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w-g Request for Taxpayer
<br />ldentification Number and Certification
<br />) Go to www.irs.gavlFomwg ior instructions and the latest information.
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<br />lnternal Rdvtnup Seruice
<br />I Name on your income i9 roquitgd on not this line
<br />Ellensburg Rodeo Hall of Fame
<br />enlity nam6, if trom
<br />7 List account
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoidbackup withholding. For individuals, this is generally your social security nunrbor (SSN). Howovor, for atosident alien, sote propfletor, or disregarded entity, see the instructions for Part l, later. For oth€renlilies, i't is your employer identificaiion number (ElN). lf you do not have a number, see How to get aTlN, lalet
<br />Give Form to the
<br />requester. Do not
<br />send to the lRS.
<br />4 Exemptioos (codes apply only to
<br />certain entities, not individualsi s6e
<br />instructions on page 3):
<br />Exempt payee code (if any)
<br />Exemption from FATCA reporting
<br />code (if any)
<br />name and address
<br />or
<br />Note: ll the account is in more than one name, see the instructions for line 1. Also see What Name andNumber To Give the Requesler for guidelines on whose number to enter.
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form is my correct taxpayer idenlification number (or I am waiting for a number to be issued to me); and2' I am.not.-subiect to backup withholding because: (a) | am exempt from backup withholding, or (b) I have not been notified by the lnternal RevenueService (lRS) that I am subiect to backup withholding as a resuit of a failure to report all inieresi or dividenos, or 1c; ine IRS has notified me that I amno longer subject to backup withholding; and
<br />3. I am a U.S. citizen or other U.S. porson (defined below); and
<br />4. The FATCA code(s) entered on this form {if any) indicatlng that I am exempt from FATCA reporling is correct.
<br />Certification inslructions' You must cross out item 2 above if you have been nolilied by the IRS that you are currently subject 10 backup wjthholding becauseyou have failed to report all interest and dividends on your tax return. For real eslate transactlons, item 2 does not appty. io.mortgage interest paid,acquisition or abandonment of secured propeny, canCellation ot debt, contributions to an individual retirement urr*ij"il.ni gnn), ani generatty, laymentsother than interest and dividends, you are not required to sign the certification, but you must provide your correct rlfi. See the initructi6ns ior Fart ti, later.
<br />Sign
<br />Here Signature of
<br />U.S, person )Oate >
<br />General lnstructions
<br />Section relerenc€s are to the lnternal Revenue Code unless otherwiss
<br />noted.
<br />Future dovelopments. For the latest information about developments
<br />related to Form W-g and its instructions, such as legislation enacted
<br />after they were published, goto www.irs.gov/Formtj/9.
<br />Purpose of Form
<br />An individual or €ntity (Form W-9 requester) who is required to file an
<br />information return with the IRS must obtain your correct taxpayer
<br />iqgllifigation number fFlN) which may be your social security number
<br />(SSN), individual taxpayer identitication number (lTtN), adopiion
<br />taxpayer identification number (ATIN), or employer identification number
<br />(ElN). to report on an information teturn the amount paid to you, or other
<br />amount repodable on an informalion return. Examples of information
<br />returns include, but ate not limited to, the following.
<br />. Form 1099-lNT (interest earned or paid)
<br />. Form 1099-DlV (dividends, including those from stocks or mutual
<br />funds)
<br />o Form 1099-MISC (various types of income, prizes, awards, or gross
<br />proceeds)
<br />. Form 1099-8 (stock or mutual fund sales and certain other
<br />transactions by brokors)
<br />. Form 1 099-5 (proceeds from real estate transactions)
<br />. Form 1 099-K (merchant card and third party network transactions)
<br />1 l_oy1 ] OSa (home mortgage interest), 1098-E (student loan interest),
<br />1098-T (tuition)
<br />r Form 1 099-C (canceled debt)
<br />. Form 1099-A (acquisition 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 />lf you do not return Form W-9 to the requester with a TlN, you might
<br />be subject to backup withholding. See What is backup withholding,-
<br />later.
<br />lor lederal tax classification of the person whose name is entered on line 1. check only one of the
<br />E lndivioualzsole proprietor or E c corporation [J S corporation n eartnersnip f TrusVestatesingle-membsr LLC
<br />[] Llmited tiabitity company. Enter the tax classiiication (C=C corporation, S=S corporation, p-pannership) >
<br />3 Check appropriate box
<br />following seven boxes.
<br />Nole:Check the inboxappropriate linethe forabove taxlhe ofclassification the ownersingle-member Do checknottfLLCLLCtheclassifiedlsaasLLCsingle-member that fromdisregarded ownerthe theunless otowner LLCthe isLLCanotherlsthatnotthefromforownerU.S-disregarded federal tax apurposes.Olhemise,LLCsingle-member
<br />ts thefrom shouldowner lhecheckdisregarded box thefor taxappropriate classitication itsof owner.
<br />Othe.instructions) >
<br />110 West 6th Avenue PMB #374
<br />street, and See inrtructions,or
<br />Ellensburg, WA 98926
<br />6 City, state,
<br />Number
<br />Social security number
<br />t-ltt
<br />Part I
<br />identitication nu
<br />9 1 1 I I 3 I 4 0
<br />Part ll
<br />Cat. No. 10231X norm W-9 (Rev. 10-2018)
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