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Fo,,n Ulfrg
<br />ATTACHMENT "G"
<br />Request for Taxpayet
<br />ldentification Number and Certification
<br />Go to ww|v.irs,govlFormlll9 tor lnstructions and the lateot information.
<br />(Hev, March 2024)
<br />Depart,no|t D{ the Treasury
<br />Int6ma! Flovonuo Ssryice
<br />Give form to the
<br />requester. Do not
<br />send to the lRS.
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<br />Ent6r your TIN in the appropiate box, The TIN provided rnust match the name given oll lirre 1 to avoid
<br />backup withholding. For individualE, thi$ is g6nerally your social eecurity number (SSN), Howavor, for a
<br />residenl alion. solo proprietor, or dlsregarded entity, see tho insttuctions for P€rt l, later. For othgr
<br />entities, it is your employer identification nurnber (ElN). lf you do noi have a nurnb€r, see How It get a
<br />T"liv, leier.
<br />Note: ff the acco(rrrt is in more than ons name, see the instructrons for line '1. See also What Name and
<br />Numbar Ta Give the Requoster for guidelines on whose number to enler.
<br />Fot islatod to th6 o{ Form W-9, sg6 Pu4poso of Foffi , balow.
<br />I Name ol entity/lndlvidud. An ontn/ is required. {For a sots proprietor o. disregarded entity, enler the owner's rame on liB 1, and €nler 1he business/dlsregarded
<br />entaty's nam6 on line 2.)
<br />2 Eusinoss nmoldisrogardod ontily narro, it diflcront trorn abovo.
<br />4 Exomptions {codos apply qrly io
<br />certain €nliti6, not individuals;
<br />str lnstruclions on page 3):
<br />Exemot pays cod€ (it sny)
<br />Ex€tr)ptlon from For6lgn Account Tax
<br />Compliancs Act {FATCA} r€portirg
<br />cod6 (il ily)
<br />(Applios lo accoufits naintained
<br />outsida the United slai8s.J
<br />Reqlre$ter's nafire and flddress (optlonff,)
<br />7 Lst iEcount .luil)ber{$) h6re (optronaD
<br />or
<br />Under penalties of perjury, I certily that:
<br />1. The nUmber shown on thrs form is my correct laxpayer identification number (or I am urailing for a number to be issued to me); and
<br />2. I am not subject to backup lvithholding becau$e (a) I am excmpt frorn baekup !vithholding, or tb) I hav€ not been ndtlfied by the lntemal Re;venue
<br />Service (lRS) thal I atn sub.iect lo backup v,/ilhholding as a result ol a failure to report a,l anterest or dividends, or (c) the IRS has notitled .ne that I arn
<br />no longer silbiect to backup wilhholding; and
<br />3. I am a U.S. cilizen or other U,S. person {dolined belorv}; and
<br />4. The FATCA code(s) entered on thi$ form 0f any) indicafing lhat I arn exernpt from FATCA reporling is corocl.
<br />Celtlticdtaon ln$lruclions. Yorr mirsl crois out itern 2 above if you have been notified by ihe IRS that you are currenlly subjeet to backup wilhholdjllg
<br />because you have failed to r€pod all interest and dividends on your tax rsturn. For real estate lransactions, atem 2 does nol apply. For mortgage interest paid,
<br />acqUisition or abandonment of se{ured propgrty, cancellation of debt, contribr(ions 10 an individual retiremeni arangeryrent {lRA), and, generally, paymsnts
<br />other than intarest and dividends,aro n01 the cartiflcation, but you must providg corrscl TlN. Soe the instructions fot Part ll, latsr
<br />Sign Signatun of
<br />Here U,S, porson Dalo
<br />General lnstructions
<br />Section relerences are to the lntemal Revenr:e Code unless othenvise
<br />noted.
<br />Fulur€ d6v6lopm6nts. For the ltrtest infodflalion about develorimenls
<br />related lo Forrn W-9 arrd its irlsiructions, strch as legislation edacted
<br />atter tlrey were published, golo www.irsgovlFotmwg,
<br />What's New
<br />Line 3a has been modilied to clariiy how a disregarded entity completes
<br />this line. An LLC that is a disregarded errlity should check the
<br />afipropriate irox lor the tax clas$,ification of !t$ ownor. Othorwiso, it
<br />should check lh€ "LLC" box and enter its appropriate tax classification.
<br />Navr llno 3i: has been addod to this form. A tlow-lhrough Bntity is
<br />required to complete this lkre to indicate that it has direct or indirect
<br />foreign partners, owners, or beneficiaries vrhen il provides lhe Form W-9
<br />to another flow{hrough entity in which it has an ownership interest. This
<br />changc is intended to provide a tlow-through €nlity with informatton
<br />regardifig tho slalus of ite indirect {oreign parlners, oYrners, or
<br />beneliciaries, so lhat it can satisty any applicable reporting
<br />requiremenis. For example. a partnership that has any indirect {oreigtr
<br />partners may be required to complete Schedules K-2 arrd K-3. Soe thc
<br />Parlnership lnetructions for Schedule$ K-2 and K-3 (Form 1065).
<br />Purpose of Form
<br />An indivldual or entity (Fortlr W-9 reqrester) who is rdquired to lile an
<br />in[oilnation retunr witlr thB IRS is giving you this lorm because they
<br />3a Cheek the Eppropriatg box {or ledernl lax.:labiilicaliod ol lh€ slity/indr!idual whose nafts i5 er}letfrJ on lane 1. Chdck
<br />only ono of ths Foilowiilg ssv6n box€s.
<br />I lndividuaysolo proqriotor f] C corporarion ! 5 cotporation I Partncreirio I Trus'estato
<br />n LLC. Entntlhetax classificalion {C = Ccorporaiion, S = Scorporatlon, P = Pannership)
<br />Not6; Chtrk th€ "LLC" box abovs and, ln lh€ entry space, enter lhe appropriate code (C, S, u P) lor the tu-
<br />claGslticatloil ot the LLC, unloss lt is a disogsrdod ontlty. A disrogardsrJ 6rtity should inslead chsk lhe arrProprlalo
<br />box tor tho tu classiticalDn oi its own€r.
<br />E Othor {esa ioslructiorls)
<br />3b lf on linB 3a you ch6€k€d "Parinership" or "Trusvsstate," or chsck8d "LLC" and qnterod "F" as its tax classitication,
<br />sd you are p.oviding lhis lo.fl to a parlnership, trust, o. eslatg in whjch you have an ovrnership interest, chtrk
<br />lhls bor il you have any loreign parlneB, ovrners, or benaficiaris. See
<br />'nslructlotrs
<br />$ Arldress (nvnbe', strFel, and epl. or suile no.), Se€ lnstructlons,
<br />6 City, state. and ZIP code
<br />Part I
<br />Part ll
<br />Cat. Nq. 102:J!X
<br />Kittitas County Agreement for Services (rev.5/14/25)
<br />PageLT of22
<br />Form W-9 {Fcv,3-2024i
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