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Prye 3 <br />Certain pavees and payments are exempt kom backup wilhhglding' <br />sfitfiiii CvLe loa""rat"'"ina1nJ t"i"tte lnstructions ror the <br />R;;".t;.f F6rm W-s for more infomtation' <br />See also E stabti shing U.S siatvs for pu(pases of chapter 3 and <br />chapter 4 withholding' eailier' <br />What ls FATCA RePorting? <br />The Foreiqn Account Tax Gompliance Act (FATCA).Iequrr€3 a <br />,:;icio;X; ;;q; nninciar institutir)n to report all u S' account <br />E:i*F*:i:#]t*'#"# jjHtrfrffil:;:k';nTSJjili:;,'r"T <br />i#'ffi;5;;;;iliil"-n"qJ""t"r of Form rrr/-e ficr more inrorrratton' <br />Updating Your lnformation <br />You must provide upelated information ts any person to whom you <br />"r.^"J1" <br />u" an exernpt payee if you are no longer an e1e3et P9Ie <br />and anhcipate receiving tepott"Utd payments in the fr'rlurefr'lm this <br />^.--^^ Fnr axamole. vou t"ull*iii p,ovide updated rnformation il <br />ff;[ ;; "1,'tp"*.;hlJ" <br />th"t Jlects to bb an s corporation' or if vou are <br />;;il;";,*;iempt. ln aaaitl"n,lou must fumish a new.Form !v-8 if <br />i;" ilil oiiilj "rt"ng*t <br />fo' the aico'nt' for example' if the grantor of a <br />granto. t ust dies- <br />Penalties <br />Failure to furnish TlN. tf you fail to fumish your correct TIN to a <br />;il;; you are subleci to a penalty of Sio for each such. tuilure <br />lri'i'li"vJ;i trr;re is di:e to reaionaute cause and not to willful neslect' <br />Civil oenalN for false infortnation with respect to withholding' lf you <br />;;i#?;i"J;i;t"*"nt*i*t no reasonable basis that resurls rn no <br />[u.l-"i *nhfl.laing, you are subiect to a $50o p€natty <br />criminal penatty for falsifvins information' T/illYryiiFl["S;;ili;;il;t ".. <br />iffirmationi niav subiect vou to cnminal penalhes <br />including fi nes andlor imprisonment' <br />Misuse of TlNs. tf the requester discloses or uses TlNs.in.violation of <br />federal lalv, the requester mayle subiect to civil and criminal penalties' <br />Specific lnstructions <br />Line 1 <br />You must enter one of the followrng on this line: tlo nutle-ava this line <br />Utanf. fne name should matchlhe nalne on your tax retum' <br />lf this Form rI/-9 is ior a ioint account {other than lxT"^":tt <br />*;;;;;&; toretgn n;ncral inslimion (FFt!;' list fiIst' and then <br />;;i;'. il;;#t of thi person or entitv whose nurnber youentered in <br />;;l;i F; W-9. lf you are providing Form !ri-9 to-an FFI to doeument <br />:il;;i;#;i;i"n i"ro.i "i ne accit'nt rhat is a u's' Pers{'n musr <br />plovide a Form !r/-9' <br />. lnclividual. Generalty' enter the narne sho'im ':n your tax retr-rn' lf yott <br />f,"rJ "tt""gJ <br />y"ur lait name <br />"'rithout <br />informing the Social Secunt'; <br />lirr^r"itl""issAi of lhe aamt cnanga' ente? your first nams' lhe tast <br />name as shown on your "*'"i iecurity-card' and your ner' fast llarne' <br />Note for fflN applieanl €nter vour indivtdual name $ it't'as e$lered <br />;;;;;;tlj-| appiicatron. line la This should also be lhe sane a:s <br />il;;; t" "nteiJi <br />on *re rorm lo'to you fil4d with lour apSicalron" <br />. $ole rrroprietor. Enter your individual narne as shti"n 9rl your fuiP-. <br />ri,rij "iii,," <br />i. gnter vod busi;;s. trede' or "doing business as'' {DBAi <br />name on line 2. <br />. partnerslip. C corporation. S co4roration. o1 Lt-!'-1![er UT:o F - - .. <br />l#;il;;i";tlity. dnter the end'tv'd nanre as shol'rn on lhe en6lv s rai( <br />;i;;';il; i ;;a'anv Lusin'ss' trade' or DFA nanre on kn+ 2' <br />. Other entities. Enter your n;une as shorvn qn I'equired U'9' faderal ta:n <br />;;;;;;;hJ r. tdi" n"mu "hould <br />ma(ch q" n:Ts shown on lhe <br />ffi;;;;;fi;;iJgd oocumeni oeiting the snt'tv" Enter arry bu?ina-'s' <br />trade, or OBA name on line 2- <br />. Disreqarded eritity. ln general' a business eotity.that has a single <br />;#ll;ffii;; t^-iLC, =*Ji" not a corporation' is disresarded as an <br />"itili, **-t" irorn its owner 1a disreqaried entity)' jl']e Reg.ulaxons <br />;#[fiA'i.t;dr -it'tifzt n oisiegardea entitv should chsch the <br />#;;;"i; ;;; io?'t'b i" "ta'sinc"tion <br />of its owner' Enter ihe otmer"s <br />;5HJf,n]ili.'ilo nar"e ot ne owner sn:ered on hne I should ne'rer <br />i;;; dil;ft; "ni;tv. <br />rn" name on line 1 should be the name shown <br />on the income iax re&m on *"ii"tt ihe income should be r*Polie'J' Fo{ <br />Form W-? (Rev. 3-20241 <br />Kittitas County Agreement for 5ervices (rev ' 5/!a/251 <br />Page 18 of 23 <br />example, rf a foreigin LLC that iE beaM e a dsrqFrded e*tit"' for U'S <br />federNt tex purposes nss a ntiir"';ffi;&; it; dS'.person' ilre u's' <br />;?"#-?;;;*qtoa t" #'pti*Jea "" m'* I' If th€ direcl owner o{ <br />in?;t*;;';H. ii**g'io*a J*utv' srts Roe fi''t oo'rer drat iE nol <br />dnr€qarded for federat tu" p*p*ud" enter tha dsregaded entity's <br />narn* ,n lifie 2. li tfie ,?wnef of"rhn *ra*g*d*d *"tty i5 & t€rsgn pe(5on,ffi h*'"T#':l.p-ruffiffim'rm ;f '* <br />LIna 2 <br />lf vos have a husness nanle' trade name" DBA narne' er dsregiarded <br />"tftity <br />namu. :nter it ')n line 2' <br />Llne 3a <br />Chacx rhe appmpriate Lox sn line 3a for r'*e U'5" [eder.al tT <br />classification of the ptoon *ou* nt** t= et'teteC * line 1' Ch'-cfi only <br />one bcx an line 3a. <br />lF the entitylinrfrvitlual on lino { <br />is a(nl .. <br />TH€H c*raek ihe trcx for - ' ' <br />r lodr'vidual or <br />r Sole <br />tn*viduatisole p.oprielor. <br />. LLG claasffied as a partner4hiP <br />for U.S. federal tax Purpose5 or <br />. LLC that has filed Form 8832 or <br />2553 electing to be taxed as a <br />coryoration <br />Limited liabiti tY cornparry <br />enter lhe appropriate tax <br />classification: <br />P = PannershiF. <br />C=Ccarparation,or <br />S = S eorPoration' <br />and <br />. Trust/estate Trustj+state <br />Line 3b <br />Check this bo:r if you ar* a pannershrp' {includrng an LLC classified as a <br />J"i'*Jb rt;u-'s. i"ao*'tu*p""p**t!' m"t o' ::-q:-:l:t h"u -t <br />forerqn p,rrtners. o('rners "t *'I*E*t' and i"o'u ar+ prrrviding lhis <br />i'lrrn to a pattnershlp. t'usi- o'"*LG" rr ruftiqh *oT hace an or'vnership <br />i^h'*i vnl t ^'st cfiesk tne tfr * tL gU rf vo" receive a Forr' Tj'3 <br />ilru;;##;;',la-"*i r*"' anY partner' orvner' or beneftcian; <br />X;il;;t; f,a&Er sta&rs rlr :{ vou'reo*ri:c e Fqrm w-9 trcm any <br />ilto. *-ri"tt' oi Uenefici"vlt dar lras :$acked ihe hcx :rr line 3b <br />-fllote: <br />A partnerchrp frat provneles a FocrF! !d$-9 ad chec-ks box 3b rnay <br />ffiJ#U *"-"*tlpie b"ne*l*" lc-? a'rd ti 3 iFonrn 11165l <br />For more <br />FrJ###. G #tI e*t"**lttp l*rucricr':s tor Schedutes K-* atd K-3 <br />{Form 1o651. <br />li lrwr arc- requ'rs'-i trtr c'}{rlplel4 ihr'e 3b b''r? fut to do ;o' ''cu rna? ntt <br />leca*'re thq: rnhrnn"uo" '*od['it"tG a co{te;r 't-'fqsm'atiorb <br />retutn wrth <br />tlt*iilS "" 6r*"h a :crrecl' pavee slsEt"nirsrxt l(} Ttlnr partn4{s 4r <br />ffi;H;*- ;;l;;.";"P#' ;;$os.= r6ss' 6?2? ard 672'1 ior <br />pefialE€s tfDat fitaY ryfiY' <br />!-ine 4 ExeffiPtions <br />!f yc,.r are e"". .ernpl {rorn ballurp vl;Siffinrg at*'al |ATCA repcrtnE' <br />*flrgr rn lhg app{ofn* uE*{*ii"o 'i a& cgdd"E {iat rna'/ appsg to <br />yw <br />Exe*rPt iraYee coalc' <br />" C*;dty" irdrvirjrral'r rlir:;furrd'rrqtr ;dle pu'pn*eor>f are n€t sx€flrF tr$'Irl <br />baciaip 'nithhcldir}q' <br />" gzt+t a3 fl13Yid€!{ t#'r'vr' ccffio*aika's aa--' exenrFt ftom bdi*ufr <br />wll hoillftq t"{ t€i't* P"9t"*';;:*tft'dhrrg irmerest rrd dhrrdends <br />. *xacraiotts aIe nnt --:eflDpd rrlm krec$;up wfJirh'Jlrlng for payrn'sita <br />;#;il';i;;;n^i Jt euv*"ii #J * **ui s'*ot' *tw-r"* r*r:a*bn+ <br />e Carryatietrlg arcnot er€r'nsi fFlst! backrip wr*ftddng vrith resPac{ {'+ <br />attrvr-!4vi' feee ar grc';* pro'$eds padi ia :*tto'r:rein ard:orpcrafrrns <br />ffiffi;#;-J;ioiliealur'c"ni *"r*se' ai'a nqt *xEnryt v'itir rsspect <br />il;i;;it repcrlabta ':n Fawn luqe':dl3c-fiu t"tl*'*q catJlx i&*v$ yyeas dut.Te .ljtll{frcrn bac*up <br />*;iiii"i#t[. gtrt* f* opp'qettoti *'d* un ll-re #r:e on u;ne 'l- <br />-[_AnorganizatongJ,.efijp{fF'rd:irx{Erdef5gc.,son5cl1a}.anylRA'or <br />a cuatcdial account 'inder, eJuidn +c$P'ffi} t t",* *"ount saosfi€s the <br />ffiitt**ttu oi s+':ticn {o1;fi€!'