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ATTACHMENT 'T"
<br />Fe. W-9 I Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Department of the Treasury Go to www.ins.gov/FormlW9 for instructions and the latest Information. send to the IRS.
<br />Internal Revenue Service
<br />Before you begin. For gxudmicr. related to the purpose of Form W-9, see Purpose olForm, below.
<br />1 Name o1 entity/individual. An entry Is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded
<br />entity's name on line 2.)
<br />2 Business namo/disrogardod ontily name, if different from above.
<br />0
<br />3a Check the appropriate box for federal tax classification of the entity/individual whose name Is entered on line 1. Check
<br />4 Exemptions (codes apply only to
<br />monly
<br />one of the following seven boxes.
<br />certain entitles, not Individuals:
<br />a
<br />c
<br />❑ Individual/solo proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trustlostato
<br />see Instructions on page 3):
<br />� _
<br />❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership)
<br />Exempt payee code (If any)
<br />u
<br />Note: Check the "LLC" box above and, In the entry space, enter the appropriate code (C. S. or P) for the tax
<br />classification of the LLC, unless It is a disregarded entity. A disregarded entity should instead check the appropriate
<br />Exemption from Foreign Account Tax
<br />`o
<br />box for the tax classification of its owner.
<br />Compliance Act (FATCA) reporting
<br />rCC
<br />❑ Other (see instructions)
<br />code (1any)
<br />a o
<br />(Applies to accounts maintained
<br />3b If on line 3a you checked "Partnership" or'Trust/estate," or checked 'LLC" and entered "P" as its tax classification,
<br />C
<br />and you are providing hilt loan to a p���p, trust, or estate in which you have an ownership interest, check ❑
<br />outside the United States.)
<br />y
<br />this box if you have any foreign canners, owners. or benKcierres, See Instructions .
<br />N5
<br />Address (number, street, and apt, or suite no.). See Instructions.
<br />Requesters name and address (optional)
<br />6 City, state, and ZIP code
<br />7 List account number(s) here (optional
<br />ff
<br />Taxpayer Identification Number (TIN)
<br />Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid
<br />backup withholding. For individuals, this is generally your social security number (SSN). However, for a
<br />Social
<br />security
<br />number
<br />m
<br />resident Allen, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other
<br />—
<br />entitles, it is your employer identification number (tile). if you do not have a numuer, See r-ruw W gad a or
<br />TIN, later. Employer Idanthicat[on
<br />Note: If the account is In more than one name, see the instructions for line 1. See also What Name and j�
<br />Number To Give the Requester for guidelines on whose number to enter.
<br />Certification
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
<br />Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
<br />no longer subject to backup withholding; and
<br />3. 1 am a U.S. citizen or other U.S. person (defined below); and
<br />4. The FATCA code(s) entered on this form (f any) indicating [hat I am exempt from FATCA reporting is correct.
<br />Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
<br />because you have failed to report all interest and dividends on your tax return. For real estate transactions, Rem 2 does not apply. For mortgage interest paid,
<br />acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement ORA), and, generally, payments
<br />other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part IL later.
<br />Sign Signature of
<br />Here I U.S. person Date
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest information about developments
<br />related to Form W-9 and Its Instructions, such as legislation enacted
<br />after they were published, go to wimmirs.goviFormIN9,
<br />What's New
<br />Line 3a has been modified to clarify how a disregarded entity completes
<br />this line. An LLC that Is a disregarded entity should check the
<br />appropriate box for the tax classification of its owner. Otherwise, it
<br />Should check the "LLC" box and enter its appropriate tax classification.
<br />New line 3b has been added to this form. A flow -through entity is
<br />required to complete this line to Indicate that It has direct or indirect
<br />foreign partners, owners. or beneficiaries when it provides the Form W-9
<br />to another flow -through entity In which it has an ownership interest. This
<br />change is intended to provide a flow -through entity with information
<br />regarding the status oI iIs indirect foreign partners, owners, or
<br />beneficiaries, so that It can satisfy any applicable reporting
<br />requirettlents. For example, a partnership that has any indirect foreign
<br />partners may be required to compete Schedules K-2 and K"3. See the
<br />Pnrin*mhip instructions for Schedules K-2 and K-3 (Form 1065).
<br />Purpose of Form
<br />Art Individual or entity (Form W9 roquestiao who is requfred to file an
<br />intormation return with the IRS Is giving you this form because they
<br />Cal. No. 10231X Form W-9 (Rev. 3-2024)
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 16 of 22
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