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,,,,,* lllf-9
<br />ATTACHMENT,.G'
<br />Request for Taxpayer
<br />ldentification Number and Certiffcation
<br />Go to w$v.i,5.grovlFormwg tor ilctructions and th€ latest information.
<br />Give form to the
<br />requegter, Do not
<br />send to th€ lRS.il1€'/. March 2024)
<br />Dopad{lor1t of lhe Tr{ra$ur},
<br />lntamai Revenuo Ssrvicc
<br />Beforo For guidance ielalcd to lho of Form !V-9, soe:ofFonil, b8low,
<br />I Name of entity/iltdividual. Lo cntr/ is rcquircd. (For fl sole propicior o. disregardcd entltY. sltef iho o\'/net's rame orl 'ioc '1.and enler :hc bus$csvdisrega.dcd
<br />er1!ty'g osra on ;ne 2 )
<br />2 Businoss namc/disrcgarccd criitY narne. f dif{croot lrom abovo.
<br />4 Excmpi:oFs icadas aPPIY orlY lo
<br />ccdarn snthios, trot :nd,viciltals;
<br />see r.glnlct:3.!s on piqe 3':
<br />€remgi pay* codo lil lnyl
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<br />OEao\E
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<br />(lo
<br />o{,o.att
<br />o
<br />a
<br />Exernption froin
<br />Compfisc0 Act
<br />cocie til rnyl
<br />Foiejqi Acco!rrl Tax
<br />{rATCA) roporti'g
<br />$pplics to accaunts trait*aiocd
<br />a'JtsiCc iho Uritcd Stcfes.,r
<br />ilfilr;esler'9 ran'e ir:(i aa(trcss iooliooaJ
<br />7 r sl ?(:trlrfl -i,riberisl.:ere iopl.c ,iirl
<br />mber
<br />Enter your.flN in tl"e appropriate box. Tne I'lN provided inrrst match the nalre givet-i or lins 1 to aYoid
<br />backup !y,thholcjing- For ndividuals. this is ijoncrally your social sceurity nir:rber (SSlli. llor';o'rr:r, for a
<br />rasif;trni Jlicp, :!okt propricior, or dir;rogardcr! ent;ty, sec tho inslrrrctioti:-i fcr P;rrl l, ralcr. Fcr oiic.
<br />entitics, .t is yoJr elnplcyer ide:rtliication nur:Oer {ElN) lf yo, cjo r)ct ha're a .irtrber, se€ Horv ic get a
<br />f/A/, later.
<br />Nol€: it ths acccunt:s rlt more than ont:tatTtc, scc th{l instn.Ct,on5 lcr line '1. Sao Also What Namc aFd
<br />Numbcr To Giv? lh'J Rcqik:slcr fcr girirlci,rtc:; oq uJnosc nulrbL-r lo cnier.
<br />or
<br />UnCer pe'ralties oi per;ijry. I ceriit'l thai:
<br />1 n e numt"er srosrt on ll-,s form is my correci:a-xpaye|dentifrtahon rumbcr ior I am *attlng for a numbar lo cc tssucd to mei: ard
<br />llo ionqer subject to bacauo YJitl'noldinq; al]d
<br />:l lam a U.S. crirzen or otl'oriJ S. cerson idcfincd cerow): and
<br />4. Tho FATC;\ ccde(s) anie.cd on :l"is forrr ftf arry) irrdir;irting lhrt I art: cxclnpl [rottl FATCA ro1;ortittg ,s ccrrocl.
<br />Ceriilicittion inslructions. You intrst cross out itcrn 2 al)ovo if you ttave bern nolifld by thc IRS lhat you arc crrkrntiy subjcct io backuo ?ilhholtiirg
<br />because ycL have ialigd to re'Jort all ir-rterest and div:de:tds orr your t&\ letrirn- For real estale irtursaciiors. :telll 2 does rol apply. For fltortgage llterest oaid
<br />acquisition or aba!.idol]ment ot sacilred propsliy canceilat,on ol debt, conl.tbutiors 10 an individllal tel re$en1 ara:lgeiisnt ilRA), ard, qererally. paymenis
<br />3e C,lek lhe dpptoplllle l)ox rct t*l4..ll IAX classifrciltur ol lne 4'1!'ly'tlldutlu{J $/hose rlatns i5 e'ielsd gn ine
<br />only ono ot liu foilow;ag srlwf boxas,
<br />fl indivlduar/soto proorictor I C corpora:ion n S.orpotation I eartncmlio E Trustcstnie
<br />I t,LC.;ntor ihol,rxcbssificallorriC , C.orf!)rdtion, S - Si:orpor.lion, P- Parl.c.shipi
<br />NotG: Cr$ik lhe .,Lt-c" box axrve arrl, ;n ii:B e,ltry $pace, enter ll.e sppfogrii{ts cqlB (c. s, ot l') ior lhe lax
<br />crasgilicaliort oi lho Ll-C, urlc:ili it is ;t rJistrirn{i(X, onlily. A .tisaeqar(i{}cl er\lrly shoui{i inslcad d:s;k lllc aa)proiJliato
<br />bcx tcr lhe 1ax classilicatlon ol :!s o$ner
<br />n oth(r. is.ro i.slructiors)
<br />1. Che(:k
<br />3b icnlino3a./ouchcclcd'Panecfhip'or"i-.(;suostet6,'qrchocked'LLC"andcrle.cd"P ns,lsiaxclaesiiicalion
<br />$d yor, Ite prcvlcieg !|1i3 lo/'. lo il tolntrsh:p. lruti. ot gslale n t!|lrch yo, ltave 3.1 o{retg'tp ntetesl, chetk
<br />Itrs rox rl'/or; ll;tve:ry iorei3tt pital'lgni, ov;,lsrs, o. ota!e{icixr;es. See nrl,:ialiolls
<br />5 Addr€s$ (firrtlrbei, slreel, ird:rFl. o. srrle no.i See rjlslrrlclbns
<br />6 C.lt. staic, r.d ZIP code
<br />$ecurity number
<br />Part I
<br />Employer idenliticatloo fl umber
<br />Psrt ll
<br />oll'or lniln irtorest ind d.vidnncs.;t.0 r.ci i0 thc corlilicairor, cut yori rf,tisl
<br />Sign Signrturo ot
<br />u,S. p€r3onHere
<br />General lnstructions
<br />Section refererces are to the lntenlal Hel'eliile Code Lr)less othe^?ise
<br />noted.
<br />Futuro devolopmants. For lhe laio:i: iriortnai:on abot t (tcv(lloprnantli
<br />rgiatted io =oiln Ul-9 ar:d it:; irlstrilcliors, :i{ic!) i1:; legislattior erlalcted
<br />ailer'firey,,'leIe pLbhshsd. go to tm!l.v.rrs.gov l!:umvvg,
<br />What's New
<br />L:n€ 3a nas be4r rnodified to clarily hovJ e cjisieqarded ertliy cornpletes
<br />!h s [ne. An l-l,C tna: is a r::srcgarded ?nir:y 3hotll'i ch.ck la*
<br />appronri:ilc oox for:ht::ax classific;ttiorl of l:; lilnr:r. Oih{rr'?iso, it
<br />sirorld cireck !l:e 'L|C' box a|d et'ie/ ts llpajropr.ille trx {.:lassriicilliotr.
<br />correcl TlN. Sec tl-e :dslruclicns for Part ll. latrSr
<br />Dato
<br />N$!";inc :3b has bson ;:ddocl to l,'],li forrn. A tlow-through crr:rty ir;
<br />requirecl to cornpiete lilis iire to ilrdrcate that it has irrsct or irloirecl
<br />foreign partrrers, o\1l]ers. or oerreticiaries'!hen il p:ovides lhe lrortn w-9
<br />to an'othcililow.throtrgb entity in which it has an av/nc.ship illtcrest. Ihls
<br />crangr- is rnlen<iccl to pfovida: llov/ throuqh et:irty sjth inforrnatio:r
<br />rlgarilrrrg lhc sl3lus ol ils i|dir{rcl fot{}ign oarttrcr*, o!!tlors, cr
<br />::erelirrar,es. so lhat it can sat'sfy ar:y appliaable reporting
<br />reqirirer-e!rts. l'or exarnple. a partllership that has alry indirecl :o:eiqtr
<br />rartrcrs ray bc.cqurred;o complcto Scnsdtllcrl K-2 e|cl K'3. Scs lhc
<br />farl::crutrip ln:;trut;liot;:i for Schetltilo:; K'2 3rd K.3 {Forrn 1r..i6iii
<br />Purpose of Form
<br />Arr irtdivitlui:l ot (]rrtity (Fort'l !V-3 r{xirr.stilr) Yrho ,:; r(lqt,ir{)d io lilo ;ul
<br />nfcrnaiiorl returrr wrlh the lfls is giYit:9 yolr this fotr:] bscausB [1e'/'
<br />L-il. \11). l{i?:i'X
<br />Kittitas Ccunty Agreement for Services lrev.5/t4/25],
<br />Page 18 of 23
<br />ror,r l /-9 ii;qY -1 2c2{i
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