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0.,,. llU'9
<br />ATTACHMENT,,G"
<br />Request for Taxpayer
<br />ldentification Number and Gertification
<br />Go to wvvw,irs,govlFormWg lor instruclions and the latest information.
<br />{He'/. [lErch 2024)
<br />DepsnrnBnt ol lh€ Trensury
<br />lntdrnal Rcvonuo SsF/ico
<br />Give form to the
<br />requester, Do not
<br />send to the lRS.
<br />Before you begin. For guidancc rolalod to thd purpose of Form !V-9, se6 ofForrn, belov/.
<br />eil't/ s F.rme on line 2.1
<br />2 BusinD6s rlamoi'disrcgarocd oFtily !1arnc, il dillcretrt from abovo.
<br />4 Excmptions (codo$ apply orlyto
<br />certain entilies, not individuals:
<br />see In,5tnrclions on page 3i:
<br />€xempt payBe code (if aFyl
<br />ExeDpllon frofi Fotign Account Tilx
<br />Complisncq Act li:ATCA) reporlirg
<br />coda lil en
<br />f,4ppftes lo occdvots maintaiFad
<br />rulsido lhe Unifsd Statss,)
<br />ReqrreslRr's rsme and address (optlensl
<br />7 I sl a{;rjounl rrrfiber{s} hAre {optionai}
<br />as6a
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<br />Eriler your TIN in tl'e airpropriaie box. The T!ltl provided must match the name given on line 1 to avoid
<br />Frackup lvithholciing. For individLral[, ihis is gensrally your social socurity numb6r {SSN}. llowe':or, for a
<br />resideni allen. $ole proprietor, or di$regarded entity, :!ee lho instructiorrs For Ptrt l, later. For othet
<br />entities, it is your ernployer identification nunrber (ElN). lf you do not have a nurntler, see Horv lo get a
<br />7/li{, later,
<br />Note: lf the account is in morc than onc name, see the ir'rstRrctions for lirre 1, Seo also What Name and
<br />Nilmher To Qive thc Requesler for quidelines on whoge number to enier.
<br />General lnstructions
<br />Section references are to the lntemal Bevenue Code u|rless othem,ise
<br />noted.
<br />Future d6v6loprnonts. For the lalost information aboul development$
<br />reiated to Foilx W-9 and its ir--strrc:ions. such as legislation enacted
<br />after thdy rvere published, go to murl.rrs.goviFomwg,
<br />What's New
<br />Ljns 3a has been rnodified to clarfy horr a disregarded entity cornpletes
<br />this line. An l-LC that is a cjrsregarded entig should check the
<br />appropriate bov for the tax classification of ils o\ryner, OthsrvJisd, it
<br />should check tir€ "LLC" box ar:d errter its apDropriate lax clsBsification.
<br />or
<br />Under peflalties of perjury, I cedif'/ that:
<br />1 . Ths number shown on this forn is my correct iaxpaye. idenlification number (or I am waiting for a number to be issued to mB); and
<br />2. I rln nol subject to backup withholding becaus{: {a) I am exempt from backug !vlthholding, or (b} I havs nol been ndtlFidd by the lnlernal Revenue
<br />Service (lRSi thai I Btn subiect to backup yJithholding a$ a result of a lailure to report all interest or dividerlds, or (c) the IRS has noliiied rne that I arn
<br />rro longer subiect lo backup r'{iihholding: and
<br />3. I am a U.S. cilizcn or other U.S. person {defined bolow}i and
<br />4. The FATCA code(s) *nt€red on this for{ {if anyi indicating that I arn exempt from FATCA reporling is corrBct.
<br />Certatieation ihstructions. You must cros,s 6ut item 2 aboue if you ha'/e been notitied by the IFS ihai you ar€ currently subject to bdcktJp withholdiltg
<br />because you have iaried to repon all interest and dividends on your tax return. For real estate transactions, itern 2 does not apply. For rnortgage interest paic,
<br />acouisition or abandonment of secrred propefi. cancellation of debt, contributions io an individua, ,etirernent anangement (lFA), and, generally. Ilaymenls
<br />othor than inlere$t and dividqrnds, you are not required io sign the cartitieation, htrt musl corrocl TlN. Seo the lnstructions for Part ll, later.
<br />Sign S;gnaturo of
<br />U.S, porsonHere Dato
<br />Ne\'/ line 3b ha$ be6n added to this tonn. A flourthrough enlity is
<br />required to cornp'ete this line to indicate that it ha$ direct or indirect
<br />foreign partners, orvners, or beneficiaries when ii provides the Fonn W-9
<br />to another llow-through r.ntity in which it has an ownership interesl, Ihis
<br />change is intended to provide a flo',v-through enlily !yith information
<br />regarding lhe status of its indirect foreign partners, owneni, or
<br />baneficiaries, so that it can satisty any applicable reporting
<br />requirements. For exarrple, a partnership that has any itrdireci loreign
<br />oartners may be requiroct to complete Sch€dules K-2 and K-3. Sea the
<br />Parlnorship lhstructions for Schedules K-2 and K-3 {Forrn 1065).
<br />Purpose of Form
<br />An individusl or entity (Fonn W-9 requester) who is requirad io nle an
<br />informatiorr rel.ilm with the IRS is qiving you this fortn because they
<br />3s Check ihe aDp/opri{le oox 'or fcd€isl 16r classificallon of lhe entilylindivirttal i,rho# ilalne is enleisl on liia 1- Che{k
<br />only ono of ths loilowerc sovo. box€s-
<br />E IndiriduaL/sotc prooriclor f] c corporaion f] S corporalion ! Partnomhig n Trust/cstato
<br />n LLC. ihl# the l6Y cla$eiflcalion {O = C.:orfAlation, S = S rrrporatk)n, P = Pa/tnA.ship)
<br />Note; Chs;k tire "l-lc" box ahdvF aad, irl lhe enlry space, efller the €Dprapriate code ((), $, o, P; lor the iu-
<br />ciassifir:alion oi ths Lt-C, u.)los$ it is a r.lisrega/deI nntlty. A rjisrsgardod entily should inslcad chsk lbt tofrroprlate
<br />bcx fcr ihe tax classification of its o$/rrer.
<br />E othe, lsee ilrstructiofsi
<br />3b ll on line 3a you 6h€cke'C "Partnership" or "lrusvestate,' or cl"€cked "LLC" and sat€r€d "P'as its tax cinssif;cation,
<br />and yos are providiog ll"i3 fo.T ta a pa.lnerghip, trus,, or Fslate rn which you har.e an ovJrership interesi, cheEk
<br />this box il ye{ have any loreign parlneF, qvrners, or b€neficiadgs. See insltucllong
<br />5 A{i.J.e5s lnlmt)er, ilreet, and apt, qr $!ite na-), See instrucilons.
<br />6 Cit*. itate..rcd ZiP code
<br />ldentification mberPart I
<br />Part ll
<br />Cat. No. 102:J1X
<br />Kittitas County Agreement for Services (rev.5/Ial25)
<br />PageLl of22
<br />Form W-9 inev.3-2024i
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