Name Is req uired on th is line; do not leave this line bla nk.
<br />The Wa te rshed Comoanv
<br />2 Busi ness name/dis regarded entity name, if different from above
<br />O?
<br />Q) 3 Check app rop ri ate box fo r federal tax class lflc atl on of the person whose name Is entered on li ne 1, Check only on e of the 4 Exempt ions (codes app ly only to
<br />Ol following seven bo xes . oertaln entitles, not Individua ls; see cu
<br />0. Instruc tion s on page 3):
<br />C: 0 lndlvlduaVso le proprie tor or 0 C Corp ora tion 0 S Corpo ration 0 Partnership 0 TrusVestate 0
<br />• Ill single -m ember LLC Exe mpt payee code (i f any) 5 Q) C:
<br />C. 0 0 Limited lia bility company. Ent er the tax cl assl flcatlon (C =C co rporation, S=S corporat ion, P=Partnershlp) • ~tl
<br />0 .s Note: Check th e appropriate box In the line ab ove fo r the tax classification of th e sing le-member owne r. Do not che ck Exe mption from FATC A reporting
<br />+' Ill LLC If the LLC Is olasslfled as a single-member LLC that Is disregarded from -th e owner unless the owner of the LLC Is cod e (If any) ,§ .5 another LLC that is not dis reg arded fr om the owne r for U.S. fede ral tax pur poses. Otherwise, a single-member LLC that
<br />C. (,) ls -disregarded from the owner should check the appropriate box for the tax classification of Its owne r. !E' (,) • Other (see In struc tion s) • (Applfes to accounts malntoJned outside the U.S.) Q) a. 5 Address (numb er, street, and apt. or suite no.) Se e In structions. Requester's name and address (optional) en
<br />Q)
<br />750 Sixth Street South Q)
<br />(/)
<br />6 City , state, and ZIP code
<br />Kirkland, WA 98033
<br />7 List account number(s) here (opt ional)
<br />' •",nl ii • Taxpayer Identification Number (TIN)
<br />I Soc ia l sec urity number I Enter your TI N in the appro~ri _ate box. The TIN provided must match t~e name given on line 1 to avo id
<br />backup withh ol ding . For ln d1 v1duals, this Is generally your socia l security number (SSN). However, for a
<br />residen t alien, so le proprietor, or di sregarded en t ity, see th e Instructio ns for Part I, later . For other
<br />ent ities , It Is your employer identification riumber (EIN), If you do not have a number, see How to get a
<br />TIN, late r.
<br />[II] -DJ -I I I I I
<br />or
<br />Note: If the account is in more than one nam e, see t he instructlons for line 1. Also see What Name and
<br />Number To Give the Requester for guidelines on whose number to enter .
<br />! Employer Identification number
<br />91-1364393
<br />Certification
<br />Under pena lties of perjury, I certify that:
<br />1. The number shown on this form is my correct ta xpayer id en tific ation nu mber (or I am waiting for a number to be Issued to me); and
<br />2. I am not subject to backup withho ld ing because: (a) I am exempt fr om backup withholding, or (b) I have not been no t ified by the Int ernal Revenue
<br />Service (I RS) that I am subject to backup withholding as a resu lt of a failure to report all Interest or d ividends, or (c) the IRS has notifi ed me that I am
<br />no longe r subject to backup wi thholding ; and
<br />3. I am a U.S. citizen or other U.S. person (defined belo w); and
<br />4. The FATCA code(s) en tered on this form (if any) indicating th at I am exem pt from FATCA reporting Is correct.
<br />Certification Instructions. You must cross out lfem 2 above if you have been noti fied by the IRS that you are currently subject to backup wit hho lding because
<br />you have failed to report all Interest and dividends on your tax return . Fo r rea l es tate transactions, Item 2 does not apply. For mortgage int erest pa id,
<br />acquis ition or abandonment of secured property, cancellat io n of debt, contributions to an Individua l retirement arrangement (IRA), and generally, paymen ts
<br />ot her than Interest and di viden ds , you are not requi red to sign the ce rtlfi cat ion , but you must provide your co rrec t TIN. See the Instructions for Part II, later .
<br />Sign
<br />Here
<br />Signature of
<br />U.S . person •
<br />General Instructions
<br />Section references are to th e Internal Revenue Code unless otherwise
<br />noted .
<br />Future developments. For the lates t Info rma tion about developments
<br />re lated to Form W-9 and Its ins tru ctions , suc h as legisl ation enacted
<br />afte r th ey were pub lis hed, go to www.lrs.gov/FormW9 ,
<br />Purpose of Form
<br />An Indi vidu al or entity (For m W-9 reque ste r) who is requ ired to fil e an
<br />in formation return wi th the IRS must obtain your correct t ax pa yer
<br />Identification number (T IN) which may be your soc ial security number
<br />(SSN), Indi vidual taxpayer Identification numbe r (ITIN), adop ti on
<br />taxpayer Identificatio n number (ATIN), or employer identification numbe r
<br />(EIN), to report on an information return the amount paid to you, or other
<br />amo unt reportab le on an Info rmation re turn , Ex amples of information
<br />returns Include, but are not limit ed to, th e following .
<br />• Form 1099-INT (interest earned or paid)
<br />Cat. No, 10231X
<br />Dat e • 01/03 201
<br />• Form 1099-DIV (divi dends, including those from stocks or mut ua l
<br />funds)
<br />• Form 1099-MISC (various types of income, p rizes, awa rds, or gross
<br />proceeds)
<br />• Form 1099-8 (sto ck or mutual fund sales and certain other
<br />transactions by broke rs)
<br />• Form 109 9-8 (proceeds from real estate t ransactions)
<br />• Form 1099-K (merchan t card and third party netw ork transacti ons)
<br />• Form 109 8 (h ome mortgage Interest), 1098 -E (studen t loan inte rest),
<br />1098 -T (tuition)
<br />• Form 1099 -C (canceled deb t)
<br />• Form 1099 -A (acquisition or abando nm ent of secured property)
<br />Use Form W-9 only If you are a U.S . person (inclu ding a resident
<br />alien), to prov ide your correct TIN .
<br />If you do not return Form W-9 to the requester with a TIN, you might
<br />be subject to bacl<up withholding. Se e What is back up withholding,
<br />later,
<br />Form W-9 (Rev.10-2018)
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