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Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 15 of 19 <br /> <br />Form W·9 (elev. 3-2024) Page3 <br /> <br />Certain payees and payments are exempt from backup withholding. <br />See Exempt payee code, later, and the separate Instructions for the <br />Requester of Form W-9 for more information. <br />See also �stablishing U.S. status for purposes of chapter 3 and <br />chapter 4 withholding, earlier. <br />What Is FATCA Reporting? <br />The Foreign Account Tax Compliance Act (FATCA) requires a <br />participating foreign financial institution to report all U.S. aooount <br />holders that are specified U.S. persons. Certain payees are exempt from <br />FATCA reporting. See Exemption from FATCA reporting code, later, and <br />the Instructions for the Requester of Form W-9 for more information. <br />Updating Your Information <br />You must provide updated information lo any person to whom you <br />claimed lo be an exempt payee if you are no longer an exempt payee <br />and anticipate receiving reportable payments in tlle future from this <br />person. For example, you may need to provide updated information if <br />you are a C corporation that elects to be an S corporation, or if you are <br />no longer tax exempt. In addition, you must furnish a new Form W-9 if <br />the name or TIN changes for the account, for example, if the granlor of a <br />grantor trusl dies. <br />Penalties <br />Failure lo furnish TIN. If you fail to furnish your correct TIN to a <br />requester, you are subject to a penalty of $50 for each such failure <br />unless your failure is due to reasonable cause and not to willful neglect. <br />Civil penalty for false information with respect to withholding. If you <br />make a false statement with no reasonable basis tllat results in no <br />backup withholding, you are subject to a $500 penalty. <br />Criminal penalty tor falsifying information. Willfully falsifying <br />certifications or affirmations may subject you to criminal penalties <br />including fines and/or imprisonment. <br />Misuse of TINs. If tlle requester discloses or uses TINs in violation of <br />federal law, the requester may be subject to civil and criminal penalties. <br />Speciific Instructions <br />Line 1 <br />You must enter one of the following on this line; do not leave this line <br />blank. The name should match the name on your tax return. <br />If this Form W-9 is for a joint account (other than an account <br />maintained by a foreign financial institution (FFQ), list first, and then <br />circle, lhe name of the person or entity whose number you entered in <br />Part I of form W-9. If you are providing Form W-9 to an FFI to document <br />a joint aocount, each holder of the account Iha! is a U.S. person must <br />provide a Forrn W-9. <br />• Individual.Generally, enter the name shown on your tax return. If you <br />have changed your last name witllout informing the Social Security <br />Administration (SSA] of the name change, enter your 1iirst name, the last <br />name as shown on your social security card, and your new las! name. <br />Note for ITIN applicant: Enter your individual name as it was entered <br />on your Form W-7 application, line 1a. This should also be the same as <br />the name you entered on the Form 104!0 you filed with your application. <br />• Sole proprietor. Enter your individual name as shown on your Form <br />1040 on line 1. bnler your business, trade, or "doing business as" (OBA) <br />name on line 2. <br />• Partnership., C corporation, S oorporatfon, or LLC., other than,a <br />dlisregarded entity. Enter the entily's name as shown on the entity's lax <br />relum on line 1 and any business, trade, or DBA name on line 2. <br />• Other entities. Enter your name as stiown on required U.S. federal tax <br />documents on line 1. This name should match tlle name shown on the <br />charter or other legal document creating the entity. Enter any business, <br />trade,,.or DBA name on line 2. <br />• Disregarded entity. In general, a business entity that has a single <br />owner, including an LLC, and is not a corporation, is disregarded as an <br />entity separate from rts owner (a disregarded entity). See Regulalions <br />section 301.7701-2(c)(2). A disregarded enlily should check the <br />appropriate box ior the tax classification of its owner. Enter the owner's <br />name on line 1. The name,of the owner entered on line 1 shou'ld never <br />be a disregarded entity. The name on line 1 should be lhe name shown <br />on tlle inoome lax return on which the income should be reported. for <br /> <br />example, if a foreign LLC that is treated as a disregarded entity for U.S. <br />federal tax purposes has a single owner Iha! is a U.S. person, the U.S. <br />owner's name is required to be provided on line 1. If lh.e direct owner of <br />the entity is also a disregarded entity, enter the first owner tllat is not <br />disregarded for federal tax purposes. Enter the,disregarded entity's <br />name on line 2. If lh,e owner of the disregarded enlity is a foreign person, <br />lt1e owner must complete an appropriate Form W-8 instead of a Form <br />W-9. This is the case even if the foreign person has a U.S. TIN. <br />Line 2 <br />If you have a business name, trade name, DBA name, or disregarded <br />entity name, enter ii on line 2. <br />Line 3a <br />Check the appropriate box on line 3a for the,U.S. lederal tax <br />classification of the person whose name is entered on line 1. Check only <br />one box on line 3a. <br /> <br /> <br />. <br /> <br /> <br />Line 3b <br />Check this box if you are a partnership �ncluding an LLC classified as a <br />partnership for U.S. federal tax purposes), lrust, or estale that has any <br />foreign partners, owners, or beneficiaries, and you are providing this <br />form to a partnership, trust, or eslaile, in which you have an,ownership <br />interest. You must check the,box on line,3b if you receive a Form W-8 <br />(or dooumenlary evidence] from any partner, owner, or beneficiary <br />establishing foreign status or if you receive a Forrn W-9 from any <br />partner, owner, or beneficiary !hat has checked lhe box on line 3b. <br />Note: A partnership Iha! provides a Forrn W09 and checks box 3b may <br />be required to complete Schedules K-2 and i<-3 (Form 1065). For more <br />information,.see the Partnership Instructions for Schedules K-2 and K-3 <br />(Form 1065). <br />If you are required to complete line 3b but fail lo do so, you may not <br />receive the information necessary to file a oorreci information relum with <br />lt1e IRS or furnish a correct payee statement to your partners or <br />beneficiaries. See, for example, sections 6698, 6722, and 6724 for <br />penalties that may apply. <br />Line 4 Exemptions <br />If you are exempt lrom backup wi;lhholding and/or FATCA reporting, <br />enter in the appropriate space on line 4 any code(s) that may apply to <br />you. <br />Exempt payee code. <br />• Generally, individuals (including sole proprietors) are not exempt from <br />backup withholding. <br />• Except as provided below, corporations are,exempt from baokup <br />withholding for certain payments, including interest and dividends. <br />• Corporations are no! exempt from backup withholding for payments <br />made in settlement of paymenl card or third-party network lransaooons. <br />• Corporations are nol exempt from backup withholding with respect to <br />attorneys' fees or gross proceeds paid to attorneys, and oorporations <br />that provide medical or health care services are not exempt witll respect <br />to payments reportable on Form 1099-MISC. <br />The following codes identify payees thal are exempt from backup <br />withholding. Enter the appropriate code in the space on line,4. <br />1- An organization exempt from tax under section 501(a), any IRA, or <br />a custodial account under section 403(b)(7) if !he account satisfies the <br />requirements o.f section 401(f)(2). <br />IF the entitylindiividual on line 1 <br />isa[n) ... <br />THEN check the box for,... <br />• Corporation Corporation. <br />Individual or .• Sole proprietorship <br />Individual/sole proprietor. <br />LLC classified as a partnership .f o r U.S..federal tax purposes or <br />LLC that has filed Forrn 8832 or <br />2553 electing to be taxed as a <br />corporation <br />Limited liability company and <br />enter the appropriate tax <br />classification: <br />P = Partnership, <br />C = C corporation, or <br />S = S corporation. <br />• Partnership Partnership. <br />• Trust/estate Trusl/eslate. <br />