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Fom W-9 {Flev.3-202.1)Page2 <br />must obtain your correct taxpayer identification number OIN), u/hich <br />may be your social security numbet (SSN). individual taxpayer <br />ide;tifidtion number (tflN), adoption taxpayer identiflcation number <br />(ATll.l), or emptoyer identification nunrber {ElN), to report on an <br />information retum lhe amount paid to you, or olher amount reportable <br />on an infomration tetum. Examples of informalion retums include' but <br />are not liflited !o. the following. <br />. Form 1099-lNT {interest eamed or paid}" <br />. Form 1099-DlV (dividends, including those from stocks or mutual <br />funds). <br />. Form 1099-MISC (various types of income, prizes, awards, or gross <br />pmcedsi. <br />. Fomr 1099-IJEC (nonemployee compensation)" <br />. Form 1099-8 (stock or mufual fund sales and certain other <br />transactions by brokers). <br />. Form 1099-5 (proceeds from real estate transactionsl, <br />. Form 1099-K {merchant card and lhird-party netrJ/o* transactions}. <br />. Form 1098 (home mortgage interest). 109s-E {student loan interest), <br />and 1098-T {tuition}. <br />. Form 1099-O (canceled debt). <br />. Form lO99-A (acquisition or abandonment of secured property). <br />Use Form W-9 only if you are a U.S. person (including a resident <br />alien), to provide your conect Tll'1. <br />Caution: lf you don't retum Form W-9 to the requester with a TlN, you <br />might be subject to hrackup withholding. See What is backup <br />withholding, later. <br />By signing the filled-out form. you: <br />1. Cerl'iy that the TIN you are giving is correct (or you are waiting for a <br />number lc, be issued); <br />2. Cerlifu thal you are not sub,ect to backup withholding; or <br />3. Claim exemption ftom backup lvithholding if you are a U S' exempt <br />payee: and <br />4. Certify to your non-foreign sialus for purposes of yrithholding under <br />chapter 3 or 4 of the Code (if applicable): and <br />5. Certify that FATCA code(s) entered on this form (if any) indicating <br />lhat you are exempt from the FATCA reporting rs conect. See What ls <br />FATCA Reporting. later, for further infonnation. <br />Note: lf you are a U.S. person and a requester gives you a form other <br />than Form W-9 to request your Tlltl. you must use the requester's fornr if <br />il rs substantially similar to this Form W-9. <br />Definition of a U.S. person. Forfederal ta'( purposes, you are <br />considered a U.S. person if you are: <br />. An individuai r.rho is a U.S. citiren or U.S" resident alien; <br />. A partnership, corporatron, cornPany, or association created or <br />orginized in the Uniled States or under the laws of the United States; <br />o An estate (other than a foreign estate): or <br />. A domestic trust (as defined in Regulatiors section 301 '7701 -7|. <br />Establishing U.S. status for ptrrposes of chapter 3 and chapter 4 <br />withholding. Payments made to foreign persons, including certain <br />dislributions. all<jcations of income, or tansfers of sales proceeds' may <br />be subiect lo withhotding under chapter 3 or chapter 4 of the Code <br />(s€ctions 1441-14741. Under those rules, if a Fonn W-9 or olher <br />certificatlon of non-foreign status has not been received, a withholding <br />agent, transferee, or partnership {payor} generally applies presumption <br />rules that may requi.e lhe payo. to urithhold applicable tax from the <br />recipient, owner, trans{eror. or partner {payee}. S€e Pub. 51 5, <br />Withholdrng ,rf Tax on Nonresident Aliens and Foreign Entities. <br />The follorzing persons musl provide Form W-9 to the payor for <br />purposes of establishing its non-foreign status. <br />. ln the case of a disregarded enlrty with a U.S. owner' the U S. orvner <br />of the disregarded entity and not the disregarded entity. <br />r ln the case of a grantor trust with a U.S. grantor or other U'S. owner, <br />generally, the U.S. grantor or other U.S. owner of the grantor trust and <br />not the granlor trust. <br />. ln the case of a U-S. trust (olher than a grantor trustl, the U.S- lrust <br />and not the beneficiaries of the trust" <br />See Pub. 515 for more information on providing a Form W-9 or a <br />certrfication of non-foreign status to a'roid urithholding- <br />Kittitas County Agreement for Services (rev.5/14/251 <br />Page 18 of 23 <br />Foreign person .ll you are a foreign person or tl.rg -U-S. branch of a <br />foreig-n bhnk that his elected to be treated as a U'S. person (under <br />Regr.r-latione section 1 .1aal -1{b}{z)fvi or other applicable section for <br />chJpter 3 or 4 purposes], do not use Form W-9. lnstead' use the <br />appropriate Form W-8 ot Form a233 (see Pub. 515). lf you are a <br />q'uafinl:d foreiqn pension fund under Regulations seclion 1 .897(l)-1(d). or <br />a partnership ihat is vrholly owned by qualified foreign pension funds, <br />that is treated as a non-foreign person for purposes of section 1 445 <br />withholding, do not u6€ Form W-9. lnstead' use Form W-BEXP (or other <br />certification of non-foreign status). <br />Nonresident alien who becontes a resident alien- Generally, only a <br />nonresident alien individual may use the terms of a tax treaty to reduce <br />or eliminate U.S. tax on eertain types of income- However, most tax <br />treaties contain a provision knovrn as a saving clause' Exceptions <br />soecified in the savino clause mav p€rmit an exemption from tax to <br />cbntinue for certain tipes of incomb even after the payee has otherwise <br />become a U.S. resid€nt alien for tax purposes. <br />ll you are a U.5. residenl alien who is relying on an exception <br />coniiined in the saving clause of a tax treaty to clajm aneKemplion <br />from U.S. tax on certain types o{ income, you must anach a statement <br />to Form \f/-9 lhat specifies the follo*ring five items. <br />'1. The treaty country. Generally, this must be the same veaty under <br />which you claimed exemption from tax as a nonresident alien' <br />2. The treaty article addressing the income. <br />3. The article number (or location) in the tax treaty that contains the <br />saving clause and its exc€ptions. <br />4. The type and amounl of income that qualifies for the exemption <br />from tax. <br />5. Sufficient facts to justify fhe exemption from tax under the terms of <br />the treaty article. <br />Exanwle. Article 2o of the U.S.-China income tax veaty allows an <br />exemptibn from tax for scholarship income received by a Chinese <br />student temporarily present in the United States. Under U.S. law, this <br />Bludent will beconte a residenl alien for tari purposes if their stay in the <br />United States exceeds 5 calendar years. However. paragraph 2 of lhe <br />first Protocol to the U.S.-China treaty tdated April 30, 1984) allolvs the <br />provisions of Article 20 to continue to apply even after the Chinese <br />itudent beconres a resident alien of the United States. A Chinese <br />student who qualifies for this exception (under paragraph 2 of the lirst <br />Protocol) and is relying on this exception to claim an exenrption from tax <br />on their 6cholarshif oi{eltowship income would attach to Form W-9 a <br />statem€nt that inch:des the information descnbed above to support that <br />exemplion. <br />lf you are a nonresident alien or a fareign enlity, give the requester the <br />appropriate completed Form W'8 or Form 8233. <br />Backup Withholding <br />Wrat is backup willrholding? Persons rnakinq certain payments lo you <br />must under ceriain conditions withhold and pay to the IRS 24% of such <br />payments. This is called "backup rvilhholding-" Payments that may be <br />iu6lect to backup withholding include, but are not limited to' interest' <br />tax-exempt interest. dividends, broker and barter exchange <br />transactions, rents, royalties, nonemployee pay' payments nrade in <br />setllement of payment card and third-party nett{ork transactions. and <br />certain payments from fishing boat operators- Fleal estate transactions <br />are not subiect to backup withholding" <br />You vsill not be subiect to baekup vrilhholding on payments you teceive <br />i{ you give lhe requesier your conect T}fJ' make lhe ptoper cetlificalions. <br />and report all your laqable interest and dividends on your tax return. <br />Paynrents you receive will be subiect to backrrp witlrholcling if: <br />1. You do not fumish your TIN to the requestec <br />2. You do not cerlit your TIN ulhen required {see the instructions for <br />Part Il for details|; <br />3. The IRS tells the r€quester that you fumished an incorrect TIN: <br />4. The IRS tells you that you are subject to backup wilhholding <br />because you did not report all your interest and dividends on your tax <br />retum (for reportable interest and dividends onty): or <br />5. You do not certify to the requester lhat you are-not. sub,ect to <br />backup withholding, ds described in item 4 under "By signing the lilled- <br />out foim" above (fdr reportable interest and dividend accounts opened <br />after 1983 only).