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F ge5 Fom W-9 tRev.3-2024) Part ll. Gertification To establish to the withholding agent that you are a U'5- person, or resident alien, sign Form W-s. You may be requested to sign by the withholding agerit even if item 1, 4, or 5 below indicates othenvise' For a joint account, only the person whose TIN is shown in Part ! should *gn (when required). ln the case of a disregarded entity, the person idlntified on line 1 must sign. Exempt payees, see Exempt pyee code, earlier. Signature requirentenls, Complete the certification as indicaled in itemslthrough5below. 1. lnterest, clividencl, atrd bafier exchange accounts opened before 1084 and broker accounts considered active durinS 19&?' You must give your correct TlN. but you do nol have to sign th€ certification. 2. lnterest, dividend, broker, and barter exchange {ccounta orrened aftei 1983 and broker accounts considered inactive during i683. Vtu*r"t sign the certification or backup withholding rvill apfly' If you are subject to-backup withholding and you are mqlely providing vour coneci TIN to the requester, you must cross out item 2 in $le iertification before signing the form. 3. Real estate transactions. You must sign the ce{tification' You may cross out item 2 of the certification. 4. Other payments. You must give your conect TlN,-but you do not have to sign ihe certification unless you have been notifed lhat you have oreviouslv qiven an inconect TiN, "Other payrnents" include oru.!nt" mad'ein the course of the requester's trade or business for ients. royalties. goods (other than bills for merchandise), medical and health cire services (including payments to corporatiofls), payments to a nonemployee for services. payments made in settlemenl of.palfmenl "*ia "no'tt'iio-purty nehvork'trdnsactions, payments to certain fishing boat crew member! and fishermen, and gross proceeds paid to atlomeys (including payments to corporations). 5. Mortqaqe inlerest paid by yotr, acquisition or abandonnlent of qecrrred nroirertv. cancellation of clebt, qualilied tttition program "iu*ent! (uhdei seclion 5291, ABLE accorrnts (under section 529A)' iFA, Cou"t.l"tt ESA, Archer It/iSA or HSA contribrrtions or distributions, and pension distributions. You must give ycur ccrrect TlN, but you do not have to sign the eertification. What Name and Number To Give the Requester The trust i List first and circle the name of lhe person lf only one p€tson on a ioinl account has an must be fumished. whose number You fuinbh. SSN, that person's number ?Circle lhe minor's nanre and furnish the minofs 9SN. rYou must show vour indrvidual name on line 1, and enter-Iodlr business ";bbA;h-;. ii'"h;:tn [ti*Z You rnav use enher vour .s$ltl or EIN {f you have onei. but the IRS enccurages y'6u lo use ycur SSN' r List first and circle the name of the trust €state, or pension lrust' {Oo not fumish lhe TIN of the pelsonal representative or lrustee unless tfte legal entity itself is not designated in the account lille'J 'Nole: The grantor must also p{cvirie a Form bqI-9 1o tfie truslee l]f ihe trust. "For more infonnation on oplianal fiIing melhods fcr granlot ttusls, ses the lnstructions for Form 1o41' Note: Il no name is circ.led when msre than one name is {isled' fte number lrill be ronsidered to be lhai of lhe first name listed' Secure Your Tax Records From ldentity Theft ldmtitv theft occurs when aomeofle us€s lDUr p€rsonal tn{ormation' such ai your name, SSFI, or other idenlifyirg infotmation. "{rthout your oennission 1o commit fraud or otier crimes. An idenri$ fiief may use iort SSf'f to qet a iob or may file a tax retutn usrng your SSN tc recenue a refund. To reduce your risk: . Protect your SSN, . Ensure your employer is prol€ctinE grur SSI\I' and r Be careful when clioositrg a ta)l' refum prepater. lf vour tax records are affected by idenlfty rheft and yan t*ute a noiiJe frorn the IRS. respond right jwrl to iha name and phon* ntrmher printed on the [FlS notice or l*t'ta'' t{ vour tar rcutrds ate n61 cwretift #fecttd by rdmtity tfreft bll you thin( vou are at risk due to a lost or *den purse or wallet quectonable credrlcard scti'rity, or a guestc,nable cnedit report' €6nla€t $i€ IRS ldentity Thefi Hotline at str-gas-4490 ry s{,bfiit Fcrm 14trJ9" For more infomatian' see Pub- wzv ' ldefifurhe{llnkttmalion ftit Taxpayers. For lhls of account 8. Oisregarded trtitf rct s\tr€d 6Y e individul s, A vslid ttwt. estate- or Feneica fuwt lo- CerFoaliff or LLC el+cting wpcde stitu3 on Flm 883? tr Fffi 2553 'I l- Aseistiffi, ciub, refuime. chailsHe, ad:etiomf, o cthar ts€affiP{ organiation 1?- PartreEhip or multi-mmbs LLC '13. A brokr or registeed rwinre 14- Amml sith the DePrtrnwt of Aqridtre in lh* name of I 6r:Ub stity ($ch s a slatG 6r !€sd q*Hmilt, *hool disin:ct' sr Pnsonl that rcdves agricu[tunl Program paymentE 15. Grutor truEt filinq Fsm 1041 q uder the Optional Filins &'lethod !' requiring Fom 10O9 ise Bagulatiorc' s*tion 1.671 -4{bX2Hil€l)" Give name and Ell{ of: Th€ffiq Laqal mtitya T*re caporaiim The xEanizrtim The prfiwship The brokry ry nmiree Tte eltlissiity Far this of account: 2. Two or more individuah (ioint accowt) other lhan m accml mainiained bY an FFI 3, Two or moe U-S. Permns foinl amount mainiained bY m FFI) 4- Cu*todial account of 3 mhtr (IJnifom Gift to tvlinqs Act) 5- a, The usuai revmble savings trust (granlor is alw truste) b. Secalled trwt ccmnl lhat ie noi a legal w valirj trust mdel state h\q 6- Sole proprietorehip u disreguded otity omed by m individnl 7. Grantor ttust fiiing uder Optional Filinq lt lelhod 1 (see Flegulalion: s€tion 1.671 -4(bl{2XiXAI" Give name arrd SSN of: The individual The actual mner of the rcceunt or' if embinad funds. ihe 6re1 individual on llre accountl Each hclder of the rccount Ihe mnsz The grfftor-lffit€- The aclual ourerr The ovrner3 The grmtor' Kittitas County Agreement for Services (rev.5/7a/251 Page 19 of 22