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Form W-9 (Rev. 3-2024)
<br />must obtain your correct taxpayer identification number (TIM. which
<br />may be your social security number (SSN), individual taxpayer
<br />identiftoalion number (iTIN), adoption taxpayer identifica tic n number
<br />(ATIN). at employer identification number (EIN), to report on an
<br />information return the amount paid to you, or other amount reportable
<br />on an information retum. Examples of information returns include, but
<br />are not limited to, the following.
<br />• Form 1099-INT (interest earned or paid).
<br />• Form 1099-DIV (dividends, including those from stocks or mutual
<br />funds).
<br />• Form 1099-MISC (various types of income, prizes, awards, or gross
<br />proceeds).
<br />• Forth 1099-NEC (nonemployee compensation).
<br />• Form 1099-B (stock or mutual fund sales and certain other
<br />transactions by brokers).
<br />• Form 1099-S (proceeds from real estate transactions).
<br />• Form 1099-K (merchant card and third -party network transactions).
<br />• Form 1098 (home mortgage interest), I098-E (student loan interest),
<br />and 1098-T (tuition).
<br />• Form 1099-C (canceled debt).
<br />• Form 1099-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 correct TIN.
<br />Caution: If you don't return Form W-9 to the requester with a TiN, you
<br />might be subject to backup withholding. See ftar is backup
<br />tvffhWdrng, later_
<br />By signing the filled -out form, you:
<br />1. Certify that the TIN you are giving is correct (or you are waiting for a
<br />number to be issued);
<br />2. Certify that you are not subject to backup withholding; or
<br />3. Claim exemption from backup withholding if you are a U.S. exempt
<br />payee; and
<br />4. Certify to your non -foreign status for purposes of withholding under
<br />chapter 3 or 4 of the Code (it applicable); and
<br />5. Certify that FATCA codes) entered on this form (if any) indicating
<br />that you are exempt from the FATCA reporting:s correct. See What Is
<br />FATCA Raporeng, later, for further information.
<br />Note- It you are a U.S. person and a requester gives you a forth other
<br />than Form W-9 to request your TIN, you must use the requesters forth if
<br />it is substantially similar to this Forth W-9.
<br />Definition of a U.S. person. For federal tax purposes, you are
<br />considered a U.S. person if you are:
<br />• An individual who is a U.S_ citizen or U.S. resident alien;
<br />• A partnership, coiparauon, company, or association created or
<br />oruanized in the United States or under the laws of the United States;
<br />• An estate (other than a foreign estate); or
<br />• A domestic trust (as defined in Regulations section 301-7701-7).
<br />Establishing U.S. status for purposes of chapter 3 and chapter 4
<br />withholding. Payments made to foreign persons, including certain
<br />diviInbutions, allorabons of income, or transfers of sales proceeds, may
<br />be subject to withholding under chapter 3 or chapter 4 of the Code
<br />(sections 1441-1474). Under those rules. if a Form W-9 or other
<br />certification of non -foreign status has not been received, a withholding
<br />agent. transferee, or partnership (payer) generally appves presumption
<br />rules that may require the payor to withhold applicable tax from the
<br />re iphent, ovmar, transferor, or partner (payee). See Pub. 51S.
<br />VAthhotding of Tax on Nonresident Aliens and Foreign Entities.
<br />The following persons must provide Forth W-9 to the payor for
<br />purposes of establishing its non -foreign status.
<br />• In the case of a disregarded entity with a U.S. owner, the U.S. owner
<br />of the disregarded entity and not the disregarded entity.
<br />• In the rase 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 grantor trust
<br />• In the case of a U.S. trust (other than a grantor trust), the U.S. trust
<br />and not the beneficiaries of the trust.
<br />See Pub_ 515 for more information on providing a Form W-9 or a
<br />certification of non -foreign status to avoid withholding.
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 14 of 19
<br />Page 2
<br />Foreign person. If you are a foreign person a rite U.S, branch of a
<br />foreign bank that has elected to be treated as a U.S. person (under
<br />Regulations section 1.1441.1(b)(2l(iv) or other applicable section for
<br />chapter 3 or 4 purposes), do not use Form W-9. Instead, use the
<br />appropriate Form W-8 or Form 8233 (see Pub. 515). If you am a
<br />qualified foreign pension fund under Regulations section 1.897(I)-1(d), or
<br />a partnership that is wholly owned by qualified foreign pension funds,
<br />that is treated as a non -foreign person for purposes of section 1445
<br />ivhthhoidng, do not use Form W-9. Instead, use Form W-8EXP (or other
<br />certification of non -foreign status).
<br />Nonresident alien who becomes 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 certain types of income. However, most tax
<br />treaties contain a provision known as a saving clause. Exceptions
<br />specified in the saving clause may permit an exemption from tax to
<br />conitnue for certain types of income even after the payee has othervnse
<br />become a U.S. resident alien for tax purposes.
<br />It you are a U.S. resident alien who is relying on an exception
<br />contained in the saving clause of a sox treaty to claim an exemption
<br />From U_S_ tax on certain types of income. you must attach a statement
<br />to Form W-9 that specifies the following five items.
<br />1. The treaty country. Generally, this must be the same treaty 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 exceptions.
<br />4. The type and amount of income that qualifies for the exemption
<br />from tax.
<br />5. Sufficient facts to justify the exemption from tax under the terns of
<br />the treaty article.
<br />Example. Article 20 of the U.S.-China income tax treaty allows an
<br />exemption krom tax for scholarship income received by a Chinese
<br />student temporanly present in the United States. Under U.S. law. this
<br />student valI become a resident alien for lax purposes if their stay in the
<br />United States exceeds 5 calendar years. However. paragraph 2 of the
<br />first Protocol 10 the U.S: Chma treaty (dated April 30, i98-1) allows the
<br />provisions of Article 20 to continue to apply even after the Chinese
<br />student becomes a resident alien of the United States. A Chinese
<br />student who qualifies for this exception (under paragraph 2 of the first
<br />Pmtoeoi) and is relying on this exception to claim an exemption from tax
<br />an their scholarship or fellowship income would attach to Form +V-g a
<br />statement that irtcludas the information described above to support that
<br />exemption.
<br />If you are a nonresident alien or a foreign entity, give the requester the
<br />appropriate completed Form W-8 or Form 8233.
<br />Backup Withholding
<br />What is backup withholding? Persons making certain payments to you
<br />must under certain conditions withhold and pay to the IRS 24% of such
<br />payments, This is called "backup withholding." Payments that may be
<br />subject 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 made in
<br />settlement of payment card and third -party nehvork transactions, and
<br />certain payments from fishing boat operators. Real estate transactions
<br />are not subject to backup withholding.
<br />You will not ba subject to backup whhholding on payments you receive
<br />if you give she requester your cnaect TIN, make the proper certifications.
<br />and report ail your taxable interest and dividends on your tax return.
<br />Payments you receive will be subject to backup withholding it.
<br />1. You do not fumish your TIN to the requester,
<br />2. You do not certify your TIN when required (see the instructions for
<br />Part II for details);
<br />3_ The IRS tells the requester that you furnished an incorrect TIN;
<br />4. The IRS tells you that you are subject to backup withholding
<br />because you did not report all your interest and dividends on your tax
<br />return (for reportable interest and dividends only); or
<br />5_ You do not certify to the requester Ihat you are not subject to
<br />backup tvilhholding, as described in item 4 under "By signing the fdled-
<br />out form" above ((ar reportable interest and dividend accounts opened
<br />after 1983 only).
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