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Forth W-9 (Rev. 3-2024) Page 5 Part II. Certification To establish to the withholding agent that you are a UWck person, or resident alien, sign Form 4Y-9. You may be requested to sign by the withholding agent even if item 1, 4. or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown to Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees. see &empf payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct T)N, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1483 and broker accounts considered inactive during 19&3. You must sign the certification or backup withholding will apply. if you are subject to backup withholding and you are merely providing your correct TIN to the requester. you must cross out item 2 in the certification before signing the Form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4.Other payments. you must give your correct TIN. but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requestet's trade or business for rents, royalties. goods (other than b0s for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third -party network transactions. payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). S. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), AIRLE accounts (under section 529A). IRA, CoverdelI ESA, Archer MSA or NSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account: Give name and SSN of: 1 Individual The individual 2. Two or more individuals (joint account) The actual owner of the account or. other than an account maintained by if combined funds, the first individual an FFI on the account' 3. Two or more U.S. persons Each holder of the account (joint account maintained by an FFI) 4. Custodial account of a minor The minarz (Uniform Gift to Minors AM) 5. a. The usual revocable savings trust The grantor -trustee' (grantor is also trustee) b. So-called taut account that is not The actual owner' a legal or valid trust under state law 6. Sale proprietorship or disregarded The owners entity owned by an individual 7. Grantor trust filing under Optional The grantor' Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))'- Kittitas County Agreement for Services (rev. 5/14/25) Page 31 of 32 For this type of account Give name and EIN of: 3. Disregarded entity not owned by an The owner individual 9. A valid trust, estate. or pension trust U� -W to. Corporation or tLC ei?cting corporate The cerporaton status on Form WK or Form 2s53 11 _ Association. club, religious, charitable. The oryanizz educational, or other tax—exempt organization 12. Partnership or mufti -member LLC The partnership 13_ A broker or registered nominee The broker or nominee 14. Account with the Department of The public_ entity Agriculture in the name of a public entity (such as a state or local government. school dsstnet, or prisnn) that receives agricultural program payments 15. Grantor trust filing Form 1041 or The trust under the Optional Fling Method 2. requiring Form 1099 (see Regulations section 1.671-4(b)(2)(i)(13))" ' List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person's number must be furnished. 'Circle the minor's name and furnish the minors SSN. ' You must show your individual name on line 1. and enter your business or D13A name. if any, on Fine 2. You may use mother your SSM ar 9N ¢f you have one), but the IRS encourages you to use your SSN. `List first and circle the name of the trust estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) 'Note: The grantor must also provide a Form W-9 to the trustee of the trust. "For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: if no name is circled when more than one name is listed. the number wilt be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information, such as your name, SSN. or other identifying information, without your permisston to commit fraud or other crimes. An identity thief may us -- you r SSN to get a job or may file a tax retum using your SSN to reccve a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN. and • Be careful when choosing a tax return preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right array to the name and phone number printed on the IRS notice or letter. If your tax records are not curreriby affected by identity Iheft but you think you are at risk due to a Gast or stolen purse or v.allet. questionable credit card activity. or a questionable credit repom contact the IRS Identity Theft Hotline at 300-908-4490 or submit Form Iz039, For more information, see Pub. 5027, Identity Theft Information for Taxpayers,