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,",," lllf'9
<br />ATTACHMENT'G,,
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />Go to ww*r?r.govlFomw)lot instructlons and the latest infomstlon.
<br />Givo lorm to the
<br />rsqu6st6r. Do not
<br />sond to lhe lRS.
<br />{Hov. March 2024}
<br />Doparlmqnt ol lh€ Tr€asury
<br />lntoma, Rovonuo Sorvico
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<br />Before
<br />Enter your TIN in lhe appropriatg box. The TIN provided must match the namg given on line 1 lo avoid
<br />backup withholding. For individuals, this is gonerally your soclal socurity number (SSN). Howover, for a
<br />rosident alidn, sole proprietor, or disrogarded onlity, seo lhc in$tructions for Part l, later. For olher
<br />ontilies, rt is your smployer ideotilicalioil number {ElN). lt you do nol have a number, see How to gel a
<br />I/N, later.
<br />Nota: It the account is in more than one name. see lh€ instnictrons for line 1. See also What Namo and
<br />Number To Give tha RBquoslor tor guidelin€s on whoso numbor to onter.
<br />For rolatod to tho of Fornr W-9, see of Forrn, bolow.
<br />1 Nome ol enlily/individual. An entry is .oquired. {For a solo proprielor or disregarded enlity, cnler the ovneis r6il}o on line 1, and ontcr :ho business/dlsrogardcd
<br />gnltly's ,an]t on lina 2-)
<br />2 Ausin6s rmoldistogardod ontity natno, il ditloront lrom tbovo.
<br />4 Exomptions (codos npply mly lo
<br />cortfiin enlities, rct ;ndivld{als;
<br />ses inslruclions on pnge 3i:
<br />Exomot pay6 codo (if any)
<br />Exmpllon fro'n Foreign Accounl Tu
<br />Complianco Aet (FATCA) rapo.titg
<br />eode {if sy)
<br />(Applios lo accunts o$intainad
<br />dtsdo lho Unl,6d Slafos.,
<br />R€qogalor's name and addross (opliorRi
<br />7 l.;st *counl number{sl hare (opli$a0
<br />or
<br />Under penallies ot perjury, I certily that:
<br />1. Th€ number shown on lhrs lorm is my correc! taxpayer rdenlilication number (or I am waiting for a numbor lo be issued to me!; and
<br />2. I am not subiect to backup wilhholding becauso {a} I am oxompt from backup wilhholding, or (b} I havo nol b€on nolifiod by tho lntemal Revonue
<br />Seruice (lRS) lilat I art} subject 10 backup withholding as a result ol a (ailure to report all int€rest or dividends, or {c) lhe IRS has notilied me that I arn
<br />no longer subisct to backup wilhholding; and
<br />3. I am a U.S. cilizen or othor U.S. person (defined belowl; and
<br />4. Tho FATCA code(s) enter€d on this forrn (if any) indicaling lhal I am oxompt fiom FATCA reporting is correct.
<br />Codncdlon inslruclions, You must cross oul ilem 2 abovo it you have bcen notitied by the IRS lhat you aro currently subJecl to backup wilhholding
<br />becaus€ you haye tajled lo roport all into.est and dividerlds on your tax r€lurn. For real estate lransaclions, ilem 2 do€s not apply. For mortgage intefest paid,
<br />acquisition o. abandonment of secur€d prop€rty, cancellation o, debt, contributions lo an individual
<br />3s Ch*k th€ approfrriala box fff fed{nl lnx dassilicalior ol the entrlyrnd,vidual vhoao trand ls ente.e{l on Ing '1. Cbmk
<br />only ona ot lho followieg $voo lroxos.
<br />n hrdividuausoloprcp.ioio. ! Ccorporatim f] scorporalion n parlncrship fl Trust/osi.lo
<br />n LLC. Entcr 1ln tax classlllcstion {C -, C corpo,alion, S = S cort$talion, P = Portnetship}
<br />l{olc: Check rhs 'LLC" box above and, in lhe fl|ry spaco, onfer ths approprialo code {C, S, o. P} til lh" !*-
<br />classillcalion of lho LLC, ulloss il is a disogafdsd o.iily. A disrogardd, €ntily should instoad chsk tho ooproptialo
<br />box forrh6 lax cla$ilication ot its olvnor.
<br />f] othtr (6e Instructiors)
<br />3b ll on line 3a you chekad "Parlnorship'or "frGl/state," or cFeckod 'LLC" and onl6/ed "P" as ils lu classificalion,
<br />md you aro providing tlig fom to a perlnorshrp, lro6!, or eslal€ in which you have an ov/ret3hip inlilosl, ciffk
<br />lhis box il you hAVB any lorelgn parlnorg, ovrn€rg. or bensticlarids. Ses inttruclion$
<br />5 AddB$ (numb6r, slreel, snd npt. or suilo no.l, 56€ in8lntctions.
<br />I City. stals, and ZIP coda
<br />Part I
<br />numbcr
<br />Part ll
<br />othor than int€rsst and
<br />Slgn
<br />Here
<br />aro not to lhe
<br />General lnstructions
<br />Section reterences are to lhe lntemal Reverrue Code unless otherwise
<br />noted.
<br />Fuluro dovelopm€nt3. For lhe latost infonnolion aboul dovelopments
<br />related lo Form W-9 and its inslructions, such as legislation enacted
<br />atler thoy were published, go to www.its.govlFormwg,
<br />What's New
<br />Line 3a h?s b6€n modili€d io clarity how a disr€garded €ntity colnplotes
<br />this line. An LLC that is a disregarded enlity should check lhe
<br />nppropriate box tor tho tax classification ol ils owner. Othoryviso, it
<br />should ch€ck lhe "LLC" box and enier its appropnate lax classitication.
<br />but musl
<br />Dalo
<br />Now lin6 3b has bson addod to this form. A floer-through ontily i5
<br />required lo cornplet€ this line to indicate that il has direct or indirect
<br />loreign pa(ners, owners, or beneticiaries when it provides the Form W-9
<br />lo anothor iow-lhrough entity in which it has an ownership interesl. This
<br />chango is intonded to provido a tlow-through ontity with information
<br />rsgard,ng lho status of its indiroct forslgn partners, ownots, or
<br />beneliciaries, so that it can satisfy any applicable .€porling
<br />roquiremenls. For example, a parlnership that has any indirsct toreign
<br />parlners may be required to complele Schedulss K-2 and K-3. Seo lho
<br />Partnership lnstructions for Schedulos K-2 and K-3 tForm 1065).
<br />Purpose of Form
<br />An individual or entity (Fonn W-g requestot) who is tequircd to file an
<br />intormation rslunl with lhg IRS is giving you this lornr because they
<br />Slgn.ture ot
<br />U.S. porson
<br />Cat, No. l023iX
<br />Kittitas County Agreement for Services (rev.5/!4/251
<br />Page2l of 32
<br />Form W-9 iftev. g"zoz+)
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