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ATTACHMENT "F"
<br />Form Wl
<br />(Rev. March 2024)
<br />Dopartmort of the Treasury
<br />Irternal Revenue Service
<br />Before you begin. For
<br />Request for Taxpayer
<br />Identification Number and Certification
<br />Go to www.irs.gov/FormW9 for instructions and the latest information.
<br />rotated to the purpose of Form W-9, seo Purpose of Form, or,, ow
<br />Give form to the
<br />requester. Do not
<br />send to the IRS.
<br />Name of enldyiindividual, An entry is required. (For a sole proodeter or deregarded entity, enter .he ovmer' s rairc on Tire 1, and enter tnc ous.nossreisrcgara.0
<br />er:itf*s name on';ne 2 }
<br />2 Business namcldlsregarced entity name, If dMcrent .`rem above.
<br />3a Checx the appropriate Cox `or federal tax class�hc,won of the ent.ty: nd.•.-Okml whose name is entered on line I Chw_,>
<br />4 Exempttors ;codes apply arty to
<br />only no of the following seven bozos,
<br />certain adities. not ,ndh.iduals:
<br />Instnrcbons on page 3)
<br />❑see
<br />IndirtluaVso!o proprietor ❑ C corporation ❑ S corporation ❑ ?anc^_rsrio ❑ Trustieslate
<br />❑ LLC. Enter the tax classifici!!on (C = C corporation, S = S corporation, P .: Paru:ersh!p) _ . .
<br />Exemot Cayce codo (tf any)
<br />Note: Check the "L-,C" box aoove and. in [he r Uy space, enlw tt•e ry7proona1e code (C. S. Or P) for the tax
<br />=xen!oticn from Foreign AGCOUnt Tax
<br />classification of the LLC, urless it is a disrega�dnq imlity.. A d:%rCrp7rdodbne.t; srcriid instead chock tho aopropriato
<br />box for he tax classification of its o:vner.
<br />Compliance Act (FATCA) reporting
<br />❑ Other (son instrur.8or•s)
<br />coce (if any)
<br />31a If on I no 31 you chocked "Parcership" or " Trust/estatc," or crocked "LLC" ard entered 'P- as its tax classification,
<br />;,,gyp; os to accounts rrtmnra:nod
<br />and you are providing rr:s lam to a partnership, m st, or estate in which you •7..tve a7 owner riio interest, check
<br />curstde tr"O United States.)
<br />this box it you have any `oreign partners, ov+ners, or oereficianes, See instructions . . . . . ❑
<br />5 Address (m.,mbe•, street .+r.d apt. or suite no,). See instructions.
<br />6 Cby, state, and ZIP code
<br />7 i sl account number(s) sere (opuonaO
<br />Req,:esrer's name and acdress toptiona)
<br />KM Taxpayer Identification Number [TIN]
<br />Social security number
<br />Enter your TIN in the aepropriate box. The TIN provided must match the name given on line 1 to avoid
<br />backup vnlhholding. For individuals, this is generally your social security number (SSM. I lowever, for a - [T] - L
<br />resident alien. sole proprietor, or disregarded entity, see the instructions for Part I, 'ater, For other
<br />entities, it is your employer identification number (EIN), If you do not have a number, see How to get a or
<br />TIN. later, Employer identification number
<br />Note: if the account is to more than one name. see the instructions for line 1. See also Wnat tN'arre and �j
<br />Plumber To Give the Requester for guidelines on whose number to enter. II
<br />Under penalties of per,un/. I certify that:
<br />1 -I he number shown or this form is my correct taxpayer identification number for I am waiting for a number to'ce issued to met; ard
<br />2. 1 am not subject to nrkt,p .withholding bCoduse (a) I am exempt from backup awilhholdin^y. or (b) I nave not been notified by'he AtOmal Revenue
<br />Service fIRS) that I am subject to backup vAthholding as a result of a failure to report all interest or dividends, or (c) the IRS has n.Ctified me that I am
<br />r.o'ionger subject to backup ivithnolding; and
<br />3. 1 am a U.S. citizen or other U.S. Gerson (defined bolo iv . and
<br />4" The FATCA codes) entered on this form Cif any) indicating that 1 am exempt from FATCA reporting s come
<br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS ;hat you are currently subject to backup withholding
<br />because you have faled to report all interest and divdends or your tax return. For real estate transactions, item 2 does rot apply. For mortgage interest paid.
<br />acquisition or abandonment of secured property. cancellation of debt. contributions to an individual retirement arrangemert (IRA). ard, generally, payments
<br />other than interest and dvidends, you are rotrogt irod to sign line certification, butyou must pmvido your correct TIN. See the instructions for Part 11, ia,er,
<br />Sign Signature of
<br />Here I U.S. person
<br />General Instructions
<br />Section references are to the Intemal Revenue Code unless otherwise
<br />rated.
<br />Future developments. For the tatest information about developtrerts
<br />related to Form W-9 ard Its Instructions. *Win as legAiatiorl enacted
<br />after they were published, go to mvw.irs.gov/FormbY9,
<br />What's New
<br />Line 3a has beer modified to clarify how a disregarded entiy completes
<br />this line. An I.LC Ina' is a cisregarded entry should check the
<br />appropriate oox for -.he tax c nesirleAti4P of its ovriler" etlhertgise, it
<br />should check !.he "LLC" box;.16dertler its appropr+asle tax tlZissificanon.
<br />Cnl No 1023!x
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 17 of 23
<br />Date
<br />New line 3b has been added to the form. A flow -through entity is
<br />Faqufred to complete this lire to iro,Cate that it has direct or fpdirect
<br />foreign parptiers, otivrle`s, or : er.efrciaries when it provides?he Form :11-9
<br />to arotner low -through Wlty in wrlich t his ors ownership interest. f his
<br />CnnPge is intended to provide a ftow-thrcilgh art;ty with nfcrrtation
<br />regarding the status of its indirect foreign o.tilt•erx, owners, or
<br />cereficraries, so that it can satish/ any applicab49 reporting
<br />regaifements. For example. a partners"Pip that has anY indfac:'C*gn
<br />w;Wrm may Do "aired ro complete Scrlecuhes K-2 ard K•3. See the
<br />'ar.ner5hip Irstn.cliomg for Schedules K•2 and K 3 iForin 1CC65;.
<br />Purpose of Form
<br />An individuals or entity iForrn W-9 recw ter) who s requirnd ,o file an
<br />nformation return with the IRS is giving you this form because lney
<br />Fcrtn W-9 rev 3-2024}
<br />
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