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<br />(Rsv, March 2021)
<br />Dspanmrt oilheTmeury
<br />lnt€nd Rdenu4
<br />Betore
<br />'l Nme ol entity/lodividurl. A^ entry is .€quitdd.
<br />stit/'e nme on hre 2)
<br />bease you have taleJ to rsport dl inM ad
<br />acqlbitftrr or abaddilnontof s6t!d plop€tty,
<br />othetian lnbtFt a'd do
<br />Slgn
<br />Here
<br />"*'Tro?S"53"S'd aYri6-C#l'ffid' "**
<br />Glva torm to lh€
<br />requccter, Do not
<br />scnd to llp IRS'
<br />4 Eremptonr (cods aPPt mfy to
<br />mrlain erthl€3, not individ$b:
<br />s* irulrucliors on psge 3):
<br />Epmpt p8y6 epde (il nrry)
<br />gxempllm from Fd+ig^ Acflnl Tax
<br />Complim* Aci {FATCA) rsPsting
<br />6od€ (rt eyl
<br />WpI6 to ecynb reinhitEd
<br />wA/d6 |ta Unit€d StrtsiJ
<br />For mortgFgB idor*t paid,
<br />and, gsn€rdv, payrngtnt
<br />ATTACHMENT,,E"
<br />Request for TaxPaYer
<br />ldentification N umber and Certiflcation
<br />& b ufin .i&gwlFormltlll tor insUuetions and thr lrtest infofitr.tbtl.
<br />relel€d to lhe of Form W-9, s6e of Fom, be/.ovt.
<br />a sl€ propneior or dis.e$rded 6tity, enter the owne,'s nare on lirc 1. snd enle/ lhe buinesvdi$eqatded
<br />G6fro
<br />=o
<br />OEo.obt
<br />ol:6
<br />Gg
<br />8av,
<br />ooo RequsEte/s nme and Eddms (oPllon60
<br />ecdnl numb64s) h@ (oplisat
<br />Entr yourTFl in the app|oprhte borc The TIN povided nnrst malch the nam€ givsn on lino 1 to anoid
<br />bekup wifl,thokthg" For hdMduals, thb h gpnerdly ycf srcial seo,rrity ntrmbe r (SSN)' However' tr a
<br />E3ldani all6n. sol6 p{opr|rtor. or dhr€gardgd ofiliv, r€e lho irctnFllons br Parl I, l8taf. For otfi€r
<br />erltilias, it b yilr d?rploy€rid€fitifcation nurfiM(ElN). f you do not hai,re e numtu.s€€llow ao gate
<br />TlN,ldf'.
<br />Irlotu lf theecount b in more than otle name, s€olt€itlstuclions lor tlne'1, Soe dwWhat l'l,'f.p ud
<br />NunbarTo Givothe B6glrgstlrforguld€lkpa on whoeo numbel to enter.
<br />unde( penanies of psiury, I cettify fEE
<br />L Thc number shown on tllis fonn b trty conFct taxpayo? idenffietjon number (or I am walting for a nur6s to b€ iEsusd b mol; atnd
<br />2. I am mt slrbi€ct to bad<up wlthhddlrg b€caG€ (a) I an exempt
<br />S€r!/ice (lRSl t at I em subtsct b bactup wilhhold:q as a l€sult
<br />no b(Epr tubr'ect b backuP withholding; ad
<br />3. I am a U.S. citizen or other U.S. F.son (deftt€d b€lowli attd
<br />4. TIE FATCA code{s} **€red on lhb form (f ail, indlcatng lhd I am Ex€mpt trom FATCA rapodng b cdroct.
<br />Cerlincdon ffiuctbtE You tfllet cto3s oli it€rn 2 8bo\,ts lf you ha,le b€en nolitled bY lhe IRS lhdyou at€ crrrgltly
<br />barsacriqs, hm2dcas
<br />suqed to backup udhholding
<br />or
<br />from backup wllhholdlng, or {b} I hava not bdn nodfiect by fte lnt3mal Fgvenue
<br />ol a failure to r€pst all interesi or divicbnds, or (o) ihe IRS has notitied rne that I am
<br />Sbnitlri otU.gOm
<br />dvllmds on )osr tar retJm. Ffl real 6tatc
<br />cance[atbn ol cbbl, contrlbutloftg to el indlvidJal t8ttrqrErlt
<br />to but must
<br />nol
<br />Seo thB in88ucdsFfuh ll.latsr-
<br />Ort 10.30.2025
<br />r?q!€sfEr, wlE is tE$iFed b llb an
<br />qiYing llou tll3 fdm b€ca'.E€ tttsy
<br />General
<br />Sedion releencee a€ to th6 hgtnal RerreNre Code unlgss otheirrlse
<br />noted^
<br />Futr! de€bgmdlta Forthe kfss{ kthtmNlbn about det€lopmonts
<br />l€bl6d to Fonn W-9 end i!3 iBtuclbns. 3tlct 8e hd[shtion en*bd
<br />der rney 'j'ere publbhed, go to u ,vt4/. its.gavlfutntW9 ,
<br />What's New
<br />Uoe 3a has b6en modfod to chtify hwv a dstsgatdcd entity completes
<br />ttris kte, An LLc that b a disrwarded sndty sir.pld ch€ck the
<br />approprld6 bor for tha ts< ehssificdlm of iE osn6t- Cnheilise lt
<br />should check tlre 'LLC: box ard enter its apptoptist€ bx cbssification.
<br />Cet. No. 1@31X
<br />New lln6 3b has bsr # b thb fotm' A fbw-thougth *ttity ls
<br />requited to compld€ lfiis ln€ b ir€icate lhat it has direct or indit€ct
<br />foriign partners. ornefs, ot beneficiedes !fign h ptorrides the Formw€
<br />to anotherior,rr-lhough enlity in whictt it has an own66hip inte.st' This
<br />ohange b lnterdod to pwHaa fior-ttnorqh cnlity wih lnlornatbn
<br />r€gsntirE tho staflls of iB i6act ioolgn PdtEa3, ownds, or
<br />banaficiaries, so tfrat it car sabrry atry applicabb r€podirE
<br />rcguk€rn€nts. For e,€mfle, a partrership that h6 any inds€ct bleign
<br />pertn€[s msy b€ req.ritsd lo comPl€t€ Sched{ds€ lG2 ard K'3. See the
<br />Pnnnorship lnstr.&{iol}E br Soh€d,ll€s K-2 and Ka3 (Fom 1069.
<br />Purpose of Form
<br />tur lndivldud o. rnt'ty {Fsrn w-9
<br />infomatlon rBtrrrn wilfr trle IRS ls
<br />Kittitas County Agreement for Services (rev.5/L4l25l
<br />Page 1!l of 19
<br />5 Addcs {nhber. slr*t and apt. o. srite rc }. See lctrucilons.
<br />PO BOX 1039
<br />' '8,iff*Tr"iffirun saozz
<br />3b It on tine 3a you ciscksd "ParbtsBhip" or'TGt/stal€." or chmh€d "LL6" and €ntsad 'P'd its lil sts$iti6uon.
<br />md ys 8E providing this tom to a pelnffihip, tr€t. q 6tate ln whrch you have d owB$ip inl€rgsl, chsk
<br />thls bot il you have rny loElgn parlnars, owneG, d b€reliciaJis. S€e instructime .tr
<br />only onc ot llr lollowing svan boxm.
<br />n lndMdua!$l€propri*tor E Ccorpomion ffi scorporatron l. l eanmanio [j trusvsrata
<br />f] LLC- Entat tte ta classlflcs{ion (C = C corFoEtlo, S = S efporation, P ' Padne*hipi
<br />Note; 6imk the "L!C" box abovo ild, in th€ Htty 3pace, inler tha appropnal€ code {C. S. ry P} lor lhe lax
<br />d$tfl;tion of ths LLC, unl€ss ll is a dhrogs/d€d dtity A disrsgatdod entitl/ shouid insload ch*k tl6 aopmlrl'le
<br />bol for trD tru dssif€tbn oi ib owntr
<br />ff orhs{slnstrucotrs}
<br />1 Check3ailthe fftrt//indrlidlal rvhoge nama lsthe appraprhto box fs lederal tlx
<br />Part I
<br />8 4 1 6 5 5 7 1
<br />Part ll
<br />tum lll-g {Fev.3-2024)
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