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Form W-9 (Rev. 3-2024) <br />2—The United States or any of its agencies or instrumentalities- <br />3 —A state, the District of Columbia, a U.S. commonwealth or territory. <br />of any of their political subdivisions or instrumentalities.. <br />4—A foreign government or any of its political subdivisions, agencies, <br />or instrumentalities. <br />5—A corporation. <br />6 — A dealer in securities or commodities required to register in the <br />United States. the District of Columbia. or a U.S. commonwealth or <br />territory. <br />7—A futures commission merchant registered with the Commodity <br />Futures Trading Commission. <br />8—A real estate investment trust. <br />9—An entity registered at all times during the tax year under the <br />investment Company Act of 1940. <br />10—A common trust fund operated by a bank under section 584(a). <br />11—A financial institution as defined under section 581. <br />12—A middleman known in the investment community as a nominee or <br />custodian. <br />13—A trust exempt from tax under section 664 or described in section <br />4947. <br />The following chart shows types of payments that may t>e exempt <br />from backup withholding, The chart applies to the exempt payees listed <br />above. 1 through 13. <br />IF the payment is for ... <br />THEN the payment is exempt <br />for... <br />• Interest and dividend payments <br />All exempt payees except <br />for 7. <br />• Broker transactions <br />Exempt payees 1 through 4 and 6 <br />through 11 and all C corporations. <br />S corporations must not enter an <br />exempt payee code because they <br />are exempt only for sales of <br />noncovered securities acquired <br />prior to 2012_ <br />• Barter exchange transactions <br />Exempt payees 1 through 4_ <br />and patronage dividends <br />• Payments over $600 required to <br />Generally, exempt payees <br />be reported and direct sales over <br />1 through 5.' <br />S5.000' <br />• Payments made in settlement of <br />Exempt payees 1 through 4. <br />payment card or third -pally <br />network transactions <br />' See Form 1099-MISC, Miscellaneous Information, and its instructions. <br />2 However, the fol[owing payments made to a corporation and <br />reportabfe an Form 1Ogg -MISC are not exempt from backup <br />withholding' medical and health care payments. attorneys' fees. gross <br />proceeds paid to an attorney reportable under section 6045(f(, and <br />payments for services paid by a federal executive agency. <br />Exemption from FATCA reporting code. The fallowing codes identify <br />payees that are exempt from reporting under FATCA. These codes <br />apply to persons submitting this fore for accounts maintained outside <br />of the United States by certain foreign financial institutions, Therefore, if <br />you are only submitting this form for an account you hold in the United <br />States. you may leave this field blank. Consult with the person <br />requesting this form if you are uncertain if the financial institution is <br />subject to these requirements. A requester may indicate that a code is <br />not required by providing you with a Form W-9 with "Not Applicable" (or <br />any similar indislion) antered on the line for a FATCA exemption code. <br />A— An organization exempt from tax under section 501(a) or any <br />individual retirement plan as defined in section i■01(a)(37). <br />B—The United States or any of its agencies or instrumentalities. <br />C—A state. the District of Columbia, a U.S. commonwealth or <br />territory. or any of their political subdivisions or instrumentalities. <br />0—A corporation the stock of which is regularly traded on one or <br />more established securities markets, as described in Regulations <br />section 1.1472-1(c)(1)(). <br />E—A corporation that is a member of the same expanded affiliated <br />group as a corporation described in Regulations section 1.1472-1(c)(1)(i). <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 20 of 24 <br />F—A deafer in securities. commodities, or derivative financial <br />instruments (including notional principal contracts. future% f0m-lards. <br />and ap[ions) that is registered as such under the laws of the United <br />States or any state. <br />G—A real estate investment trust <br />H—A regulated investment company as defired in section 851 or an <br />entity registered at all times during the tax year under the Investment <br />Company Act of 1940. <br />1—A common trust fund as defined in section 584(a). <br />J—A bank as defined in section 581. <br />K—A broker. <br />L—A bust exempt from tax under section 664 or described in sec lion <br />4947(a)(1). <br />M—A tax-exempt trust under a section 103tb) plan or section 457(g) <br />plan. <br />Note: You may wish to consult with the financial institution requesting <br />this form to determine whether the FATCA coda arKVor exempt payea <br />code should be completed_ <br />Line 5 <br />Enter your address (number, street, and apartment or suite number}. <br />This is where the requester of this Form w-9 will mail your information <br />retums. If this address differs from the one the requester already has on <br />file, enter "NEW" at the top. If a new address is provided. there is still a <br />chance the old address will be used until the payor changes your <br />address in their records. <br />Line 6 <br />Enter your city, state, and ZJP code. <br />Part I. Taxpayer Identification Number (TIN) <br />Enter your TIN in the appropriate box. If you are a resident alien and <br />you do not have, and are not eligible to get. an SSN, your TIN is your <br />IRS rDN. Enter it in the entry space for the Social security number. 3 you <br />do not have an [TIN, see Now to get a TIN below_ <br />If you are a sole proprietor and you have an EIN, you may enter either <br />your SSN or EIN. <br />If you are a single -member LLC that is disregarded as an =ntrty <br />separate faun its owner. enter the owner's SSN (or Eft if the owner has <br />one). [f the LLC is classified as a corporation or partnership. enter the <br />entity's EIN. <br />Note: See §Vhat Name and Number To Give fhe Requester, later. for <br />further clarification of name and TIN combinations. <br />How to get a TIN. If you do not have a TIN. apply for one =111 iataty. <br />To apply for an SSN, gat Form SS-5. Application far a Social Security <br />Card. from your local SSA office or get this form on late at <br />wvvw.SSA gov. You may also get this form by calling 800-TrT2-1213. Us, - <br />Form W-7. Application for IRS Individual Taxpayer Identification <br />Number, to apply for an IT IN. or Form 5 r4. Application for Employer <br />Identification Number. to apply for an Eii'1. You can apply for an EIN <br />online by accessing the IRS websrte at wwrv.irsgovlErN. Go to <br />wrvr, imgovrFarrns to viev.% download, or print Form W-7 andfor Form <br />SS-4. Or. you can go to wvyw.rrs.gov.Orded:orrns a place an order and <br />have Form w-7 andror Form SS-4 mailed to you within 15 business <br />days. <br />If you are asked to complete Form W-9 but do not have a TIN, apply <br />for a TIN and enter "Applied For" in the space for the TIN, sign acid date <br />the form, and give it to the requester. For mterest and dividend <br />payments. and certain payments made with respect to readily tradable <br />instruments. you will generally have 60 days to get a TIN and giva a to <br />the requester before you are subject to backup-milahotdrng on <br />payments. The 60-day rule does not apply to other types of payments. <br />You will be subject to backup withholding on aff such payments until <br />you provide your TIN to the requester. <br />Note: Ent -ring "Applied For' means that you have already applied for a <br />TIN or that you intend to apply far one soon. Sae also Esrabfishrng U.S. <br />status for purposes of chapter 3 and chapter 4 withho)r&ng, earlier. for <br />when you may instead be subject to withholding under chapter 3 or 4 of <br />the Code. <br />Caution: A disregarded U.S. entity that has a foreign owner must use <br />the appropriate Forth W-8. <br />