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Fom W-9 {Rev.3-a024) Part ll. Certification To establish to the withhoHing 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 if item 1, 4, or 5 below indicates othenwise. For a joint accounl only the person whose TIN is shown in Part I should sign (when required). ln the case of a disregarded enlity. the person identified on line 1 must sign. Exempt payees, see Exempt payee code, eatliet Signature requirements. Complete the certification as indicated in itemsl throughSbelow. 1- lnterest, dividend, and barter exchange accounts opened before {984 and broker accounts considered active during '1983. You must giue your corect TlN, but you do not have to sign the certification. 2. lnterest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounls considered inactive during 1083- You must sign the certification or backup withholding will apply" li you are subiect to backup withholding and you are merely providing your conect TIN to the requester, you must cross out item 2 in tfie cerbfication 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 conect TlN, but you do not have to sign the certification unless you have been notified that you have previously given an inconect TlN. "Other payments" include payments made in the course of the requeste/s trade or business for rents, royalties, goods (other than bills for merchandise), medical and heafth care services fncluding payments to corporations), payments to a nonemployee for services. payments made in setdement of payment cad and thir&party network 0ansactions, payments to certain fishing boat crew members and fishetmen. and gross proceeds paid to attomeys {ncluding 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), ABLE accounts {under section 529A), lRA, Coverdell ESA Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TlN, but you do not have to sigin lhe cettification. What Name and Number To Give the Requester For this of account:Give name and SSN of For this of account 8. Obregtrded enti8 rct owed by a individual 9. A vald trs'!, state. or pereim tu* 'lo. Co@€tion or LLC electing ctrpqate status on Fm 8gdi2 ot Fm 2553 11 - Assaiatim. cfub. Eligiqs. charitable. eduebonal, or othry ta(€xfrpt orgnnizatbn 12" PartrEEhip or muhiqnber LLC 13. A b(oker or regblged min* 14- Ac€unt rvith ihe Departmai of Agrialhre in the m oi a public entii/ (sch c a siale or local govemanl *holdblria. or prisl that rftdv* agriqituml progm paymilts 15- Gfftor tr6t filing Fom 1011 o. unds the Optioral Filing ttrethod 2. requiring Fom I (gt (s Regdatirc sction 1.671 -aibX2XrilB),- Page 5 Give name and EIN ot Theow Leqal entiqd The caporation The orgaiation Th€ partrrtrship The brokg or rcminee The public atity The minqz Theg@tor-tGt€r The actual owrt The ouneF 7. Grantor tust filing under Optional Filing Method 1 (see Regulatiors stion r.671 +{bX2XiXA}- The gmtor' Kittitas County Agreement for Services (rev. 5/74/25) Page 17 of 18 The tust I List firs1 and circle the name of the p€rson whose number you fumbh. lf only one person on a joint account has an SSN" that person's number must be fumished. :Circle lhe minols name and fumish the minols SSN. 3You must show vour individral name on line 1. and enter vour business or DBA name. if ahy. on fne 2. You may use either your SSN or EIN [f you have one), but tlre IRS encour:rges you to use your SSN. rUst first and circle the name of the tn.6t estate, or pension trusl (Do not fumish ttle TIN of tlre personal repres€ntalive or tustee unless the legal entity itself is not d€€ignated in the account title.) 'Note: The granlor mu$ also provide a Form $l-9 to the trustee of the trust. *For more information on optional filing methods for grantor tusts, see the lnstructions ior Form 1041 - Note: lf no narne is circled when more than one name is listed, the number will be considered to be that of $e first name lisled. Secure Your Tax Records From ldentity Theft ldentity theft occurs rvhen someone uses your personal information, such as your name. SSN, or other identiFying information, without your permission to commit ftaud or other crines. An identity thief may us€ your SSN to get a iob or may file a tax retum using your SSN to receive a refund. To reduce your risk . Protect your SSN" . Ensure your employer b pmtecling your gSN, and . Be careful when choosing a tax retum pteparer- lf your lax records are afiecled by identity theft and you receive a notice from the lRS, respond dght away to the name and phone number Finted on the IRS notice or letter- ll your tax records are nol cunerdy affected by identity theft but you thfoik you are at dsk drc to a bst or stolen purse or wallet, questionable credit card activity, or a questionable credrt report con€ct the lFlS ldentity Theft Hodine at 8OG.9O&4490 or submit Form 14039. For more information. see Pub. 5027, ldentityTheft lnformation for Taxpayers. l. lndMdual 2. Two d llm individuab 0oint rcountl other tha e account maintained by m FFI 3. Two or more U.S. pssons 6oint aeounl maintained bv m FFll 4" Css'todial amsl of a minq 0Jnifom Gift to Mhon Acll 5- a. The cual reveble gvinqs tust (gmts b al$ tustee) b- Seelled trsl accosnt that is rct a legal d valid trcl mder state hw 6- Sote prcprietoship s disregarded otity omed bym individ.nl The individual The actual owr of *re rcwnl or. if mmbined funds. the firsl indruidual on the ac6untr Eacfi holder of the account