|
Before you begin. For
<br />ATTACHMENT 'T"
<br />Request for Taxpayer Give form to the
<br />Identification Number and Certification requester. Do not
<br />sends
<br />the IRS.
<br />'at,on.
<br />Go to VA-Av.jrs.gov1FormW9 for instructions and the latest information.
<br />Forrr "1-0. A-Vt- •(3v"
<br />2 3 LJ 12.-.: 1 t I ' . c , m! t, r i .. rifd '.,r I" �t . '
<br />'.r J 2 J
<br />F l; c, -, " J�P-,
<br />'
<br />F r
<br />713"C" 1
<br />P r!
<br />.k L;
<br />QL
<br />N.t,: ;c
<br />it
<br />ow
<br />I for.,:' :1
<br />Qr
<br />.z
<br />3b -ol r 11 Fir 01
<br />ls_, Colin-
<br />-!
<br />Ja�
<br />•Ou
<br />o z
<br />"
<br />;1V 1
<br />6 r -, , i 7 P :Cd,!
<br />Ta,p Y"Id,njifiration Nu�mb,,
<br />th, CEIN ell
<br />our -r. -ir
<br />p7jjo!E •r,!.,r SSr. !
<br />lr-�W 1, L- . -, o, r For-_ n LLLI
<br />;c! mar, 3r d. r. i
<br />rzl!-, I! df 3 or
<br />mCrtr
<br />Tint -
<br />Note: 1 41— 1 also 7T
<br />r fC. 17 11r'
<br />L, der p-elafties or jr --I to ir,
<br />;t,- jj.jrrttr ��lo.,.n or 'tFO y -;Lxp 3V!lf lj.±nl.l
<br />tw ;:.:;j,!C FO t.'rkj.P b� I
<br />--j—derdz. :i RS, a-,c,:.
<br />--,,Z to zl,,c qlirj icloinq: :wd
<br />I j S !,Zr, or OCh j S cl,:ii cd
<br />To d dic,j -(j -,x„iripr toz i: :c,r C,
<br />0" •F: -Q L);IC
<br />Certification instructions. Yc-;
<br />l [Vd[
<br />je, -'s cr -,7, iz r ,n r?r r-LA
<br />r, ar rrel
<br />c!•
<br />,�,!-Iion 3i 71 "'1 Ullci Fl
<br />iur L, at of Fit,)
<br />r i:ln Irr ,r -,t 'r J
<br />o 7r
<br />Sign sigrlawro 0' Dot,
<br />Here I U,S. porn.n
<br />General Instructions
<br />FuWm dcv,-Jupmon-S
<br />=GnP W-9 -1 tf,,if A-& T
<br />What's New
<br />L '4 "tV s-11,1-1d -?1U-1
<br />n,z;k
<br />A-1 I So�q,,j n h n, i I d
<br />;11,. - -.in N of
<br />ioK L-Z LOA 11PO ";' :t:' ! 11--"';, t
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 17 of Z4
<br />T:-t*Lfp -r
<br />hip r,?_Sr.
<br />1j Ica,
<br />pig. t pw., -40 4T,,�j K trd is -I S11 I'
<br />,rinirtts
<br />3 1�-L-trli I.Diizi
<br />jr—
<br />Purpose of Form
<br />
|