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ATTACHMENT "F"
<br />no,,,, Ulf-9
<br />{lle{. tuierctr 2C?{)
<br />Dopalrnori ol lh!! Tre3sury
<br />Request for TaxPaYer
<br />ldentification Number and Certification
<br />Go to u/ww.its.g ovlFonnwg l$ instructions and the lalest information'
<br />Give form to the
<br />requestet. Do not
<br />send to the lRS.
<br />lntc/nal tlevalric Scryicc
<br />Before begin. For .glil:o(l to :lie 1.r,.po:;o o{ Forttt !V-9 sco Pulposd af Fornl, Detov.
<br />I \f,mc ol cntrty/icdividunl. r\l enhl is..:qu lec iioi a so:e prcDt:elcr or Cisleqardcd erltily entf'ihe o\rrai'' larlo cn irle 1, 3td lllcr :ht bls:noss/dicrcglrJld
<br />qnq,1,7 5 1aa11g ss tine ).1
<br />2 Busincss nalncldisreqilccd crltily r.'lne, il C,Fc(rnt ircm tbct'c'
<br />f;
<br />ao6o
<br />=
<br />UCo.o
<br />oSlq
<br />4o
<br />ooq.
<br />t
<br />o0
<br />4 axcirpi'ors i.ooca 3Pp;Y o..y to
<br />ccrlirn onii:i']5.,1o: jid;viCtl:{lsl
<br />5ee trslnld l)r1:; on prge 3l:
<br />:xcinrt oilyat iodo iit iltyf
<br />i-\c$pticrt lr$n Fqterln Accoltrl Titx
<br />Cc,rpliancs ;lct li:ATcAi rctof lirlg
<br />cr{,c (it syi
<br />iApp:its lo nccour,ls olarrilaltod
<br />cutsiCt lho Unilod SiJtcs.)
<br />RqI,esldt-9 nitff e 1l).1 jr(:(jrcas lopliola')
<br />7 I 5l f,.rcornrl rrirnhe.is) rer4 iot{r$)a]}
<br />fnte(yourliNintheappropriatebox. fneTltlprovidadrnrrstrnatchthellalnagrvellal] lirle1toavoid
<br />backup ur,thholoirrg. For inclividuals, ihj$ is gencrally ycrr social socl,rity n.lmbcr is$lr;}. llowtl':er. for a
<br />r0sirlenl alier,. :iole propriolor, cr di:;rr:gardc<J crll;ty' sil) tle ieslructions fcr P;rri l, alrt For olh!:r
<br />ent,fies, rt as yOUf stnployer idgntitication nurn.Der (ElNi. lf yOJ do r\oi lrave a frilrl'ber. see HDtv to get a
<br />til/. later.
<br />Note: lf thc eccouut is ln morc than one name. sec tt'4 instniclions for lano 1 . Sce llso VJhat Nar'e 1nd
<br />NuoherTo Give ti* Rcqtx:sler for girlricilncs on whos{) rllilrber to erlior'
<br />or
<br />Under p€lralties of per,rry. I certil'/ that:
<br />1 ll.o nilmber shown on il-ris foilr rs rly corrcci:axpayL"r dcrrtitic.lliori Iumbcr io. I :m rraitrng for a numbcr to ?c issued to rrci: ard
<br />rro ronger sirbiect to backtlt '*ilhnoldil)!J: alld
<br />i]. I am a U.S. citizen or oihcr U.S. ocrsorr {delined ne or';i and
<br />.i. Tl:c FATCA codc(si srtcrciJ or ihis forn (if any) itrdic.rlirg !hat I anr cxgnpt frolll FATCA rrlporling s corrsct-
<br />Corlilication insltuctions. You lnust cross out itclrl 2 abovr) i[ yotl hlvc bcen rolifc(l by tho IRS lrat you ar{: curronll';:;ublmt lo backup withhclcillg
<br />because you have fa;ied tc reparl ali intetest ancl Cividands cl! yorr tax retuln. For real eglale lr"lrrs:ctiotrs. itern 2 doas.ol appiy. Fot rnortgage inierest paid.
<br />acquisition ot aballdonfrellt of secured properi:)t' canc€ilation of debt'coniribklions 10 ar inciivid.t& rel,tg:reni ar.anqe*eri {l[ilq}. acd. generally, paymenls
<br />olhor than intotost and nro not requirod io thc c(-.rtificati on, bilt ycr/ mest r correct TIN Sc'c thc :nstiuction$ for P:lrt ll, laicr'
<br />Sign Signrturo of DatoHereU.S. parson
<br />General lnstructions
<br />Sectioll rel€rences afe to lne lntertlal Re'rell'.le Code Lnless olhe"?ise
<br />notcd.
<br />Futuro dovolopm€nts. For lho lalcsi irrfonnaliorl irboul dovi)lol)11'{}nl:;
<br />reiated to Fornrr#-9 atrd its illstrucliorts, such as legislatiar e:tlcled
<br />aiter lhey $ere plblis.red. go lo wtvw.trs.gctvlt:oilrtr1i9,
<br />What's New
<br />Line 3a ras beet rno..i:fied lo claliiy hoYr a d'siPgarded erti:y colnpletes
<br />ihrs li''re. An t.t-C !ra: i3 :l c'srcgardcd snlii/ should chcck i"re
<br />approp/iatc i)ox for'l,t:;tx rtas::ification of t:i cwn{}r. Oilr:r'liso' it
<br />siroukl cl.er:k il.e 'LLC" box rilrd e!.ter;ls apgrcpr'{tta trix sirl:;-ti'i,-;t:io:r.
<br />Ncs iinc 3h h;rs bcen a(ldod lo th'$ fortn. A flow-throLgh snlity is
<br />required to conlplete tnis litre to jnc:ca',e llrst it has direcl or in'jirect
<br />foreign parttrers, ovrllers. or beneliciaries vJheD ii provides lho l-onn trr/-?
<br />to antther {low-throtigh etlliiy in which t has al-' ov/ncrshitl intc/cst' lhis
<br />cirargc i$;ntendcd to p.ov'cie a flotr'/^thro{;(rh tlrIly r'/ilh nfotrnittioa
<br />rogarrj;ng thc:ilatus of ils irrdkoct foroign iiilrll'or:j' o\1rlors, f;r
<br />5e;reliciarrBg, 5o that it ca'r sailsfy any aoplicable reporting
<br />rsquirerrents. For exatnple. n partnersnip ihat ras any ird rec.:'c'eigtt
<br />Darlnors may bo lcquirecj io complote Scncculcs K-2 ard K-3 Seo thr
<br />irar:nership irstruclrons fcr Scho(k,lcs K :? r':'i K 3 iFo{n 1105)'
<br />Purpose of Form
<br />An individu:ll or cntiiy (Forln 'rV-9 rc(]ll()slcri v{l'o $ r(,'quir(xJ :o lilo 'r'1
<br />,nfornatiori rgtilrn with the ll-ls is givir:g you lhig lorll b€cause tire'/
<br />3a Clre(4:hs sllpr(;p.ial€ oox rol l9{iefnl lrx tiiilss {rciilo" Qf:Id
<br />onii/ ona oi tits lollox .ii 3even boxo:i.
<br />n irdl,r'duatscioprocrictcr I Cccrpora:icri f, S:orpo'ation n pnrttcrsnio f] Trrrst'/cstalo
<br />f] l.l-l). arlor t1* !:rx::lrs:ijlic:rl:ol: {C . C lvlxr;rlioi, S " S torlbr'iliorr, P P't'l:)i)r:rhlp}
<br />Nota:Crecklara l-:,r"6o"u16,;qarrl,rnlhe'fl.ysrace.frrletll'eatl)failjrt;tcqdeIA S'cr.P)iorlrelan
<br />rcf, icl llro :a-r clffisilic.ltro)1 ci its cunc..
<br />n Cth,u iseo irl3tturil;.),'3i
<br />enl!iy,irltt,r t;ui1 {h(rge ll:l'l€;5 e:llsterl orl l;ne I i;hc{i
<br />3b it on t,oc ,?a ycu chcckaC 'Pnrr:c,shrp" ot "l rustlosiata, ' or cr&ked 'LLC' a''d t,:te.cd 'l) is its tnx f,lassiircatict.
<br />andycirr'pfovlcrg:.15,o/,nloa!)r.ln€rshf),irllsi'oreslrteinwhichyo|ifl!''ilcrr'leryiiipn|ere>l'(n4ckn
<br />llris tJox il ,'ou hxvc 1a,y tnelgn p:trllg6, 'lv"tets, o: oc;rgllciatres Sc€ 'rsi''icliol)5 LJ
<br />5 .4rirJress (nr,rnbst, slreet. )'lt, ap: r)t 5!ii€ no ) See ;'rsltrcliol:i'
<br />6 C,ry.5tcic. i|d Z.P.odD
<br />ation Number
<br />numberPart I
<br />Ef
<br />Part
<br />(j.rt \lo. 1rjl31x
<br />Kittitas County Agreement for Services (rev.5/14/25l,
<br />Page L7 of 23
<br />rcr,n W-9 a.* i 2c2Ji
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