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<br />ATTACHMENT "G"
<br />Request for TaxPaYer
<br />ldentification Number and Certification
<br />Go to r"1,vlv.r't:s.govlFormllw lor in tructions and the lalest information.
<br />Give form to the
<br />requester. Do not
<br />send to the lRS.
<br />4 Scrpiiors icod"s aPP:Y s# lo
<br />ccrtain gniiiis, mi ndivblRlgi
<br />w instruct cfe s PJge 3):
<br />E*irr: F+s :oie 'il :-vl _
<br />;xernoiicf; tron Fc.crqn .4oattrol T#
<br />CotrpUanc{: Act li,,\TCA rePo.lr:g
<br />ctrie iif any)
<br />fippl4s 0 accccnis qaidc ".ddjrsde ii1e Uflied SicIcs.,'
<br />n*iLester's natr€ anc :{irBss io?:tgnit )
<br />(Flw. Mtrch ?C24)
<br />Dep3tinei oi ths Tteeury
<br />lntmal Rewrc Scrvicc
<br />Belore you begin. For reta:ed to :he pu'pose or Form YV-9, see al ceiow.
<br />I lame of entitrr/irdividu3l- A. entry is 'equired. '.Fcr a soie prcgrietor o. Civegarde rnt',:y. ente: $e oi./ntr's rar€ on iine 1. arC enier :he blsinesidisrc€ardsc
<br />2 3usins nmCd6/egJc{ entrtY tzrc. it difis.cnt ./cm rbova
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<br />7 .. $l :laccrni ^:rilretlsl i:fle;oplr)1r":
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<br />Er:ter your ilN in:he acpropriate box. Tie TiN pr6'1;6"5 rnust r:atch th€ nar'e g'r'en on line 1 to avoid
<br />backup ilithholC;ng- For ndividuais. :his is genera{ly yorr social securily nJ$b€r {SSN!. l"lcrvever, fcr a
<br />resident alicr. tole propncior. cr disragarCed enlity, sce ti'e irsif.rcljcns fcr Pad l. lat+r. Fc. oiirer'
<br />enl.lies. t is ycrr srnploygr idertiilcation rLnser iElNi. lf yoJ co ncl ha'rs a lurFb€t. see Hcw lc 9e! 3
<br />/llv. later.
<br />Note: :l thc asccunt ,s ilt rTlcre ihan cre aame. see tfe instructrons icr ltne L Sac alsc Vlhai Natr'{: ei'd
<br />liilnbc{ To Givr". lit Seqreslcr fcr gliCc ;nes on {rose numier lc .inler.
<br />Sgnaturc ot
<br />U.S- Fcrson Drlc
<br />ot
<br />Certification
<br />Undsr p€nalties of pequry. I certif/ tha'i:
<br />I lif nJmbgr sro!.jn on il-rs forr rS ry ccried:a.\paycr dantiircatior numb4f :oi i 3m'xarinq aor.l rrumbcr io ae rssrad to n'el: ard
<br />?. I xm aot st,bjecr to b;lckup urlri'olong becau:;e iai I am r'xempt fion bilc{uN r/itf"holdinE' cr ibi I lave loi bacn nolii*c b-v:h" rn:crnal ncaerirs
<br />Se:: ce !lRSi ii.tai i arrr suc;ecl :o tackuo i{i:irhcldiilg as a result of a idlure lc repcrt a,l intefest or dividerds, or lc} :he IRS aas lc:i:ied Te ina: I arr
<br />ro'cnge. suclect to sackuc y"iii'rolding: arrd
<br />3. I am a J S. crtrz n gr oti.er U S cersor ldcfired 9e.oi!';: anC
<br />.:. The Fi\iC,A cadets; i:n:e.ed 0r :i s ion i:f ar:y) indicalirg th:i I am exempt froin FATCA .eportiog r$ ocrr':ci.
<br />Certification instnrctions. Ycu rnJst cross cut rsn 2 ;$ove if ;zou have b*:ri lo:if'ed by the IRS'iia! ycu arc.Jtraliy sub:att io backL$ withholc ng
<br />C,ecause'lou aave iar er: tc retort ali inta(est arrd civ Cercs crr ycLr tax retum. For real esiate irarsac:iors. :tem 2 coas rol 3cply Fcr rnortEage n:eresl caiS
<br />accuisi:ion o: abandorrent ot secxrec pro?er:)'' cancrilation of
<br />'ebt'
<br />contribr,lions 1o an incividud retirerer;i aJYanqerei^i (lFAi. ard. geierally. palrner'!s
<br />other than inter+st ard d;Yidends,are rci .ecr,ired io ile:ert:lca:ion, but rusl l,'our corroci TlN. See the :rsttuclicas for Part ll, 'aicr
<br />Sign
<br />Here
<br />General lnstructions
<br />Section references afg to tne lxtenral Re'ienils Cods Lnless ciher".'lse
<br />r,oted.
<br />Fulure dewlopmants. For :he laicsi iriomiiior ilbout devcloomerls
<br />re:atal to Fcrrr'!ry'-9 ano its ir:str'.rc:iotts. sucn as legislaticn enacted
<br />ai:er ine:J *ere pLblisned. io tc 'N\wi.;rs.govti"atfilv9'
<br />What's New
<br />L.re 3a ras baer: nrocrfied tc ciari;y ho'J 2 315.,:4arded 3ttil'completes
<br />ii:rs lins. 41 L-t..C tna: is a c,sr*!Jarded antrv shouid cneck tig
<br />irpprcrriaic bcr lcr:i:e:;:x tlsssiti:4tior of is cwnlr. C:h*'risr. it
<br />shcrld ci'eck ? e "LiC" Lcx arc a|igr ts apsropr;ite li:x classii:cl:rolr.
<br />I'le,,"r ine 3b hls bmn adced to ic:s iorrn" A ilof,-tl'roLgh enlily is
<br />rsqJi.ed to coflp'ete t:tis line to irroicaie ifat ,t i".ls cr.ect or ircire{t
<br />foreign partfers. olqters. or f;en€ficiaries \Nilen r'i ptovides lhe i'orm W-9
<br />to anotilel:low-ttrotlqh eniiry in \trich 't has an or.riefshlp intefest. [l'ls
<br />cirangc is :ntcrded tc provide a llow-throuqh 9ri.ty 't 1r nforfraiio.
<br />tegzrt ng lhc sla:us ci rts irdirc\::l ioreign 3ilrtrers. otrcrs. cr
<br />cereficiares, so :hat it cajl sal sft ary applicabie :apcriilg
<br />reqJirerents. lcr example. a panlr€rs1ip ihat has any ind]fec:'c'gign
<br />cartfers may be .gqurret ;o ccmpl?te Screcules K-2 ard ('3. Sec l:e
<br />Parincrship lrsttLcl.cns fcr Schedulr:s K'2 i::ra K l3 iFcrm 1ilil5l.
<br />Purpose of Form
<br />An inclividuai o. cxti:y iFofi' vaj-g rlurt;slcrj',';hc s rcquired:o file::rr
<br />llfornalicn rslurr! $.ii] Ile IRS is givirg',rou this icrrl becauss llei
<br />tlnl.:le. 1i:2'.ilX
<br />Kittitas County Agreement for Services (rev. 5l1.4l25\
<br />Page 18 of 23
<br />6 Ci'/, st2ie. eic Z P:cde
<br />5 ACc.eis tli;ris'. str*|. ard itfji. cr lrie nc ). S'c iritnldions.
<br />3b ii 3n irnB 33 )cu ci4(ed "pitlrc:sti p" or -Tilstr'6'ntc o. ci€keC LLC" af;C e'tered "P' ?F t5 :u c;ssiflcatis'
<br />rd ycu re provtcirg iars iqrn lo it cfinrshp. irusi. or eslate,n *rct yo! nave ?.r *r.gs'llp nlry6!. cnffk
<br />liis:rcx rl t?u haue anv fore!g;! p?rlileD, o!'.aeej. 6, iP.elfiais. S# nslrf,clions n
<br />3a Ci*k lhe appapdele sx :s
<br />'ede€l
<br />iax cissr{icalioi ol fe
<br />$iy ona 9f ti"8 foilow rg :wor bcxs.
<br />n indi',.duaLi$lc proori€tor I C corpo:aim f] S rorpc'ation f] P3t1r.Bhit ! TrusJestato
<br />I LLC. ;ntr lhe ld.laidl'ice:ion iC ', C co.poation" S '= S erFrralion, P ' Par!'+ish'pi
<br />Nole: Chrck th€ "L-O' 5ox a&ve ;t.d' in '.re trtry sp{e' s}ter 1l"e aiphpriale ccde iC S, ry PJ lor ihe iu
<br />.iassif.ication c. the L-C, urk?ss it is a ijisreterde sltily. A Crsrcqardod eiirrj si'o'1i i!:$tc^d cr&k iho acpporiak
<br />box lor:aa:ax classiiicatlq ci its ctrer.
<br />f] othcr (slc i.-strudiorsl
<br />-.:rlriy/inahicuil i'rhcse natB rs trleied on lin€ 1 Chek
<br />PiltI
<br />idenflication
<br />Part ll
<br />Forr !1/-9 ri:ry,r j 2C24:
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