AFS between KC and Robin Read Amend 1

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Form W-9 (Rev. 3-2024) Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1. 4. or 5 below indicates otherwise. For a jotal account. only the person whose TIN is shorn in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payeess, see Exempr payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts -opened after 1983 and broker accounts considered inactive during 1993. You must sign the certification or backup withholding will apply. tf you are subject to backup viithhokling and you are merely providing your correct TIN to the requester. you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out Rem 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. 'Other payments' include payments made m the course of the requester's trade or business for rents, royalties. goods (other than trills rot merchandise), medrea4 and health care services (including payments to corporations), payments to a rtonemployee for services, payments made in settlement of payment card and third -party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Martgaga interest paid by you, acs(uis'ttion or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529). ABLE accounts (under section 529A), IRA. Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, put you do not have to sign the certification. What Name and Number To Give the Requester For this type of account Give name and SSN of: 1. Individual The individual 2. Two or more individuals fioint account) The actual owner of the account or, other than an account maintained by if combined funds, the first individual an FR on the account' 3. Two or more U.S. persons Each holder of the account fioint account maintained by an FFI) 4. Custodial account of a minor The minor2 (Uniform Gift to Minars Act) 5. a. The usual revocable savings trust The grantor -trustee' (grantor is also trustee) b. So -caged bust account that is not The actual owner' a legal or valid trust under state law 6_ Sole proprielorship or disregarded The ovmer3 entity owned by an individual 7_ Grantor trust filing under Optional The grantor Filing Method t (sea Regulations section 1.671-4JhX2K1 AJ)" Kittitas County Agreement for Services (rev. 5/14/25) Page 17 of 19 Page CJ For this type of account Give name and EIN of: a. Disregarded entity not ovrrwd by an The owner individual 9. A valid trust estate. or pension bust Legal entity' to. Corporation or LLC eSecting corporate The corporation status on Form M? or Farm 2553 11. Association. dub. religious, charitable. The organization educational, or other taco -exempt organization 12_ Partnership or mub-m:mb?r LLC The partnership 13. A broker or registered nominee The broker or nominee 14. Acwrmt with the Department of The public entity Agriculture in the name of a public entity (such as a state or local government, school dstricr, or prison) that receives agricultural program payments is. Grantor trust filing Form 1041 or The trust under the Optional Faing Method 2. requiring form 1099 (see Regulations section 1.671-Sroli2Mi ))` ' List first and circle the name of the person whose number you furnish. If only one person an a joint account has an SSN, that person's number must ire furnished. 'Circle the minors name and furnish the minors SSN. 'You must show your individual name on line 1. and enter your business at DSA name. if any, on fine 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 4List first and circle the name of the trust, estate. or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) 'Note- The grantor must also provide a Form W-9 to the trustee of the trust. "For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041 _ Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when soma -ore uses your personal information. such as your name. SSN. or other identifying inlormation, , nthota your permission to commit fraud or other crimes An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax return preparer. If your tax records are affected by identity theft and you receive a notice from the IRS. respond nght away to the name and phone number printed an the IRS notice or letter. II your tax records are not currently affected by identity theft but you Ihmk you are at risk due to a lost or stolen purse or wallet, questionable credit card activity. or a questionable credit report, contact the IRS Identity Theft Flodine at 800-908-449D or submit Form 14W9_ For more informal ion. see Pub. 5027. Identity Theft Information for Taxpayers.