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Paqe 5 Part ll. Certification To establish to the withholding agent that you are a U-S' person' or r""ia"nt "ti"n, sign Form W-g. Vou may be requested to sign by the viitnfrotAing ag",it eu"n if item 1, 4, or a below indicates other*ise' For a ioint account, only the person lvhose TIN is shown in Part I should &gn (uthen required). ln the case of a disregarded entity. the person id-entified on line 1 must sign' Exempt payees, see Exernpt payee code, eadier. Signature requirements. Compleie the certification as indicated in iterRs 1 through 5 belo. i. {. lnterest, dividencl, and barter exchange aceounis opened before {984 and broker accounts considered active during 1983' io, *r"t giu" your correct TlN, but you do not have to sign the certification. 2- lnteresl, dividencl, broker, and balter exchange accounts ooened after l9&? ancl broker accounts considered inactiv.e during-- id$:-i;.r"t sign the certification or backup withholding will apply' lf you are subiect to-backup withholding and you are merely providing iour "o.r*i TIN to the requester, you must cross out item 2 in the certification before signing the iorm 3. Real estate transactions. You must sign the certificarion' You may cross out item 2 of the certification. 4. Other payments. You must give your conect TlN, but you do not have to sign the certification unless you have been notified that you have oreviouslv qiven an incorrect TiN. "Other payments" include p"v*-"ni. mioiln tne course of ihe requester's trad-e or business ior ieris, royalties. goods (other than bills for merchandisel. medical and health care services (including payments to corporahons). payments to a nonemployee for services, payments made in seftlement of payment ""iJrnoiniio-party nehvork trdnsactions' Payments to certain fishing boat cre!./ members and ishermen' and gross proce€ds paid to attomeys (ncluding payrnents to corporaiions). 5. Morlgage interest paicl by you, acquisit-ion or abandonment of securecl nrooertv, cancellation of debt, qualified tuition program- -. o"vrn"rt! (uhdei section 529), ABLE accounts (under section 52941, iRA, Coverdell ESA, Archer MSA or HSA contrihutions or distribstions, arrd petrsion distributions. You must give your conect TlN. but you do not have to sign the certification. What Name and Number To Give the Requester Fom V/-9 (Ftev.3-2024) For this of account: 'I individual ?. Tuo or more indn:iduals ljoint account) ather than an accDunt maintained by an FFI 3 -two or ma.i U.S. Pesrrns {oint account mainiained bY m FFI} {. Custodial account oi a minor lUnrfom Gift io $"'linors Acii 5. a. The Gual rEvoabl" savings irust igrmtor is also fustee) b. S'la3lied iast 3cc.4ni ihat is no! a legal or valid trust unde. state la!1' 6. Sole 0ropneioshiP or diweguded *ti$ ov.ned by an individual ;. Gffitor lrusi frling under 0Ptional filing fu{:thod 1 (see Regulations selbn t,671 -.1ib){210(A))" For this of account: S- Disreqaded eniitY not ovned bY o irdividml E. A valid mrst, estate. or peGion iret lO- Corpcatjor' or LLC el:ctinq corporal: si3trs on Fom 3932 or Fom 2553 11- A-ssffiatitr, club, religirus' chsitable, eduatioml, or other td-€xemPt organhatirn 12- Partneship or muttFmmber LLC I3- A koker or r:gisier:d nominee 1-t- Account rvith the Departmmt oi Aqristturt in the nme of a Public entity i*ch e a state or lmal goEmmmt, schml dbtrict. or Prien) lhat eeivs agricultual Progm paymmts 15. Gantor tnisl filing Fom 1041 or qnder the Optional Filing Melhod 2. reouiring Fom 1O9€ (see Flegulations s*tion 1.671 -.1{bX2KXBi)" Give name and EIN oft The ovm*r Legal enti\t- The cuporaiion The organiation The partnership The brokv or nomin:e Th: public aiity The trust l List first and circle the name of the person lf only one person on a ioint account has an must be fumished. :Circle the minor's name and fumish the minor's SSN' rYou must shorv vour indruidual name on line l. and enter your business "i bba-^".*"Ii ainv. on ine z You may use ehher your SSN or Elll fif you have one]. but the IRS encourages you to use your SSN' lList first and circle the name of the trust, estate' or pension trust' (Do not fumish the TIt{ of the personal representative or trustee unless the Iegal en'jiy itseif is not designated in the account title'l 'Note: The granior must also provide a Form !V-9 to the trustee of the trust. " For more information on optional filing methods for grantor trusts' see the lnstruclions for Form 1 0a1 . Note: lf no nama rs circled when more than one name is lisied' the number Vrill be considered to be ihat of the first narae listed- Secure Your Tax Records From ldentity Theft td:ntrt,' thefi occurs \'.'hen someone usts your personai inionnahon' =ri* r'= you n.-e SSI'1. or other rdenufying rnformation' "?itho{'ft your pe.mission io commit fraud or other crimes- An identity ihief rnav us: iour Sstrt to gei a iob or may file a tax return using yotLr SSN to recei'r+ a refund, To reduce your nsk: . Protect your SSN. . Ensure your empioyer is protectlng your SSN' and . Ee careful vrhen choosing a tax r€tum preparer' li vour tax r*cords are affected by rdentitv th:ft and 1ou raceive a notrie from the tRS. respond right avray ter the name and phone number pnnted on the {FlS notice or letter. li 'rour tax records are not cunently affected by ideniity theft bui you mnei Vou are at nsk due to a lost o. itolen purse or wallet' quesiionable credifcard activity. or a questronable credii reporl contact the iRS ldentity Tl"eft Hotiine at 300-903-4490 or submit Fon'n 1Jo39' For more information. see Pub. 5027' ldentity Theft [nionnatron for Taxpayers- whose number you fumish, SSN. that person's number cive name and SSN of: The individual The actual o!'rn*r of the account o[ ri combined ;und-s. thg first indiviciul on th: a€count' Each hofder of'Jre account The minor: Th. grilior-tffit*,: The actual o' n;r] The ovrnef Th: grmtor' Kittitas County Agreement for Services (rev. 5l7alZ5) Page 22 of 23