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FW-9RequestforTaxpayerGiveFormtothe{POctober2018)IdentificationNumberandCertificationrequester.conotDepartmentoftheTreasurysendtotheIRS.InternalRevenueService>Gotowww.¡rs.gov/FormWSforinstructionsandthelatestinformation.1Name(asshownenyourincometa×return).Narr.eisrequiredonthisline;dor.otleavethislineblank.COUntyOfKittitBS2Businessnameldisregardedentityname,itdifferentfromaboveKittitasCounty3CheckappropriateboxforfederallaxciassificationofthepersonwhosenameisenteredonlineLCheckonlyoneofthe4Exemptions(codesapplyonlytofollowingsevenboxes,certainentitles,notindividuals;seeinstructionsonpage3):OIndividua1/soleproprietororCCorporabonSCorporaionPadnershipTrusvestatesingle-memberLLCExemotpayeecode(ifany)3Limitedliabilitycompany.Enterthetaxclassification(C=Ccorporation,S=Scorporation,P=Partnership>>o2Note:Checktheappropriateboxinthefinoaboveforthetaxclassificationofthesingle-memberowner.DonotcheckExemptionfromFATCAreportingLLCiftheLLCisclassifiedasasingle-memberLLCthatisdisregardedfromtheownerunlesstheowneroftheLLCiscode(ifany'e5anotherLLCthatisnotdisregardedfromtheownerforU.S.federaltaxpurposes.Oihenvise,asingle-memberLLCthat'isdisregardedfromtheownershouldchecktheappropriateboxforthetaxclassificationofitsowner,other(seeinstructions)>PoliticalSubdivisionspanoacc-mmeroumeseus;5Address(number,street,andapt,orsuiteno.)Seeinstructions.Requester'snameandaddress(optional205W.5th,Suîte1056City,state,andZIPcodeEIIensburg,WA989267Listaccountnumber(s)here{optional)TaxpayerIdentificationNumber(TIN)EnteryourTlNintheappropriatebox.TheTINprovidedmustmatchthenamegivenonline1toavoidSocialsecuritynumberbackupwithholding.Forindividuals,thisisgenerallyyoursocialsecuritynumber(SSN).However,foraresidentalien,soleproprietor,ordisregardedentity,seetheinstructionsforPartI,later.Forother--entities,itisyouremployeridentificationnumber(EIN).Ifyoudonothaveanumber,seeHowtogetaTIN,later.orNote:Iftheaccountisinmorethanonename,seetheinstructionsforl;ne1.AlsoseeWhatNameand|EmployeridentificationnumberNumberToGivetheRequesterforguidelinesanwhosenumbertoenter.91-6001349CertificationUnderpenaltiesofperjury,Icertifythat:1.Thenumbershownonthisformismycorrecttaxpayeridentificationnumber(orIamwaitingforanumbertobeissuedtome);and2.Iamnotsubjecttobackuowithhold:ngbecause:(a)Iamexemptfrombackupwithholding,or(b)IhavenotbeennotifiedbytheinternalRevenueService(IRS)thatiamsubjecttobackupwithholdingasaresultofafailuretoreportallinterestordividends,or(c}theIRShasnotifiedmethatIamnolongersubjecttobackupwithholding;and3.IamaU.S.citizenorotherU.S.person(defínedbelow);and4.TheFATCAcode(s)enteredonthisform(ifany)indicatingthatIamexemptfrornFATCAreportingiscorrect.Certificationinstructions.Youmustcrossoutitem2aboveifyouhavebeennotifiedbytheIRSthatyouarecurrentlysubjecttobackupwithholdingbecauseyouhavefailedtoreportallinterestanddividendsonyourtaxreturn.Forrealestatetransactions,item2doesnotapply,Formortgageinterestpaid,acquisitionorabandonmentofsecuredproperty,cancellationofdebt,contributionstoanindividualretirementarrangement(1RA),andgenerally,paymentsotherthaninterestanddividends,youarenotrecuiredtosignthecertificationbutyoumustprovideyourcorrectTIN,SeethenstructionsforPartII,later.SignsignatureofGeneralInstrutions•Fo1099-DIV(dividends,includingthosefromstocksormutualfunds)SectionreferencesaretotheInternalRevenueCodeunlessotherwise•Form1099-MISC(varioustypesofincome,prizes,awards,orgrossnoted.proceeds)Futuredevelopments.Forthelatestinformationaboutdevelopments•Form1099-B(stockormutualfundsalesandcertainotherrelatedtoFormW-9anditsinstructions,suchaslegislationenactedtransactionsbybrokers)aftertheywerepublished,gotowww.irs.gov/FormW9.•Form1099-S(proceedsfromrealestatetransactions)PurposeofForm•Form1099-K(merchantcardandthirdpartynetworktransactions)Anindividualorentity(FormW-9requester)whoisrequiredtofilean•Form1098(homemortgageinterest),1098-E(studentloaninterest),informationretur,withtheIRSmustobtainyourcorrecttaxpayer1098-T(tuition)identificationnumber(TIN)whichmaybeyoursocialsecuritynumoer•Form1099-C(canceleddebt)(SSN).individualtaxpayeridentificationnumber(ITIN),adoptiontaxpayeridentificationnumber(ATIN),oremployeridentificationnumber•Form1099-A(acquisitionorabandonmentofsecuredproperty)(EIN),torepodonaninformatíonreturntheamountpaidtoyou,orotherUseFormW-9onlyifyouareaU.S.person(includingaresidentamountreportableonaninformationretum.Examplesofinformationalien),toprovideyourcorrectTIN,retumsinclude,butarenotlimitedto,thefollowingIfyoudonotreturnFormW-9totherequesterwithaTIN,youmíght•Form1099-INT(interestearnedorpaid)besubjecttobackupwithholding.SeeWhatisbackupwithholding,later.Cat.No.10231XFormW-9(Rev10-2018
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