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,o,,n llU'9
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<br />ATTACHMENT "E"
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />Go to www.irs. gov I Formwg lor inatructions and ltre latest inlormation.
<br />Givs form to the
<br />requester. Do not
<br />send to the lRS.
<br />Belore you b€gln. For rdlal€d to the ot Fonn W-9, $eo of Fom, bolow
<br />t Nffie of entity/iodividual. An entry ls ,equired, {For a sole proprietor or disregarded stity, entcr the owns's ramc on llne 1, and entel lh€ businesvdlsrcgarded
<br />enlity's nafi€ on line 2.)
<br />2 Eusinoss nmo/disr€gardod ontily namo, if ditlorent tom f,bovo.
<br />4 Exomptions {cados apply only ts
<br />certain eniilltr, not indivlduals:
<br />see icstructioro on page 3!:
<br />€xBmpl payee code {il anyJ
<br />€x€firplloll Irorn For6ign Aeeornt Tax
<br />Compllance Act {FATCA} roporlirg
<br />coda {if ary)
<br />{Appliw lo accwnts nahtainad
<br />rytsids lire Unit8d states.,
<br />Fleq$esier's name {rd acidress loptloneq
<br />7 I ,st accounl numlrerls) here ioptioraf
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<br />Errtar your TIN in the appropriate box. The TIN provided must match the name given or Iirre 1 to avoid
<br />backup withholding. For individuals, this is gencrally your social securily numbor {SSN}, Howevor, for a
<br />rosidont alion, sole proprielor, or dl$.69ardgd ontity, gee thd instructions for Part l, lalor. For other
<br />entities, it is your employer identilication nurnirer (ElN), lf you do not have a rlulnber. see How la get a
<br />lN, later.
<br />Note: ff tho account is in more than ons name. see thc instructions for lino '1, Sea also Whal Name and
<br />Number Ta Give th6 Bequqstar lor guidelinos on whose numbor t., enter.
<br />ot
<br />Certilication
<br />Under penaliies of perjury, I certify that:
<br />'1 . The number showrr on this form is my correct taxpaya, identification number {or I am rvaiting for a number to be issued to me); and
<br />?. I arn not subjecl to backup lvilhholding because {a} I am exempt from backup lvilhholding, or (b) I have not lreon nolified by tho lnternal Revenue
<br />Sarvice llBSi that I am sublect to backup withholdhg as a.€sult of a failure to.eport all illtarest or dividends, or {c) the IRS has notllied me lhat I stn
<br />no longer s.lbiect to backup wilhholding; and
<br />3. lam a U"$. citizen or other U.S. person (deflned bolow); and
<br />4. Th6 FATCI\ code(s) entored on ihis forrn (if any) indicatlng that I arn exempt from FATCA reporring is correct.
<br />Cgnmcaiion lnslruc,liong. You fitust cross or,rt iteril ? above if you have been notitied by lha IRS that you nte currenlly sublecl to backup wilhholding
<br />becausc you have tailed lo report all irrterest and dividends on yoor tax return. For real estate transactions, item 2 does not apply. For mortgage interest pai{i,
<br />othar than intsrsst and ara ngt lo ths c€rtification, but must corract TlN. Sso the instruciions for Part ll 1ator.
<br />Sign
<br />Here
<br />Signalurc ot
<br />U.S- psrson
<br />General lnstructions
<br />Section relerences are to the lntemal Flevetrue Code unless otheruise
<br />noted.
<br />Futur€ dov€lopmonts. For lhe latest inforinalion aboul dBvtlopmenls
<br />related lo Form W-9 and its instructiorls, such as legislation enacteij
<br />afier they wete published, go lo www.irs.govlFoflnly''/9,
<br />What's New
<br />Lrne 3a has beeri rnodilied io clarify hor.v a disregarded enlity completes
<br />thrs Iine, An Ll-C that is a disregarded entity shoLrld check the
<br />appropdata box lor lhe lax classification of its ortnor. Olheruise, it
<br />sh(]uld check lhe "LLC" box and enter rts apptopriate lax classification.
<br />Dats
<br />New llne 3b hse b€on addod to this form. A llor,/-through ontity is
<br />required to complete this line to indicate that it has direct or indirect
<br />foreign partners, owllers, or beneficiaries whet\ il provides lhe Fonn W-9
<br />to another {low-through enlity in which it has an ownorship intetest. This
<br />change is intended to provide a flow-through entity !'iith informalion
<br />r6garding the stalus of ils indiroct foreign parlnors, ownor$, or
<br />beneficiari€s, so ihat it can satisfy any applicable rsporting
<br />requiraments. For example, a partne,ship that has atly itrdirect foreign
<br />parlnerc may be required to complete Schedules K-2 and K-3. See the
<br />Partnership lrstructions for Schedule* K'? irnd K-3 {Form 1065).
<br />Purpose of Form
<br />An lildividual or entlly {Form W-g requcster} vrho is rcquired to file an
<br />infonnation reluilr witlr the IRS is giving you this form bocause they
<br />3a Ch*k lhe appropriale box lor fsjcral lax classrlicatiod of ths aolilyrndividual vhos€ narne is edtersJ on hn6 1- Cheek
<br />onty ono of ths follo{ying sdvon box€s.
<br />n tndividuaVsolo progriotor I C corporation ! S corporatioo f] Partnorshig I Trustsstat!
<br />fl LLC. Fnte, thelaclassificalion {C - C corporalion, S - S trrpo,ation, P = Pa,lner*hip}
<br />Nole: Chtrk thg "LLC" irox above and, ln the erlry space, enter thd approprlato code (C, S, o. P) lo, the t i-
<br />clffislllcalion of ths LLC, url€Es ll is a disragardod sntlty. A di$r€gardsd sntily should ioslaad chnk tho aDpropriato
<br />box tor ths lax clcification ol it3 owner-
<br />n othtr{s€6 krstruciiors)
<br />3b It on lina 3a you chsckod "Parln€rship" or "l'n8ysslate," a. chock€d "LLC" end 6ntsrsd "P" as lts tax classitication,
<br />an$ you tre providing this form to a pflrinershrp, trust, or estate in which you iave 3n awlership int8r€g|, chaak
<br />lhis l)ox il you have any forelgn parlneB, owners, or b€reficiaries,see insltuctlons ,
<br />5 Address (numbe., slre6t, €nd apt. or $uile ilo,l, $ee instruetlons.
<br />6 Ciiy, stnt€, and ZIP cods
<br />ldentification Number
<br />Social numbgJ
<br />Part I
<br />Pari ll
<br />C.t, Na. I02:.iiX
<br />Kittitas County Agreement for Services (rev. 5/M/251
<br />Page L4 of 22
<br />For$ W-9 inev. 3 20241
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