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Form w-g <br />(Rev. October 20.1 8) <br />Department oi lhe Treasury <br />lnternal Revenue Seruice ) Go to www <br />Request for Taxpayer <br />ldentification Number and Certification Give Form to tho <br />requester. Do not <br />send to the lRS. <br />4 Exemptlons (codes apply only to <br />certain enlities, not individuals: sae <br />instructions on page 3): <br />Fxempt payee code (il any) <br />Exemption fiom FATCA reporling <br />code (if any) <br />(Aepies to accaunts naintained outsiCa lhe U.S ) <br />Kittitas County Auditor's Office <br />2OS W. sth Ste 105 <br />I Name sbown on your income <br />nJ <br />Name is <br />for instructions and the latest information. <br />on this line; do not leave blank. <br />Bequester's name and addtess <br />L <br />2 name, if different above <br />oo)d <br />co,ootroo>Evo <br />oiYa <br />(Io <br />'6 <br />ru <br />CLa(,o(/) <br />7 List number(s) here <br />Enter your TIN in the appropriate box. The TIN provided musi match the name given on iine 1 to avoidbackup <br />resident <br />withholding. For individu <br />alien, sole proprietor, or <br />als, this is generally your social security <br />disregarded entity, see the instructioni <br />number (SSN). <br />for Part l, later. <br />However, for a <br />For otherentities, it is your employer identification number (ElN)- lf you do not have a number, see How to get aI/N, later or <br />I ' The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and2' I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the lnternal Revenueservice (lRS) that I am subject.to.backup withholciing as a resuit of a failure to report all jnteresi or dividends, or (c) the IRS has notified me that I amno longer subject to backup withholding; and <br />3. lam a U.S. citizen or other U.S. person (defined below); and <br />Notel lf the account is in more th an one nam e, see the instructions for line 1 . Also see what Name andNumber To Give the Fequester for guideljnes on whose number to enter. <br />Under penalties of perjury, I certify that: <br />Here <br />Sign <br />Genenal lnstructions <br />Section references are to the lnternal Revenue Code unless otherwise <br />noted. <br />Future 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 1o www.irs.gov/FormiVg. <br />Furpose of Form <br />An individual or €ntiiy (Form W-9 requester) who is required to file aninformation return with the IRS must obtain your correct taxpayeridentification number [lN) which may be your social security number(SSN), individual taxpayer identification number (tTlN), adopiioniaxpayer identification number (ATIN), or employer identification number(ElN), to report on an informaiion return the amount piiO to you, or otheramount reportable on an information return. Examples of infbrmationreturns include, but are not limited to, the following. <br />n Form 1 099-lNT (interest earned or paid) <br />L3 <br />o Form <br />funds) <br />1099-DlV (dividends, including those from stocks or mutual <br />o Form 1099-MISC (various types of income, prizes, awards, or grossproceeds) <br />n Form 1099-8 (stock or muiual fund sales and ceftain othertransactions by brokers) <br />. Form 1099-5 (proceeds from real estate transactions) <br />o Form 1099-K (merchant card and third party network transactions) <br />:I_"jt 1099 (home moftgage inrerest), 1098-E (student loan interest), <br />1098-T (tuition) <br />" Form 1099-C (canceled debt) <br />" Form 'l099-4 (acquisitlon or abandonment of secured property) <br />..Use.Form W-9 only if you are a U.S. person (including a resident <br />alien), to provide your correct TlN. <br />If you do not return Form W-.9 to the requester with a TlN, you mightbe sublect to backup withholding. See What is backup withholding,- <br />later. <br />tax classiflcation of th6 person whose name is entered on rine l . check only one of the <br />n lndividual/sole proprietor or n C Corporation ! S Corporation I partnership D Trust/estatesingle-member LLC <br />3 Check approprjate box for federal <br />following seven boxes. <br />appropriate <br />classified as <br />Limited Enter the&liability tax classificationcompany.S=Scorporation corporation,P=Partnership)P <br />Note:Check the rnbox linethe above for taxthe ofclassification the single-member owner.Do checknotttLLCiheLLUISaLLCsingle-member tsthat from thedisregarded owner theunless ofowner LLCthe tsLLUanothertsthatnotfromdisregardedtheforownerU.S.federal tax purposes.Otheruise,LLCsingle-memberdtsfromtheisregardedownercheckshouldtheforboxappropriatetaxtheofclassificationitsowner <br />Oiher (see <br />5 and or suiteapt.instructions-Seeno.) <br />\r\'it- QHs!uJ"r$0 bg <br />codpstate, <br />{\0 <br />n Number <br />Sociai security number <br />H H <br />Part I <br />Employer identifi cataon number <br />q b 0 q 3 sla 1Part ll <br />Signature of <br />U.S. person F Date >t, <br />Cat. No. 10231X rorm W-9 (Rev. 10-2ols)