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ATTACHMENT "E"
<br />,.-,', Ulf'9 Request for TaxPaYer
<br />ldentification Number and Certification
<br />Go io ffi,l/s.govlFomlW lor instructions and the latest inlormation'
<br />Give lorm to the
<br />requester, Do not
<br />send to lhe lRS.lBev. Mtrch 2024)
<br />Detill,nerl ol tho lreasury
<br />hltomal Rovonuo Soryicc
<br />Befors you For related to the of Form sc6 of belo!'r.
<br />I Nume ol entitylindividlrcl. An entry ls €quired-{For a Boae proprietor or Clsregsrded entily. ents'the owner'3 tam on jine l. a.d enter:he ixsillosvdl$regardad
<br />flriily g nam€ on lrn6 2 J
<br />2 Busir,os$ lramo/disrcqor6-e.j ontity .amB. rt ditloront tom rbovo.
<br />4 Exomptiof;e icodss aPPIY onlYlo
<br />cerlain sniilis, not individuals:
<br />see Inslnrctlors Dn Page 3):
<br />gxoart payF code (it illyl _
<br />;xemptlotr from ForBiglt A€ount Tax
<br />Complisnce Aet itATCAi roFo.tirg
<br />cods (it r.1)
<br />tAppli's to eccenls tmifllanqd
<br />trtsido lrra Urifed Stsies.l
<br />Rsl[egt€r'5 nsflE a|d ilddress {optlonat)
<br />7 !,rst &:rount nirmlrerlsl rere iopuonai)
<br />c;
<br />O1
<br />o
<br />ao
<br />uP*€
<br />ot26
<br />fo
<br />Eaooat
<br />oo6
<br />Enter your TIN in the appropriate box. The llN provided must r.atch the nauls givell on line 1 to avoid
<br />backup luthholding. Fo; i4dividual., this is ganarally your social socu;ry- number {SSNi' Howsvar' for a
<br />residont ali€n, sole proprietor, or disrega&led enlity, s9e the in$lr.rclions for Parl l, later' For otht'J
<br />entitie3, it is yoilr employtr idertificatiJn flumber (ElN). lf you do not have a numtler, see How to gel a
<br />fl^,/, later-
<br />Note: lf th€ account is in moro than one nafilo, soe the instructions for lina 1 slaa also wt'at Name and
<br />Nwnber To Qive lho Rsquesf{ hr guideiinss on whose nurYlber to eflter'
<br />or
<br />Cortification
<br />Under penalties ol pe4ury, I certif/ that:
<br />1 . The number shown oP thrs folm i5 my corroci taxpayo. i(lentificatioF numb0r (or I em lvaiting fof a nrlmber to be issued to InBi; and
<br />2. I am not $ubject to backkp withholdino bscauso {a) I arn exerrpt from backup lvithholcJing, or {b) I havo not bteF notified t}y'lho irternal Revenue
<br />servics (tFS) that I am subiect to bsckup withholding as a rssxlt of a failure io ieport qll i;terest or dividends. or {c) the IRS ras nolified rne that I arn
<br />no longer subiect to backuo withholdingi and
<br />3. I am a U.S. citizen or other U.S. person {definsd below); and
<br />4. ThB FATCA codo(s) entsred on thi$ forn iif any) indicating thal I am axsmpt f.om FATCA.oporting ls corrsct-
<br />Certifcsrlon in5tructions. You lnust clo*g otjt item ? aflove if you hdve tleen nolificd by the IRS that you are cilrrently sublect to backuP withhokling
<br />because you havs failed to report all interast and {rividends on your tax tstr].n. For real esiate transac'tions, ilem 2 does noi apply. l-or mortgage;nteresi paid,
<br />acquisition 0r abtrdonnent of smured properly, canc€ilation of debt,contributioFs io an individilai reiirement ar''ilgeqent (lRA). and, generallY. Paymerits
<br />olher than intorggt and ar€ nol requirsd lo the corliticat;on, but :TUSI cctrect TlN. Ss tho instruclions foa Part ll, latBr.
<br />Sign Signaturc ot
<br />U.8. pereon DsteH6re
<br />General lnstructions
<br />Section relerences are to the lntenral Revetrue Code rinless cthenvise
<br />noted.
<br />Futurc dovalop{nsnts. For ths tatc$! intormatior aboul devaloprFents
<br />re:ated to form W-9 atrd its instruciions, such as legislatlon enacted
<br />af ter they welo pliblished, go lo www.irs'gov/,:omqlg,
<br />What's New
<br />L;ne 3a tas been rnodified io clari{y how a:iisregarded entity compleiBs
<br />this llns. A1 LLC that is a d,sregarded entity should chffk the
<br />app.opriatB box for ihc jitx classification of ;ls owner- Otheroisa, it
<br />shoulti check tbe "LLC" box ar-d enter its lppropriale tax classilication'
<br />Nevr iine 3b has bson addod to thts fonn. A flow-through Gnlily i3
<br />reouired to cornplete lhis line to ind'ca:e that it has direcl or indirect
<br />ioreiq" partners. o\{rets. or oerlelicitries when it provides the Form w-9
<br />to anither flow'tnrcugh cntity !n which it has an ownsrship interest This
<br />"-irange
<br />is ;oten.led tJprovide a {low-tl"rough ontity rrith inforrnation
<br />rmartJ,nq tho status of tls il'difsot loreign parlnsrs, owners. or
<br />be;reljcra-ries, 30 that it csn sal sfy any applicablo reporting
<br />requiraments. For example. a Panlrership that has any indrreci forergn
<br />oo.tn"o,t"v bo.gqurred io complele Scnedrles K-2 and K-3 Soe ths
<br />'Pilrrnersl-ip irstruct,ons for Sc;hodules K 2 ano K 3 {Form I 065}-
<br />Purpose of Form
<br />An individual ot enlity (Form W-9 reqnsterl who is requlred to lilo an
<br />rrlormation return wiih tne ltis is giving you this fo{m because they
<br />onry ono of lho followi.o sovoil [Dx€s.
<br />f] lndividualsoiopropriotor ! ccoporation ! Srcrporatlon I Pnrtrcetrlo n TnEyostalo
<br />n LLC- Enter tlrs tox clasailicatioB {C '" C corpomlion' S " S torporatlon, P - Partt€rchlp}
<br />Hotei Chtrk lhe "Llc" box ar'd'/e a$r, in ItE stry spacg. enter lhe appropriate cod6.(C: s' :'.P) f:llht.tll ,-.
<br />i,l"iiirr,ruil"ii "i rlr,r Lr-c. untoso it Iu i iiircg"t,tudooiity. n ai*.nt;ar<lo<i enirty shoold inslcsd ctek rho apptoptiero
<br />box tott}ls tu classificalion of iis ownar.
<br />n othw{to€ Lrstrucliois)
<br />vhos ilaxr+ i5 ry){F$l on I'lle I Check3a Chek lhe appropriale box aor fede.xl lax clas$ltical,or!of lhe slitylinrrividual
<br />tax!ts clssEifioalion,end €ntd€d as"-Irusuastate,oa chocksdorchecksd3bon3al;ns you "Pari.ership'chtrkwhithrntBcsl,fi own€rgniph&vagstilteolinyoualelorml-hie ata trust,providi!{,gadnerghrp,ard ysu
<br />instru6llonsSee.Y beneliciffes.hava ov/n€6,0oxlhis any p€rll€m,loreignilyou
<br />5 Addess (number, slr*l' afld ept or $uite ilo i se€ lnrtruclions'
<br />6 C'ij, stats, sd ZIP .ode
<br />Number numlorPart I
<br />ET
<br />Part ll
<br />Cal. No, 102:!1X
<br />Kittitas County Agreement for Services tev.5/74/25)
<br />PageL5 of22
<br />Form W-9 {nev- I 20241
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