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ATTACHMENT "G"
<br />WYI.. J
<br />(liev March 2024)
<br />Deparunert of the Tmasury
<br />Irtmtal 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 />related to theyt.rl�ore of Form W-9, see Purpose of Form, below.
<br />Give form to the
<br />requester. Do not
<br />send to the IRS.
<br />Name of entity/irdividual, An entry is required. ;Fora sole propretor or disregarded ent ;y, enter the owner's r.^.ir.e on 'lira 1, and enter tho busmessoisregaraco
<br />entity's name on one 2 )
<br />2 Business name!C sregarood entity nano, if 3ffcrent `rctn above.
<br />3a Check the appropriate pox 'or federal tax class: fic5d-o:t of 'rr, ennty;lnd v chit •,•chose name is entered on line 1. Check
<br />only one of the (ollow�ra seven tomes.
<br />❑ !ndividuai/sola proprietor ❑ C corporation ❑ S corporation ❑ Panncrshio ❑ Trust/cstate
<br />❑ I.I.C.Cau
<br />C. Enter 9w tax cirrvsron ;C , C corporntirnt, S - S ccrparellW t, P + Parit,er3htp)
<br />Note: Check Iha'LL4' pox amwe And, in the entry gprtnr!, anl.rr the aopraAnds ala en(C, S. or P) for ire rnx
<br />ciassiication of ltw LLC, unless it i—k disregarded entity. A ilmogardat ovary rhould instoed chcs:k the aaflrooriale
<br />box for the tax clas,ificat:on of., owner
<br />❑ Other (sea instructions)
<br />3b -f oft line 3a you chocked "Parnesh:p" or "Trusb'estato' or ct eck•_d `LLC" are entered 'P" as •ts cax c'.ass�calion,
<br />and you are providing this forn to a partnership, trust, or estate n which you have an ev+rersnip merest, check ❑
<br />this pax it you have any foreign partners, owners, or ber:eficiaries See Instir rs clio.
<br />Adcress (number, street, and apt. or st+:e no.). See insinictions
<br />6 C y. state, and ZIP code
<br />7 ; st account nurnber(s) here (optional
<br />ntiftcation
<br />4 Exemptions (codes apply cn;y to
<br />certain entities, nct,nd.viduals:
<br />see mslnu:l,ons on page 3)'
<br />Exempt payee code (if any)
<br />exemption from Foreign Account Tax
<br />Compliance Act (FATCA) reporting
<br />code (it any)
<br />,Applies to acccunrs maintained
<br />outside the United SfarOs-)
<br />a
<br />Enter your TIN in the appropriate box. The t1N provided must match the rat: a given on line 1 to avoid
<br />backup wtlhholding. For individuals. thtg is generally your saaiat security number (SSN). However. for
<br />resident alien. sole propriwor..or.disrogarded entity. S" the instructions far Pan I, laref. For other
<br />ertl:ties„ .1 IS your employer idenuficatfon nurroer (EIN). If you co riot have a number. see Now tp get
<br />T1N, later. EmN y
<br />Note: If the account is In more than one name. see the instn ctions for lire 1. See also What Name and
<br />Number To Give the Requester for guide'ines on whose number to enter.
<br />Under penalties of perjury, I certify that:
<br />1 fhe number shown on this form is my correc-'axpayer identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 am riot subject to backtrp withholding becai:se (a) I am exempt from backup witFtl dlding, or (b) I have not beer notified by the Internal Revenue
<br />Service ORS) that I am subject to backup withholding as aresult of a lailure to report all interest or dividends. or +cj he IRS has notified me that I am
<br />ro longer subject to backup withholding; and
<br />3. 1 am a U S. citizen or other U S. person (defined be ow): and
<br />4. TI-e FATCA code(s) entered on this form (if any) irdicntirg that I am exempt from FATCA reporting s correct.
<br />Certification instructions. You must cross out item 2 acove if you have been notified by the IRS that you are currently subject to backup withhelowg
<br />because you have failed to report all interest and div,dends or your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
<br />acquisition or abandonment of secured property, cancellation of debt, contributiors to an individuai retirerrert arangemert (IRA). and, generally, payments
<br />other than interest and dividends, you are rot re4uired to sign the certification, but yot. must provide yens correc- TIN. See the instructions for Part II, ater.
<br />Sign
<br />Here
<br />Signature of
<br />U.S. person
<br />General Instructions
<br />Ssction references are to the Internal Revenue Code unless othenvise
<br />noted.
<br />Future developments. For the latest information aboiA develo;intents
<br />rC!ated to Form W-9 and its instructions, such as legislahan enar;ted
<br />after ti Bey were published, go to wwtv.irs.gov/FormW9,
<br />What's New
<br />Line 3a has been modified to clarify how a disregarded entity completes
<br />this line. An LL.0 that is adisregarded entity should ;heck the
<br />appropriate box for the Mx classific.ttion of is owner. Otherwise, it
<br />should check the At LC" box and enter its appropriate tax classification.
<br />Cal. No. I023'X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 27 of 32
<br />Date
<br />New ine 3b has been added to tnis form. A flow -through artily is
<br />req mfed to corlplete ttlis lire to fV o care that A h.s ❑;'ttct ❑r Indirect
<br />toretg+t partner;. avinera, or beret ciaries when is provides Tie Finn W-9
<br />10 altolner qaw •tnrot:gh entity in w1imh +l has an oymership .ntefest. This
<br />charge is intended to provide a cow -through en::ty with ;nfnnnalion
<br />regarding the status of its indirect foreign partners, owners. or
<br />nereficianes, so that it can satisfy ary applicable reporting
<br />requirements, For example. a parnersAlp that has any indirect torergn
<br />pacifiers may be equired ro rorr,plete Schedule$ K-2 arrd K-3. See the
<br />Parmership IrsU4-cl:ors for Schr:dules K-2 and K - 3 (Form ICfa5).
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who s required :o file an
<br />information return w+th the IRS is giving you this form because they
<br />Fern w-s :i?r-v 3-2024i
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