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Fom !V-s (ReY.3-2024)Page +
<br />2-The United States or any of its agencies or in€trumentalities.
<br />3-A state" the District of Colurnbie, a [J,.S.. eornmonbvealt]h or terxltory;
<br />or any of theic political subdivislons or insttumentalities.
<br />4-A foreign govemment or any of it$ pofrtrcal subdivisions., agencies,
<br />or insaumentalittes-
<br />5-A corporation"
<br />6-4 dealer in securities or comrnodities requrred to register in the
<br />United States. the Distnct of Cofumbia or a l-I.S. commonweaith or
<br />tenitory.
<br />7-A ftrlures commission merchant registersd viith tlhe Corfimodlty
<br />Futures Trading Commtssion.
<br />8-A real estate investtnent trUst"
<br />g-,An entity registered at all times during the fax year under the
<br />lnvestment ComPanY Act of 19.10.
<br />10-A common kusi i'und operated by a bank under seclioft 584(aI..
<br />1 1 -A financial insfitution as defined under s€cttoo 581 "
<br />l2 -A middleman knor,,rn rn the rnvesttnent communrtY as a nominee or
<br />custodian.
<br />.13-A trust exempl from tax under section 664 gr deseribed in section
<br />4947.
<br />The follorving chart sho,,"'s types of Faymen:s $at mav be exempt
<br />irom backup withholding- The chart app{ies lo the e^empt payees listed
<br />above, l through 13.
<br />lF tlre paynrent is for THEN the paynrent is exetrrpt
<br />for.. . .
<br />. lnteresl and dividend payments Ail exenrpt payees except
<br />fo'r 7,
<br />transactions Exernpt oa.vees 1 through 4 and 6
<br />throtrgh 1 1 and alt C corporations,
<br />S corporations must noi eRter a-fl
<br />exernpt pa.y€e code because they
<br />are exempt only i'or sales. of
<br />noncovered securities acquired
<br />F - A dealer in seotrri,ti:es,. contrmroditjes, or derruatve frnanaial
<br />in$fiurne$ts {inctudingl notonra} prinrcilp.ali con&acts,. futures' fon'rards',.
<br />andi op,h:ons) that is regiitered as surch undbr the far'rs qf ihe [-]ni:ted
<br />States or anl state.
<br />G-A real estate in.ress'nent trust"
<br />lrl - A regulated inv'estfilent olrnpany as dbfinedl in setlion E5'i or arl
<br />entrry registered at all tjm€s diirinE lJlre iax year unden tfie llnveshnent
<br />Cornparny Aet of 1940.
<br />[- A" conrnron trust ftlnd as Ceftned, rnr section lAalg.i.
<br />J-,4bank as deiined in s€ction i81 .
<br />K-,4 hroker:
<br />ll.-F, trust exernp,t ftom tax under sectlon 664 or descnbed in s€ction
<br />{s417(a}(1Li.
<br />futr- A tan-exernpt trust under a s,rc[ion 4O3(b] pfan or section 4549]
<br />plarn.
<br />Note: Ybu ntay wsh to consult yidith tllre fiiranciaf insti{ution requesttnq
<br />this form to detennine I'rhether the FAT CA cod.e andlor exempt payee
<br />code strould be cornplet*d.
<br />Line 5
<br />Enter your address (number. sireel and apartment or suite number).
<br />This is v:here the requester of thrs Forrn \t-9 vrilf rrarl 'lour infomtation
<br />r€turns lf this addres-s differs front the one tf'!e requester already has on
<br />iile., enter "FJEl4l'' at the top. tf a new addness is provided. there is still a
<br />chance the otd address rvill be used until the payor changes your
<br />address in their records.
<br />Line 6
<br />Fnter vour city, state, and ZIP cede.
<br />Part l. Taxpayer ldentificaticn Nu!'nber tTlN)
<br />Etlter your TIN irr the approp:riate box- lf vortt are a resrdeni alien and
<br />you do not have. and are nct eltgible to giat, an SSf'X. your TlIn is your
<br />iRS mf+. Enter it in the entrY space fbr the Socral seeuriq' number. lf you
<br />do not ha,:e an lTINi. see Hor'( to get a I/AJ befot;.
<br />lf yrru are a sol€ propfletor ane!'yrlu have anr [lll. ';ou rnav snter elther
<br />your: SSM or ElN.
<br />ti you are a srogle-ntenrber LLC that is drsregtardad as arn entrity
<br />seojrate {ronr (s crurner, entel the cu;ner,s S-XI'J tor [ll*]. if the olvner has
<br />one). lt the LLC is classifted as a corpcrratiorr or partnership snter the
<br />entity's EllN.
<br />i\to.te:: See What f'lame and ltumb$ To Give lhe E'equester. tater' for
<br />iurther cl'a,rificalion of name and Tllli combina(a'ons.
<br />Ito.w'to get a T[N. lt you do nol liarvE a TtlfJ,, arpply ioe one rnrrnedi'ately
<br />To apply:for an SShl, get Form SS-5, Appli:ca'tion fu..r a Socrai Secunty
<br />Card. irorn your locai SSA oifrce or geli lihis iorm,crnftne at
<br />r+*rz. 5SA- gov. YoLr may alsc ,3et this *orm by oalling 3OO-27? - 1213. Use
<br />Form W!?, Ap:pllicatrorr torr IRS lnrdlvidual Taxpayer ldantrficarion
<br />l\lunnb€r, to apply fori anr fTlFl, or Fbnn SS.'+.. Appiicairon for Emplovert
<br />1dtenb'ficatiofl lllumber. io ap.p{y ior arn Elil,. You can appliy fbr an El[J
<br />or,rline b:yr accessing the IRS r.vebsite at r,rvrr:;:r'e EoslFJfl. Go to'
<br />,,y,tr:t.im,.ga'tlFornrs to, viev:r, dor.,rnloadl,. On pnint Form W-7 and/or Form
<br />have,Forrn W-? andlor Fcrrrmr SS-.! mailed to yourvwihrn: .!5 business
<br />days.
<br />lf yoru ane asked to oonrnpllete Forrm \rV-9'blut do' nr-t lha';e a Tll'1. apply
<br />for a Tlli'l arnd enter ",Apptiedl For'* inr the space ior tlire Titrl" siqn' and date
<br />the fon-n. and give it to the !'erXugste-i. Fot iinterest and drvidenrl
<br />p'ayments. andi certaiin payments made,';'rithl rasFajt to r--adiliy tradable
<br />instrurlnen,ls,. you wil1 generally have'60r da,!s to get a Tlf'li and give it to
<br />the reauester befora you are sublect to baii"up ','rthl-oldrnq on
<br />payrnents.. Th+ 6O day rul+ does n')t applv to orher ilpes !'i paynents.
<br />You will be sub-1ect to backup wiitllh{rldirhq oln ail sruoh pavmenis until
<br />you provrdle your TIN to tha requastsff..
<br />Note,:: Entenr-rg .Applired Fon" means tha{ you: hav* ailiead,y apphedl for,a
<br />TIFJ or trhat yr-m intand tte appliy f Jr ons sootr,. Si* rlso, Esttabllsh19e tl 5
<br />gtatus fot putposes ol clTalrei -r tnd chapter -1 \1'tthholdmg- '*arli*r, for
<br />v;l'i:n ycru nnay instead be subiect trr lr'thhrrld-rng Lrnrder chapter 3 tlr :1 ot
<br />the,Codb.
<br />Caution:: ,A drsregarded tJ.S- enii$/ tlhaf has a froreig:tl 'i",rner mrusl use
<br />tlie appropnate Fonro P'J-8.
<br />le 2Q'12.
<br />. Barter exchange transactions Exempt payees-l throu-h 4
<br />and dividends
<br />. Payments over 5600 required to Generally. exernpt patrees
<br />be reported afld direct sal*s over 1 through 5.:
<br />s5,000'
<br />" Paynilents made in settlem+n! of
<br />payilent card r:r third-party
<br />Exempt paiees 1 through -{.
<br />netr,/ork transactions
<br />i See Form 10s9-MlSC, lvlisc*llaneous lnformation, and its. instruct.ions
<br />'l Flovrevar, the follolvrng payne*ts rnad* lo a corporation and
<br />r,eportable orr Fornr 1099-MISC ar,e net er'(empt kqm bacliup
<br />r:rithholding: medical and heallih care payments,. a?lomays' fe+s. gross
<br />proceeds pad to an attorney r*portabfe tlndier seclron 6O45i0, and
<br />payments for services pard b1. g federa! e;+ecutive agency:
<br />Exemption frorn FATCA reportinql code.. The foilo'"ving codes identify
<br />payees that are sxempt from reporliingl under FATCA. Thes* codes
<br />apply to persons submitting this iornr ior accounts rnajfilained outsida
<br />of ihe t-.tnited Slates by cerfain {creigo ftnrancial inst;tutior}s'. Therefqrs. rt
<br />you are only submittrng this fom:r fcr aJn account yorit lholldiin, the Untledi
<br />States, you may lea're this lleld blatrli. Cr:nsu{tvnritfi the person
<br />requeshng this form ii you are uncertain if ihe fioanofali instfutiorl rs
<br />sub,ect to these requirement$. ..4. requester rna'f indicate th€t a code is
<br />not required by providing yot-r rvi?h a Forrnrill-9'rvith "litroi Applicabfe" (or
<br />arry similar indicatron| entered orl ?fte line for a F.ATOA aternrption, corJe.
<br />A- An organizauon exempt fronr l.ax: under seationr 501{a) or an'r
<br />indivrdual retirement plan as defined in secbon ii-01(4}(37}.
<br />ts -The Urrited Staies or any ,:f rts agencies or lnslnirnentalities.
<br />C-A state, lhe District of Cofurnbia. a [-i.S. coniiffLo{'rs]ealthLor
<br />terntory. rrr any of iheir political sutrdivtsions or fnstruftrerltailtiss.
<br />D-A corporation the stock of tthich is regularfy tradedl on one or
<br />more establrshed securiti*s rnarftets. as described in Fiegulations
<br />section 1. 1 J72-1 (clil}iii.
<br />E-A corp,:ratioa thal is a nlernb€r',:f th* same expanded a'f{iliated
<br />group as a corporatron descnhed rn Regulations seatron 1'.1472''1fcl(1i{i}.
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 21 of 23
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