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<br />ATTACHMENT "G"
<br />Request for TaxPaYer
<br />ldentification Number and Certification
<br />Go to u/ww.I?s.gav/FormWg lor instructions and the latest intormation.
<br />Give form to the
<br />requester, Do not
<br />send to the lRS.lHe,r f"lirrcr ?C241
<br />Dtlparx:Llr,i oi lhc iatiliury
<br />lrt4rnal Ra'cnuc ScDica
<br />Batore For uid.tnce r(-.laiecJ to iliil oi Forn: lV-9, s..e P.xpose of Fotftl, D.r,o'il.
<br />1 |Jame ol enttt/i.divicual Ar erltr/ i5 'cqrl:red iior r scle propr'eior or
<br />--ni:lt s aa:te cn ',ne 2 )
<br />2 Susircss f'arncJ'c,sin-carcdc cat:tv.t{x4. I Jrficlallt :rcm abo'/c.
<br />Cisregirded -rn!lb/,entcr ih: c!fi4r't .affe qn jirr '1, ind ellter lle blsinessjCislegarC.d
<br />aoqa
<br />ao
<br />.aocoorE
<br />of
<br />--4
<br />(Lq
<br />a-tt
<br />po.r
<br />4 txcmp:lors iccdffi aPp!'Y ci;Y tD
<br />.ert3in intiiil's, nD: :ad;'iidllnlsi
<br />tee irilr\r{ilinrs on pitle 3):
<br />Excnr: eeyr-.e cooe (il aryJ
<br />!x..rrirlior1 fro'Jr i(1r{}igf: Ao.oinlt Tax
<br />C}nFl;ance rtr.i IFATCA} rsporti':!l
<br />cocq iil dlfi
<br />i,itplies ld ,icccriils frantaecc
<br />cltsida ite Llc;ic, Siofe,c.l
<br />lltqresler'5 Irarle:lad adcr-'55 {op'r,nl i
<br />7 , sl 1ii!i;n!':i,[,beri:ii iere bF:lr(]f:ati
<br />Erta|iour.ilN irtrl-e;rppropriate box. ihe Tll.l provid+d :r')ust Fl.-rtth the lrare qt';r-'1i qr1 llns I to avcid
<br />backL;p wrlhholcing. For ,ndividual:;. :hrs :s gerarally yo!rr rocial secr:rity rt:rblr iSSNii l.lortr:vr:r, fcr a
<br />ff:siLjcnt ;rlien, Solc prn;rrie:or, or rJisregi:rdcd enltty. stxr tl'c ir:ii,Jctiolis trr Par: I, r;lter. Fof o:ner
<br />enlrlies. :t isi yoar srnplover idertiticatiolr irurroer lElfll. li voJ co llct l:.1'/E a'lLrrI-ber. see Hcw lo get a
<br />i/il. later.
<br />Note: :l tne acacunt rs lr'l ;Tlorr ti'lan ote ilarre. see thc Inslrr ict:ctis fcr liro L Sci alsc \*het Natn* anC
<br />i'furnber To Que ttc RecitJe:;Ir:r fcr glidei;:rc:; on dnose iutnbef lo eFi*l-'
<br />or
<br />on
<br />Under p€4alties of peri:|ry, I certif,/ thal:
<br />1 ll.0 nlmber snou/n on this foil- ts ry f,orroci:axpayt. clcnlilltaltiotr nlmbe " ior I ?m uarilnq iot e ntjrrbr:r to Dc issr.rcd to nle]; and
<br />ro onge!' s.rDiect ta bac{up'.vilh/lolding; aP{l
<br />3. I aln a iJ S. cillzcn or othcr U S. lerson ldcfined Deiow) ;id
<br />4. The tAiCA r;ccj{t{3i {}nirred on:hrs lori1l iif ar:y1 irdicatirg ttraa I iltr rjxcrnPl lrotn :ATCA reporting s i]orr':'it.
<br />Certification instruclions- You muSt rrosli oLt lern I rii;o'io if yoit have tjeeri rrotiligd by tna lRs iiial .you are surrently iiulljdt lo trackup withhuk:rt'9
<br />because ycu ral'e :a;lEd tc :eport r1ll irteresi alld Jivider]cs cl. loLr I,ax return. For rea! esiate lrar:SaciiD|9, itent Z Joes rlot app;y. For mortgage :r:eresl Dai3,
<br />accr-risition or abandorr:ent gf setdlgd Frooer]y'. aailce:lation ol debt contfibl-rtiors :o :r:r iltciviclual r'etirerert ff'a:lge{leri {lRA;. .rrd, qenerdly, F}aymells
<br />oniv on6 oi llr€ follow:1,c so!oi bcxli
<br />n 'ndiyrduirir'soic prcsrictDr ! C corpora:ior, [ $:orporatioe f] Partccrshic ! Trust+stiltc
<br />I LLC.:rr&:.th(-]l.ltcla:gilirl;lirorriC =Ci:cllto'ation,S 'SiisrForitiDrt,P.P;It:reililiillj
<br />Nqte; Cheak lt'e 'La.C" 5gx a?o'/e lrtl- rr th? tn{r'v:ipdcg, erller lhe 3:lproilfiale qqile (C, 5, or Pi i"r:i1€ 'ar
<br />:tlassitication "i thlr l-:- C, u:rless it i:t a rJis.rt.J,jnjdl-oftlily. A i];sr.ril'rdr]J slltil.r' iirorid i.':ilaac erl:ck lbo .lr4:rdtti.tid
<br />rax icr:he iay .lssification oi iie e:vriet
<br />I Otlot, i]io{r iilttru.jt or:,il
<br />3a Clieck ihe rFFroflrLlle r()x 'or ielieril :ai i::/r5'ti():Jt,orl of !tte -",1iily/iilrlirrittal !vho$e rlaitle i$ xrlle!-'{:! ilfl 11ile I Che(;k
<br />3b :i cn line 3a lcu gntc:iaC " PanrJersh;p ' 3r '' l-rustr'es:3te, ' tr c j^ecia'l 'LLC ' af,d cit 'eC
<br />'11- as ls iax clessiicatioF '
<br />uaj TqLj are ptDvidiig :!-rs lotn to i pa/iilerihip. irusi' ot esl.tte n siitin vol: fale n'r Q{r'r5'lo 'nte'e3i' check
<br />tili5ro{ilyot.haveal:yforeit'l['arh*-ri'oo;rgrs o':)erFlici{r]eri .-<"e tl:ili:(lilills !
<br />5 A.ld,ess (ni,lrper. streei. ard .rpi. or juile no.) See iiltvr(:iiirns
<br />6 C;'.1, rtaie. Jic ZrF :od.l
<br />tification NumberTa
<br />security number
<br />Pat I
<br />€mployer idcntilication oumbet
<br />otfrr tirar intetttjt atrd di"'idcnds,aro rot'lcL,ired io [i!ln tae cL-rtificni:oa, iut T1,st prQvidrl corrccr TIN Sao il-o i.:itftlctions for Part ll, .alcr
<br />Sign
<br />Here
<br />Signaturu ot
<br />U-S. peIsorl Date
<br />General lnstructions
<br />Sectiorr relererces are lo lne lluerllal lle'iel iiie Oode L'll€ss orher,lise
<br />;9lcd.
<br />Fstu.e dev6lspme nte. For thc :ales: iIio'ma:'on nbcr,l dcvrlcPmertg
<br />rel3lal:o =o(r W-9 illrii it:; illstruc:io'l3,suel;l as legi:llaliul er;l(lt3d
<br />i1'':er l."rey t rele p L' b i is1ed, ;o to sv!i'lv. i's. 9o v
<br />"
<br />l' c r n.ry 9'
<br />What's New
<br />L:le 3a aas been mtc:liecJ to rrlar iy ho\',/ :l aj:srsaiafded e,ltii'/ colnpletes
<br />lh's lrr3. An L-|.-C tra: i5 a c sragarded .lntiiy shotrld crcck tre
<br />approu.ialc Dox ior 1l'il lilx';lassificillicr ol is cvricr. Ciht*i!i.' it
<br />sirollC cl.eck 1l e 'L:C" box arl(; er:e' ts itpPrtpr:)1" lax clitssiiie ir:io't
<br />N6r,{;inL.3b luts been ttdciccl to i'l's lorn' A flot-ihlough lrr:ity is
<br />rcqoite{.j tc co!:-lpiste this lir:e to irld:ca:e ihat:t l-:s Jlrect or irldirect
<br />loreiqr partners' ctilre.s. or Derreliciaries vhen i: pfovides the l:ornr w-9
<br />ta arrotire|ilow tnroLqF rntit./ r,l wnicn t h€:3 an Dlvncrship ltrtercst. I hts
<br />cnflnqe i:; 'rteFcled to pro'ridc:: llolv through ?ni ly ilitn 'rfcflnation
<br />r2\eK:i)g ll:c sta:us ci t:; it:r-Jirr:ct fo'!)igrl olril'ilrs o"i:fors"Jt
<br />rgr:eliga:;gs. so :l.ral it cart sa:ialY ar:y applitable reportirlg
<br />reqrirer:ents. Fot exemplg- a padnefsrip ihat nas ar:y illdjrec:'l:eiqtr
<br />?artrlors nay lle tcqtrrrc.i .'a ,iomplgic Scl?dilles K.il ?rd K'3 Stl ire
<br />2rr?nership hrsln;tll;orls fcr Schsclulq:s K 2 ;rrc K il lFo'm 1 il6ir)'
<br />Purpose of Forrn
<br />i\fl irrdivitluel o'cnliiy (Fr:rt:' 'v''J-:l rsr;rlesli:r) vlt:o :; rl:quiri:ij':o [ilt] !rl
<br />rtlor:lalion rshril pr tir tne IRS is .JiYir",J'/ot. lhis lorli Lecal,se lney
<br />Cat lr)
<br />'!::2.1
<br />:X
<br />Kittitas County Agreement for Services (rev ' 5/La/251
<br />Page L7 of 22
<br />Fcrrr W-9 riie-; l-l12-l)
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