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0.,* llU'9
<br />ATTACHMENT ''E'
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />Go to www,r'rs,govlFomwg lar inslruetions and the lalest infortflatiDn.
<br />Give form to th6
<br />requester. Do not
<br />send to lhe lRS.
<br />{Hw, Mnrch 20?4}
<br />Espanrl]Enl of ths T/ffsurr,
<br />|ltornal B€vonua Seruica
<br />3a Che6klhc4plr.otrrialeOoxtorf+der€ltax{:lAgsrfi(rlt)nnllheentry/inrrrvrrluffil'/ho:enSrneisg}llerFdOnl,ne1^Che(ik
<br />only oRs ot tha followirlg sovsn hDxes-
<br />n tndividuat.'.oicproorictor ! Ccorporarion {r.o,oo"r'on n Padncr*hio ! Trus/cstato
<br />! LLO. Fr,te. th* tar .lt3lifi(:alidn {C - C (prpotstion, S = S corpo.aliorl, F * Pat1tle..hiPi
<br />Nole: ()hsk lhe "LLC" 6ex dbove {rd, in the enlry Epdce, enter llie npprapriale oorle iC, 5, ,x l'1 {or tire tai-
<br />clasailicnlion of lhs LLC, unl6sa it is { disrellarded dntily. A di:rcgard$d errlily riltr)!ld inrildod chfr)k lhB aopropriale
<br />box fo|the le classiticaiion ol iis os/r]Br.
<br />! other {see hrstruclionrl
<br />3b lf on line 3fl vou chBck€d "ltarlnerEhip ' or '.lrusvesiate," Dr cl'eci(ed "LLC" Rnd eriered "li'- as ilg iax classilloation,
<br />flnd you tre providing U.i3 lorn to a pfftnership, lrust, o. e$iale rn which y.Ju Mle fin ovl4ersrip rnte.es1, check
<br />thls bux lf you have any foreign ptrltreft, ov]ner$. D. ber!tsfrci{1e5. See rrlsirilclirrns n
<br />See instructi0niapl, or
<br />q8 *b6
<br />number
<br />Part I
<br />Before For r€latdd to th€ pu.pose of Forrn s4e o{ Fat(1 , baiavt .
<br />ot entjty/individUal. An enlry is required. {For n so,e proFrieior or disregarded enli{y, entar ihe ovner's rame on line 1, and enter :he brlsineesi/disregnrded
<br />Fame 0n l,ne ?.)
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<br />namc,ldisrogaroec cnlity nane, il dlf{crcnt trorn ab!'/c.
<br />7 l. ;st arcounl :irnrlrr{t)
<br />Number
<br />Enter your TIN irr the appropriate box. The TIN provided lnnst match the name gjverl on line 1 to avoid
<br />backup withholding. For individuals, this is generally your social eecurity nitmbor iSSN). l"lowever, for a
<br />ro$id6nt alian, sole proprietor, or disregarded entity, coe ihe in$tructions for Farl l, lirter- Fot olher
<br />entities. it is your etnployer identification nurnber (ElN). ll you do not have a ilurnber, see Houv lo ger a
<br />ilN, later.
<br />Note: lf the account ts ir more than one nams, see the instruclrons for line 1. gee algo What Name ancl
<br />Numbar To Give tho Raquesler for guidelines on whose nurnber lo En1$r'
<br />Dalo
<br />4 Exomptiorl$ {codss appiy orly to
<br />c€dain enlilie5. not individ{als:
<br />see lastrilclron$ on page 3):
<br />fxemsi Fay?e code iil anyl
<br />Exernpliorr lrorn Fo,eign Aecounl Tax
<br />Complinnce Act ifATCA) r8po.lirg
<br />code (il myj
<br />//pplr'ss f0 accq{ils maitaingd
<br />ouside the United Statdt.j
<br />Fterlueiter's nane and address {opliqna i
<br />of
<br />Under penalties ol perjury, I certify thal:
<br />1 , The number shown on thrs {orm is my correct taxpayer identifrcation rrumber {or I am uraiting for a number to be issued to rne}; and
<br />2. I am not srJbject to backup lvilhholding becaLrse {al I anr exenpt fronr Lrirckrrp u;ithholding, or (b) I have not been notified hy the lnternal Revonue
<br />Service (lFS) that I am subjecl to backup vrithholding as r result ol a tailure to report ail interest or dividends, or (c) lhe lFlS has ri6tified me thal I am
<br />no longer subiect to backup y/ithholding; and
<br />3. I am a U.S. citizen or other U.S. person {defined betow}; and
<br />4. The FATCA code(s} entered on thi$ form (if any) indici{ing that I i1m exempt frorn F,ATQA reporting i$ correct-
<br />Cerilllcation inslruc,ticns. You tnust cros.s oLl ilem 2 abovd il you hir,6 b*r).i nolified by the IRS that you ard currently subjecl to backup wilhholding
<br />other than inter€st and d itrs nol to lho certiiication, but must correct TlN. Ssa tho instructions for Parl latar
<br />$ign
<br />Here
<br />General
<br />Section references are to the lntenral Re\.Bnue Code lttlless othenilise
<br />noted.
<br />Fulure devtlopmgntt. For the latest informaiion about developrnents
<br />related to Forrn !Y-9 and its instrilctions, such as legislalion enacted
<br />ailer they were published, go lo www.its.govlFomwg,
<br />What's New
<br />Line 3a has been modified to clari{y how a disregarded entity cotnplBtes
<br />this line. An LLC that is R drsregarded entity should check the
<br />appropriate box for lhe tirx classification of its owner. Othemise, it
<br />should check the "LLC" box and enler its sppropriete lax cla,ssitication.
<br />Neyr Iin$ 3b ha$ been itddecl to this forrfi. A {lolv-lhrough gntily i3
<br />reqilired lo conplele lhis line to indicate thilt it has dilect or indllect
<br />loreigi partners, ovvners, or beneficiaries whetl it provides the Form W-9
<br />to another {low{hroLrgh entity in which it has an ownership interest. This
<br />chanl;e ia intended 1<r provide a flow-through onl.ily wilh information
<br />regard;rrg th6 slnlus ot it$ indirdcl ioreign partilers. otvners, or
<br />heieticiaries, so that it can satisfy any applicable teporting
<br />reqirirements, For exarrple, a parinership lhat has arry hldirect foreign
<br />partners may be required to cotnplete Schedrrles K"2 and K-3. Sea lhe
<br />Parlnership ln$tructions for Schedr.rleg K-2 nnd K-3 {Form 1065).
<br />Purpose of Form
<br />An ifldivldual or cntity (Form W-9
<br />inlorrnation retilm with lhe lRg is
<br />reqrreste.) vrho is required to lile an
<br />giving you tlris lorm because lhay
<br />Part ll
<br />Signatum of
<br />1,,S. porson
<br />Cdl. Ne. lql31X
<br />Kittitas County Agreement for Services (rev.5/t4l25l
<br />Page 13 of 19
<br />Form W-9 (Rev.3-2024)
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