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Paqe 5 Fom W-9 (Bev. 3-2024) Part ll. Certification To establish to lhe r.tithholding agent lhat you are a U S' person' cr ;;;"^t;;*, siqn Form w-s]vdu may be requested to sign bv tlre rrilhholding age,it euen il item 1, d. or 5 bslow indicJtes othenvrse For a iorot accouot. only the pelson vthose Tlhl is shoi'Jn rn.Part I nr'oirJiion-turtten teqr,t""cl. ln'the oa$s of a disregaded onlity' lhe i-*"^,al"rin"u on line I must sign' Exernpt payees' see €xemptpayee 8. this of account: €ntily mt ,v/cad b'/ nn The omer Give and ol: code, eatlier. Signature requirements- itemslthrough5below. What Name and Number To Give the Requester For this tyPe of account:cive name and SSN of: 9. A valid ItuI, esttle. ot peEion tslEt to. Cnnromtion or LLC ettcting corpffite sbhE on Fm 8&i2 or Fm 2553 11. Assciatim. club, elfuirus. chlitable' eduatiomj, or oths td€xmPl orgmiation 1t. Pottni/sh,p tr mullr'nrmbrr tlC 13. A broker or eg'etercd nminee 14, nf,trmt sith the Oeparunill of Aoialhre h the mrne of a Public en]tity (srcfr s a stde or lmal ioue-ttimer,t scfiml dstia' or priwn) that Eerve agricultiral Progm payrnats 15. Gnntor ttlst 6tng Ftrtn 1o'll o' mder the OPtional Fding Mefro'd 2' rmuirino Fom 1OS (se Regulati're "4rion i.671 -4(bx2)0€))- tUst firsi and circle the name of lhe person whose number You fumish' lf only one Person must'be furnished. on a ioint account has an SSll, that Person's number 2Circle rhe mino/s name and fumish the minor's SSN' ) You must shorv your rndividual name on hoe 1 ' and enter your bugness "ibblliii,i.fiiinv, ci' Lnea Y;iimav use e'tner vour ssN or Elt'l fl y6u have on*l. but fie IRS encoursges you lo us€ your DDI!' { Ust lirst and circle the name of lhe trusl' eslate' or pension trust' (Do noG.i"n rc ff N of the personal rePresentative or. trustee unless the legal entity itself is not designated in the account mle') 'liote: The grantor must also provide a Form W-9 to the lnrstee of the trusi. " For more information on optional filing merhods for grantor trusts' see the lnstructions for Form 1041. Note: lf no name is circled wheo more than one oame is lisled' the ir"-ir#r tiili o. ;nsidered to be that of lhe first name listed' Secure Your Tax Records From ldentity Theft ldenuw thefl o€curs |.Jhen someone tls;s your pe'sonfll rnfofmstion' ;;t;;;;; ;;;;. SSli" or olher rd*nbfvns 'nfcrmalion' 1'rilhoul vour o"r*tatrirn to commrt {raud or other crimes Art identlty thr$,may use |i;;;'itil ;;;4" i"-t o, *uv hle a rax retrirn usins vour ssN ro ree*ive a refund- To reduce Your dsk . Proteet your SSN, . €nsure your employer is protecting your SSN, and . Be careful vrhen chooGrilg a tau €tum prepatef' ll vour lax aecoads ar€ aftected by rdenn'ty thefi and you rec€N€ 3 r";J;;;;i;;"-'R5, respone ngnt irvav ro ih+ nanre and phone numb€r pnnted on the lFlS nouce or letler' ll vout tax recorejs are rlot cuncnUy atfected by rdenllty thett but 'Youtn"liilrTi*'uit."r. cu" io i to.t ot itolen p'ts"'':t vrallel' questionable ;;ilIJJ';i;;t* oi a qu"-srionabls credit t4pori' contac'l-the IRS i#;t-ft;fuiline at a0o-soa-{'le0 or submtt Form 1'103E' For more rnforrnation. s€e Pub. 5q2?. fdenlrt'/ Thglt lnformatlon lor Taxpayers. Complete the c€dificalion as indicated in Legat entjbl The caporation The *gaizaiion The partraship The broks or nominee The public enlitY lletud l. lnteresl, dividend, and bader exchange accounts opened t.i"t f Sga anO broker accounts conside?ed active during 19[B' iil;-r;Gi"; t;uiconect TIN' but you do not have to s;gn the cerdfieation. 2. tnterest, dividend, broker, and barter exchange €ccounts #;;;;fi;; rbrii "nj brokcr accounts considered inaclive during.. ;ffii."iJ;;1, fr;ii;;e'i;n;ti"^ or backup wiihholdins rvilla.pplv' lr "i" i*-t"oi*, toiackup rvithholding and vou are merely providing i""i."t."i nru to the requester. yoi must cross out tleft 2 in the certification before signing the form, 3, Real estate transactions" You must sign the certification' You may cro*s out ilem 2 of the certification' it- Olher oavtnents. You must give your coftect TIN' but you do not rrave to sion llie certification unless you hav€ baen nolifted that you i'ir. "i*i""=r" oiven an inconect TiN. 'Other payments" include li-*!l,t-'"t-"J"T" inl "our=" ol lhe requester's tiade or business for i.'i;:;;"lii;;,;ooJs otner rnan bills fbr merchandise)' medical and ttr"firt #" t"*[*s 0ncluding payrnents to corporalions]' pa^yments to . *ir*Jou* {or services' pdyments made ill settlemenl of payment 3jtllii'uill-ptttv n*r-oti 'trin*"tions' paymenls to cedarn fishing ;;;;il.b*; and fishermen' and gross proceeds paid to "tro*ayr (including paytnenls to corp€raliong)' 5. Mortgage interest paid by you, acquisiliot or abandonmenl of "o"uiud o"ro-nertv, c:tnc-ellatlon of debt, qualified ttrilion Program. -.;:;;;;!i;;;7;;;ii;;i s2e). ABLE eictunrs {tin<rer secrio. 520A}' ihf,- cover.tett ESA' Archer MSA or HSA conlribulions or iiiiluril.*. and pension distributions' You must give your conecl TlN, but you do noihave to sign the cerlification' 1. 2. Trvo or more individuals fioint acmunt) other thm m acmunt maintained bY m FFI 3- Two or more U.S. Pemre [oinl atrount maintained bY a FFI) 4. Custodial aeount of a minq (tjnifom Gifi la Mhrors Act) 5. a- The mud rcvo€able svings uusl (grmtor is also Eustee) b- Sqcalled tEt accwnl lhat is not a lega, o{ valid tsr6t unds state lav/ 6. Sole orcprieto6hiP u diwgarded trlity ovned bY m individual 7. Gnnlor tnsi filinq under OPtional Filing fulethod 1 (see Regulations *mn t.671 -4{bl{2x0(A)}" The actual owner of the account or' il combined tunds, the frst individual on lhe ac@unir Each holder of the account The minor2 The grantor-lret€r The actual omerl fie ovmero The orantor' Kittitas County Agreement for 5ervices (rev' 5/A125) Page 17 of 19