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P"g.4 <br />Form \rV-9 iF:v 3-202'{) <br />above. 1 through 13- <br />lF the PaYment is for <br />. lnterest and <br />transac <br />. 8ar1e( <br />and <br />5 -A corporallon' <br />' - A dealer n secuntres )l comn\odki4s requirS'l io Ggrs- tet in the <br />LJnited Stat*s llrs Oistnct ol C"f"^ii' * - 'i d' cornmJnrvsa'th or <br />t#ritory. <br />7-AfuluresCommigs.onrnerchantregisteredwlththecommodity <br />Futr.rres kading Ccmmission' <br />I -A reai estate investmeni trus'' <br />I** *nu,r r*Stsrerecl s( aU!m*s dunng 1tr* l8x yetr1,nd+r th* <br />rn-uest;*nr iomlanY Act of t l'to <br />1o-Acommontruslfundoperatdbyabankundersectrbn5S4(a1. <br />, i -n fn"n"i.r instrtution as defined under secuon 581 ' <br />12-A middleman knov/n in lhe inYestment community as a norninee or <br />custodian. <br />13-A trust axempt irom lax under section 664 or desctibed in sectton <br />4947. <br />Ih* folkrrving chatl rho"''s ryoes ol paymenrs lhal may b€ ':rsmg( <br />iron backup \',rrlhhr)rdrng' <br />' "- J#^"#;li;;; rhe axernit paveas listed <br />G-A red FJtate nvesE?rent ar.sg- <br />x :!*ina'rn ::r;*n af , €( $rj; ffi"JT,T$;;ffi1il''i l[' "]J'''r"'*-r6'iinent <br />CornPa{r nct af lS'tO"l-llJtn.on *l iurd as d:efir*dis t**'in5&tlal- <br />J-A i:ank as defined in section 56!' <br />K-A brok'r- ---.*.-{i <br />L-A |'lrst4€Jrt'r FaJn lai'' ;'?d*r 5a:f|r'n -F al 6z'<&'.!,dfl1e{'xqft <br />,1s4t{a}i11. r 5rig}""i i* *--**pt lilg nnd€( r s€€tqli ]#3rt'r Fb* {'t s*let <br />#Xm,*n6zufr$"$i*.'ffi#;:i?'n;#F[: <br />Line 5 <br />Flt <br />chanc6 tfl* old addftss lsll oe <br />address rn their records <br />Line 6 <br />Enter vcur tity state' 3nd ZP cod*' <br />Part l. Taxpayer !denti{ication Number {flN) <br />Eiller vorrr TIN rn ll:* rpptosriata bol ;l 'cu ac'a tesdert d(an and <br />;;;J;ihave and "" *t *e'J'' -f:';il31'lf; :lHJ?i,*' <br />iRS mtr Snterit,n th+ *nlrY t <br />cio mt ha.e r [rlN' l:+ v6'a ;6 gei a !?ru bi{46n-. <br />ii vui are a solg pmpnetor ad-';r uhaqe 3nTf"|"#'t *i'i xtlzt 4G1u <br />TawssN qr EIN' 'I ! tl &31 3 ?'s(eg*d+d aG ar ?",lY <br />ii 'mu rr* r singl{-n:erib+' tlt T.1 -'-:?ffi;;?nr 'i t" :g:tart 1as <br />fi [-#"iJild11's**';:'y,';#;ff "?'"'llil'X";'*"- <br />*nlln.'s:lll. . - - .,,. t, <br />.;;;;; ,vt*! *!aytt,-vfti ttsmp+r'!': l': iF€ 34t-;i4i'ta:a 'e: <br />t"#;-'Jr,-ot"t*tn oi rene ard T!!'l :crtuad'ers' <br />Ftow ri {'.e-'-:Ildil *l tr##f ;,}1#iJ"Tffilil' <br />l'-ii'l#rii;:lrGi^-- -- -r *'< +'ft trr'€ 4t.l#ril}ffiffrd;ff-iffiff#d;"'" <br />'##*m <br />rra;: F+rm Vl' ; tn'Ld* I qtfi <br />dals ,., n:,, r'/.raths.* 7illi. t6:1 <br />'il1,#, <br />iiJ i " ttce Y ou( T # t t-o de' +4*+ts <br />slore: fnlerng -.Appfie"tl ler' 'u*'' 'fi"t irttlz"f-:b:ed'i t*PkEJt}, t <br />h:#';yil:l:Iry,i#tit*";x;ni^7';#*:;'i"7 <br />vrh:n ''rtn; m,lv '|rtsttad D+ =f,;i;;;;;-h"ldmi: <br />und+( 1"'4ar4t 3 at 3 al <br />for <br />di,ridend Payments All exempt Payees excePt <br />f,or 7 <br />THEN the Payment 15 exetnPt <br />io ?O1 e- <br />tEnsactions Exempt Payees 1 lirough -l' <br />!6,00.e{irll,ed 19 Generaltl.rxemPt P*/:.t.s <br />tnd Jrract r:l*-c nva.1 through 5-' <br />. Payinenls <br />lle r€P.)t1-'dj <br />0vel <br />the code' <br />Caulion: i\ c!sr-gard'd <br />lh* 1p/4[jrrate =$m1 r"" <br />U t- efritty d''6€ ila z a ?ari,,gn e:t;s rBtd uta <br />Kittitas County Agreement for Services lre-v' 5114/75) <br />Page 20 of 24