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4 <br />Form !V-9 (Rev. 3-2024) <br />lF the paYnrent is for <br />. lnterest and dividend PaYments <br />' Broker transactions <br />. Barter <br />and <br />required to <br />sales over <br />THEN the payment is exempt <br />for,., <br />A.ll exempt PaYees excePt <br />tor 7. <br />2 -The United States or any of its agencies or instrumentaf{ties' <br />3-A state, the District of Columbia' a U'S' commonweallh or tenitory' <br />.;uny ;f ti.t;ap"litical suMivisions o{ instrumentalities' <br />4 -A foreign go'./emment or any of ils poliiical suMivisions' agencies' <br />or instrumentalities. <br />5 -A corporation. <br />I -A dealer in securities or commodities r"gqt*d to regietcr in tht <br />ui[J !iii"!, tt'" bigtrict ot cotumbia' or a U'S' cornmonweallh or <br />tenitory. <br />7-A futures commission merchant regietered with the Commodity <br />Futures Trading Commission' <br />B-A real estate investment ttust' <br />0 -An enti$ registered at all times durirrg the tax year under the <br />lnveetrnent ComPanY Act of 1 940' <br />'10-A oommon trust fund operated by a bank under section 584(ai' <br />'l I -,A financial ingtitution as defined under section 581' <br />12_Amiddlemanknovrnintheinvgstmentcommunityasanomineeor <br />custodian. <br />13-A trust exempt from tax undel section 664 or described in section <br />F-A dealer rn s€curii€E. comnm&bs' or deri$arfite ftnatrcieli;;;ff; i^ii"*,,e'*ri"n'u' fr"913911ff ;5;m"and optionsl that is egbtered <br />Stalss or afiy state. <br />G-A real eotate inttesfrneflt Eust <br />I't-A regulated itrtestrnglt ca{rFatx/as d+'{ned rr' see*bn 851 o( an <br />-"fiv ;;*;J "t <br />al dott* *ninq uoJ ta* r**r tT uo sre lr"ffiient <br />ComPanY Aet of lg{o" <br />l-A coflmon trust ft$td as drBfrrBJ iT secil'sn s&{al" <br />J-A bank es defned in section Sat- <br />K-r\ broker- <br />L-A frust erempt{ror$ tax ttnder *e*im66'f ordbscribedr* gzetian <br />4s47(El{rl- <br />M-A tax-extmpt fust Ender a c€c'riolr a&fiF! plan or secticn s51(g! <br />plan. <br />ilo*,"or*ur*ish'Joconsult'irfslftefnxnialinstituliunrequestingiiiJi"#i" oltdine rshefter the FAtrcA code ardr"or erenpt pryee <br />code shoutd be comPleted' <br />Line 5 <br />Enter your address fnurnber. streel. and aparfi-ent orsuite-n(mber]' <br />This ie urherc the requester or'ttiu f"t* r*i-e *tl nrril yowinfomtaiicn <br />*llffi:i'il#-;iolt oiteo n*n *re one lhe reqtester alreadv has'orr <br />hiJ].iii# jil6n; <br />"it'. top' rr i ""* "ao'** is prbv;aeo' there is shll a <br />:#;; id;d'"ddr"se *'itt be used trntl lhe pavor ehanges vour <br />address in their records" <br />Line 6 <br />Enter your eity, state' and ZP code- <br />Part l. Taxpayer ldentifbation Number {TIN} <br />Enter your Tlll in the appropriate box' ii 'pu are-a r+srdert alien afld <br />io, iJ nor t "u.. <br />and arihoieliEbte ro get. a$ ssll. your TIN ie your <br />iffi n;$i: eil;;i 'n tn..ntry 'ji";i;it-sq"* s*curit; number'tt'1ou <br />Co not have an lTlll' see Ffo'"ir (o gF*' a l'w Delo(s <br />li etu are a sob FreF'ietor ar'd ,ou haqe an E!ff' yor: rnay eater aitfier <br />ya"issN * Ellt. <br />tf ycu are a snsle-membe:"H ffi;,ffi;|8ff,il*"H* n* <br />seoarate from its ovrnet" aftle <br />il"-tffi;?ti;;Gi*a "= <br />o 't"tp"*r'o* or pcrtr?ersftip- +rter the <br />anti$'s Elltl <br />l'lob: See'rvlret t'!aguw a8 Fkwber Tc 6;i'te tlne F4rcts' laig(' tNlt <br />i"il-*-u"tm."*" of name *rd T.ll'l a'oorf:rpdbns <br />Flov, tcl get a Tlil- lf pu do not ha"e a TSi' a$pry f,os otre imtt!€liadely' <br />T"c aoctv fcr an SSnf,' q"t rt# SS-S '\Ffs'6aiian <br />frx a Socsl Sectnt'l <br />Carci.'fuinu rqur Ued $S,A or{ilrce m qet ffils btnn drilat€' at <br />,.-,** Q*a ms v"* ,rsc' dsa ; t'6 faar'nr b7 oalllng mOLtrTZ- 12 ! 3 Us€nwWffiffi;r*+q* <br />ldentification Slurober' ts ryd; frar an ESL Yo-r csr ry{f fol'an El}t <br />;ffi#f;"acc;& d*ln6"qraheiu at xusri;rgrc;'Eff - c* to <br />rw"r"v.irstxlvfFolrlwo n*:" Jwotoar!" or pr:int Frrnn h1f-7 alrd,'\x Fosm <br />ffi;'#il-t;r&* rcsi.n ss-i rne,fedjBo rsA,u wlirl*n 1s brJe'nss$ <br />,taye, <br />ilr ws, tre atked to conplete Fc*nn SJ€ fout dc, cor t?ave a TIfl' rypiy <br />rJuTix;;;;G;Aspdd F#;'*erystatur theTw" s&vr avJ dail+ <br />ffieH. ffi ;;*,t t'i *l" -qLm';.nd g"'-o-q1qg** <br />i6i"il'['. *,f -*'*gflff.gfiffi # ffi: Hffi #'ffi# <br />insuulEenls, YEU vJ4 g+fl€s-ar <br />t'l* oo,r*t"iUuf,rre yqnu are iugFct to bdr$p "JdrtrTltclffq c,t <br />H##; iil aoa.-ir r.re uoea r'ot afply tr: ;ff!s{ Vw cl Qaqrer'ls' <br />fiJ.t.riffiilg;;t;kte *'utt*k&"q crr dl ructo pagnants unlil <br />ltu 6rrro';irie yowIXFI to Sra re+l6ter" <br />f,lote: EntennE 'ApCd Fof mearl3 lhd yciltsarc's*qwlv aFflfred fur a <br />TlFl or that reu inten,J to +pl'r'# ** *i* s* dso F:tekhtng U '3 <br />## i#;i,##' ir ;]€e# a *a'*ry e w#ffi*s' ear*.'"r' b( <br />;ffi;;;*l*@ad be'";iecs ao w;uil'oilllE'*tl*o xt-'$x 3 rr-'t oI <br />the C.oda- <br />Carilion: A disregard*J U-S eftuty d?at *na$ 3 frF{elgn or".tner srrust uge <br />the aProPriate Foran UV4" <br />Exampt payees <br />through 1 I and <br />1 through "l aod 6 <br />all C corPorations' <br />S corporations must not €nter an <br />exemot pavee code because they <br />are eieripi onlY for sales of. <br />noneoveted securilies acquired <br />to 2012" <br />transachons E<empt paYees 1 through 4- <br />Gen€ratly. exerfi Pt Payees <br />1 through 5.: <br />95.ooo' <br />. Payrnents made in settlemsnt of Exempt paYees I throuEh d' <br />payment <br />netv{ork <br />card or third-PartY <br />b-ansactions <br />eection 1. 1 4r2- 1 fcl(l l(i)- <br />E-A corporation that is a member of the same expanded affiliat€d <br />griup ;; ;;;p".alion au="nuuO in Regulations section 1 " 1 ;172-I {c(l Wi' <br />Kittitas County Agreement for Services (rev ' 5/14/25l. <br />Page 19 of 23