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Form W-9 (Rev. 3-2024) Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even it item 1. 4. or 5 below indicates otherwise_ For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees. see Exempt 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 TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding wi11 apply. If you are subject to backup withholding and you are mere;y providing your correct TIN to the requester. you must cross out item 2 in the cer0cation before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out Rem 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. "Dther payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise). medical and health care services (including payments to corporations), payments to a nonempfayee 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). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), AISLE accounts (under section 529A), IRA, CoverdeII ESA. Archer MSA or 14SA 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: I 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 FFl on the account' 3. Two or more U.S. persons Each holder of the account 6oint account maintained by an FFI) 4. Custodial account of a minor The minor (Uniform Gift to Minors Act) 5. a. The usual revocable savings test The grantor -trustee' (grantor is also trustee) b. So-called trust account that is not The actual owner' a legal or valid trust under state law 6. Sole proprietorship or disregarded The owner3 entity owned by an individual 7. Grantor trust filing under Optional The grantor' Fling Method 1 (see Regulations section 1 671-4(b)(2)(i)(A))" Kittitas County Agreement for Services (rev. 5/14/25) Page 21 of 24 Page 5 For this type of account Give name and EIN of: a. Disregarded entity not owned by an The owner individual 9. A valid bust. estate, or pension trust L~gal entitys to. Corporation or LLC corporate The corporation status on Form a332 or Form 2553 11. Association. club, religious, chartable. The Organization educational. or other tax-exempt organization 12. Partnership or muttt-member LLC The partnership 13. A broker or registered naminee The broker or nominee 14. Account with the Depar r--I of The public enbrty Agriculture in the name of a public entity (such as a stabs or local government. school datret, or pnsoni that receives agricultural program payments 15. Grantor trust filing Farm 1041 Of The trust under the Optional Fling Method 2. requiring Form 1099 (see Regulations section 1.6714(b)(401 (B))" ' 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 minor's SSN. 'You must shoe your individual name on line 1, and enter your business or DBA name, if any, on fine 2. You may use either your S$_N or EIN (if you have one). but the (AS 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 Mien more than one name is listed, the number will be considered to bit that of the first name listed. Secure Your Tax Records From Identity Theft Identity Iheft occurs when someone uses your persoaal information. such as your name. SSN, or other identifying information. without your permission to commit fraud or other crimes- An id -entity thief may use your SSN to get a job or may file a tax return rising your SSN to receive 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 Werifi4y theft and You receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or larter. If your tax records ate not currently affected by identity theft but you think you are at risk due to a lost or stol_r1 purse or wallet questionable credit card activity. or a questnonabfa credit report contact the IRS Identity Theft Hotline at 800-906-�Ur3O or submit Form 14039. For more information, see Pub. 5027. Identity Theft Information for Taxpayers.