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,",," Ulf-9
<br />ATTACHMENT'E'
<br />Request for Taxpayer
<br />ldentiflcatlon Number and Certlflcation
<br />Oo to ivnrrr.'irr,govlFofinyly'9 lot ldatruction! and tho lrtaat lnlomadon'
<br />Glve lorm to ihc
<br />rcqussle., Do not
<br />send to thc lFS.
<br />{Flw, Mtrch 2024)
<br />Doperlm6nl ot lho Troasury
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<br />Enlor your TIN in the app.opdate box. The TlN provided must rnatch lha nam€ given on lina 1 to avoid
<br />backup withholding. For indlviduals, this io generally your social securily numbor (SSN), However, lor a
<br />rssidgnt alian, $ols proprieior, or disr6garded entity, see the in$lrlctions for Parl l, laler. For othor
<br />entiti€s, it ls your employer identilication number (ElN). lf yorl do not have a nunber, 3e€ How lo get a
<br />nN, later.
<br />Notc: It the accounl is in more than one name, sae the insttuctions tor line 1. See also What Name and
<br />Numbot To Qivo lha Regu€. ter for guldeiines on whoso numbor to enter.
<br />Shnoiin ot
<br />U.8. p.rsn Dat
<br />For r6lal6d to the of Fo/m !t€o ol Fom, balow.
<br />I Nam€ ol ontity/lndlviduol. nn sntry b required. (Fo. n sole prcpriolor or disregarded eniity, onler lh6 owntr's rsmo on llno 1, dnd gnter lhe business/disregarded
<br />a^futy's nm€ on lrns 2.)
<br />2 guslnos ramoldisngildod ootity norno, it dittoronl {rom abow,
<br />4 Ersmptiong {codos apdy only lo
<br />csdain enlill€. not individual$:
<br />s* inslnlctons m page 3i:
<br />Exomgt pay* cods (lt any)
<br />Exesplls from Focigl) AEount Tu
<br />Cosplianco Act {I'ATCA} r€potting
<br />codo {il sy}
<br />(Appliss to #cfuots mainlaioad
<br />ryts/do lbo Unlard Slals./
<br />Re{luaster's nasa and ddclfess {apliohfll
<br />7 I sl mcelnt numb€r($) h€rB {of}lionat
<br />ot
<br />Und6r penelties ol perjury, I cortity tiat:
<br />1. The number shown on this form is my correct taxpayer rdentilicgtion number {or I am waiting tor a number to be issuod to me); and
<br />2. I Bm not subject to backup wilhholding b€cause (s) I am sxampt from backup withholding, or (b) I have nol b6€n nolifiod by tho ,ntemal Rovenue
<br />Service (lRS) thal I am subjecl to backup withholding as a result of a tailura to roport ail interest or c,ividends, or {c) lhe IRS has notitied me lhat I am
<br />no longer subiect lo backup withholding: and
<br />3. I am a U.S. citizen or oth6r U.S. person (dofined below): and
<br />4. The FATCA code(s! 6nt6r6d on this form {if any) indicallng lhal I am exefipl trom FATCA roporting ;s conacl,
<br />C.rtlllcatlon inrtructione. You must cross out rtem 2 abovo il you havo been nolified by th6 IRS that you nr6 currBntly sublect to backup withholding
<br />beeauss you havs failed to r€porl all int€resl and divid€nds on your tax return. For real osiaie lransactions, ilsm 2 does not apply. For mortgags intelesi paid,
<br />acquisition or abandonment of securod property, canc€llation of d€bt, contributions io an individual rsiirement arangement {lflA}, and, generally, paynents
<br />olher than intor€sl and aro not lo lhe but must correct TlN. S€o lh6 inslructions for Part lator
<br />Slgn
<br />Here
<br />General lnstructions
<br />Section reterences are lo th€ lnlemal Flevsnue Code unl€ss otherwise
<br />noled,
<br />Fuluro dovclopm.nts. Fo. the latost information about developmenls
<br />r€lat€d lo Form W-9 and ils instruclions, such as legislation enactod
<br />atter they were published, go lo www.irs.gavlFormw9,
<br />What's New
<br />Une 3a has be€n modilisd 10 clarily how a disrogardgd entity completes
<br />thie line. An LLC lhat is a diEragarded eniity should chock lh6
<br />appropriald box for th€ ldx classification of ils own€t. Othorwise, it
<br />should check lh6 "LLC" box and enl6.,ts appropnal€ tax classificalion.
<br />New llno 3b he3 boen add6d to thas form. A flow-through ontily i3
<br />requirod lo complgto this lhle to indicato that il has direct or indirecl
<br />torpign partnerg, ownors, or beneticiaries when il provides the Fonn W'9
<br />to another flow-through entity in which rt has an ownership interosl. This
<br />chengo is intondod to provide a llow-through entrty wilh information
<br />regarding th6 stalus of ite indkoct loreign padnors, ownors, or
<br />boneticiariss, so that it can satisty any applicabl€ rapo.ting
<br />requirements. For example, a patlnorship lhat has any indirect tor€ign
<br />parlnors may bo roquir€d to complste Schsdul€s K-2 and K-3. See lh€
<br />Partne6hlp lnstructione for Schodulos K-2 and K-3 (Form 1065).
<br />Purpose of Form
<br />An indlvidual or ontity (Form W-9 requested who is requlrod to llle arl
<br />information r€lum wilh lhe IRS is giving you lhis lonn b€causo lhey
<br />3! Check ihe appopriato Oox aor federal t€x classitlcaltot ol th€ s{rMndreiduAl ?hom .}a!ne is *terod on lns l. Ch€ck
<br />only ono of lbo followtrro s6vsn boxs,
<br />n tndividuaysoleproorieior f] Ccaporatiorr [ $corporation I gartnoruhip I Trusvcstato
<br />I LLC. Entsr tholax classincation{C = C co.pomlion,s = Smrponllon, P = Partndship}
<br />Nolr; Chtrk lhe "lLC" box alrove and, in lhe sntry ipaca, €nts lha apprepriale cqj€ (C. S, or P) lor tho tax
<br />cla$siflcstlon at ths LLC, unlaeg il ls E dissgarded stily. A disogardod onlity should irotsad eh*k tho approprialo
<br />box for th€ tax clascilicaticn ol rtc owner.
<br />n Oth*(ss hlstructions)
<br />3b It on lino 3a you ch6ck6d "Partn6Bhip" or *lruVsslsle," or ctrek€d "LLC" snd sntsed "P" s rls !s classification.
<br />and yo! ila providing ttlis lom to a p6rin6€hrp, ln,st, s o8lats rn which you havs ar ownors:lip rnl€.6s1, citrk
<br />llis bor if yov hav6 rny lorelgn psrlners, owil€6, oi barcficiafis. Seo [)stGrclions
<br />5 Addre* (nrmlrat, str*i, and apl. or su;te no ). S€5 inslrucilont,
<br />0 City. stat6. and ZIP €ode
<br />Part I
<br />Part ll
<br />Cat. No. 10231X
<br />Kittitas County Agreement for Services (rev.5/74/251
<br />Page 14 of 20
<br />Form W-9 tRav. :-zoza)
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