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ATTACHMENT "'W"
<br />Folin Y1f M7 Request for Taxpayer Give form to the
<br />(Rev March 2024) Identification Number and Certification requester. Do not
<br />Crpanmenl at the Trnasury send to the IRS.
<br />InluraW Aovenvn 30NICo Go to wwwJmgov/FormM for instructions and the latest information.
<br />Before you thrgin- For g:.r:t:tiro c related to the f:r,1l:iit of Form N-G. sae 'c:rocso or Form, below.
<br />,flame of entity/ndrvldual An entry is required. (For a sole proprietor or disregarded enlay. cntar Iho owners r.r+mp en lino I and enter ;he businasm-OWagardea
<br />entt 3 name on'ine 2.)
<br />h
<br />0
<br />In
<br />husmass namerduregorded entity name, if d:fferunt from abovo.
<br />-10 C11?ak the :tppro priate aer 'a ferterat taz cL,ssi'iaa l,on at Ihn ertrry/,nd, rrdual :vho>.: n3rne i3 ?nl.?red cn 4ne '. ChxY,
<br />onry cnn of Pp loll at. o sav r baxus
<br />:ndalaual/.-)o prooflalor C crrporrlon 3 corpor:lilan I] ?artnerhip U Trusuastoto
<br />❑ YlLC Enter the Itlx ::ass:Gcallon (C c C cotpnmllc'.n, S = 3 cprponl!Ion, P c PaII',egll,p)
<br />affe: u,e'L : • • 0x itpovn 411 ❑t • ......q , ,:1 �;.., +net v•�:: prnnnala r.,-rlo lC, S.:v F' rr
<br />-2 this t. :. unlpm it Is n iwr- _ d•.y •ntd•, A I : r : :1 ^,.nry Ira ..: ,trap IC � ' . u ,91;nipriah)
<br />:'�I I_I Oox nor Jilt :ax cfaS5rEa a,o eauon of •:ae,
<br />Olhor (see instruc(ions)
<br />4 Exompeons (codes apply only to
<br />certain cntiti not individuals:
<br />sw :nslruclions on page 3;,:
<br />Exai pate code fd aryl
<br />xcmpllon from Fi Arscunl Tax
<br />Comphenca Act !FATCA) rr'roorting
<br />-- code (f any)
<br />3b It on line 3a you checked'Parnershlp- or Trust/estate or cracked 'LLC- and entered •P- as- tax classification,
<br />and you : - mJng I,-�s loran 'u - , •snnt' n-r .•glnl•• n .vh— you have 4n nwners:'L (Applies to accounts maintained
<br />r ro' p inter eel, check ❑ oursido me (riled States.!
<br />this hex II ,�:�, h r: •e any 'en. r i ; it n•r.:. , ,, ^ :v -: r.r vw Sae msl.vdions ,
<br />Address inlImber 11-1, and net or swte no 1 Sae in.alruchans
<br />e Cm/ state. and 'LIP coda
<br />: 1; a _'--1 ^erg faDhonal)
<br />Number
<br />naquestern name ino addr-39 foptfona•)
<br />Enter vour TIN In the appropriialQ pox. The TIN ptovidnd must nratci, ;ha: air:e given on Tine t to avoid S"iat--xcuttraynurnher
<br />r"esiduo Sane t)Ialts For proprietor.
<br />u2tis, ogo cl geeol4fy7 your sodal4rsI salcuL.,crj ihy for Parr (Sate For rarer fora
<br />+ssiderll afle+a, Selg proprietor- nf hi4ldgptq'!ed eM1liry sett Ih7 it slrl�Crrc:is for Part ;, a!er For other I�j I IMF _JL- •'
<br />entities, :! is your ?mployer identification numoer IEIN). If you do not nave a numoer, see Now to get a or
<br />T?N, later
<br />rHnpfYya+ •danti:ic./:inn nu mnrr
<br />;tote: If the account is in more r.+an one name. sae ire insrn,chons icr line I See also 'YJhat Name and r I t
<br />Numoer To Glva the .Requasler!ar guideimds -n v nose number to enter. I i
<br />Certtfilcatt ri
<br />Under penalties of perjury, 1 cenIN that:
<br />I The number snown on this form is my ccrrecr :axpayer denification numoer for I am waiting for :t number to be issued to me): and
<br />2 1 am not subject to backup ,61nholdln-y because !a) I am exempt from oackup withholding, or (b) ; nave not been notified oy :he !ntemol Revenue
<br />Sarnce (IRS) !hat I am subject to -ackup v,ithhofdi;,g as 3 re_suit of a faaure to report all Interest or nividends, or !c) the IRS nas nolVied m_ Ina! I am
<br />no longer subject to backup withholding; and
<br />3 1 am a U S. citizen or other U.S person 'derined below): and
<br />4. The FaTCA codes) entered cn :his form (if any) indicating that I am exempt from FATCA reportino s correct
<br />Cartilleatico instructions. You must cross out item 2 Wove it you nave b?5]n notified by the IRS !rlat you are currentty subject (a backuo v ith'-oldii
<br />beiau5Dyou have faj(&d to report sll interest and cliv,dends on ytwr lax return For real -,stave transactions, item 2 does not apply. For mortgage nterart paid.
<br />acquisili or abandonment of secured prop-m/, cancellation of debt, con0butions to an individua ra -el' 2i-anger• r; IFM;•, ard, ;er•,r.:,ly pay!-;ns
<br />utter than interest and a.•t±itr_:: are net rnc,,:r..y -o �It;is Ina ter firalrtn, but rcu m1s{;;•d..r:n ;ci T)N S,yi the •elrr+rofi —n tar ?art !I. :,Gr.
<br />Sign J Signahire of
<br />Here_ U.S. parson pate
<br />General Instru-ticins
<br />Section -eferences are to the Internal Revenue Cede unless ochermse
<br />noted.
<br />Future devoopmenG. For the Wes', nigrnng¢.ar about develcorlenls
<br />retafee to Form 'N-9 and Its Instruvibl`•.'L !"h 23 legislation enacted
<br />arter lney were published, go to ,vtvy rr-gov1F-3rm N/9.
<br />Ili/fiat's New
<br />I141a 3a nos beer rnoditieb to Danny now s 15regarded ?niiDy "mpletes
<br />1- s 11ne. Art i !ha- •s a o,sregamed orwy •theurd .heck the
<br />appropnale rox rcr ro tax cinssiflcalion'I •ts owner OthoraiSE% it
<br />should creck the 'LAC" box and _nler its approora:e !a classification.
<br />New Ine 3b has oean added to Inns norm. A 4ow•Inraugh antily is
<br />urK1 to _ t. r%! [n.: ill •a to irc,:;Cif tl'n! t `•.! :_t or cir:bt
<br />,i a-: ±r•, . •:r cr „ereVcinr:e- .a+•m :!ros:de5 T- Fcrrrt N/•3
<br />to tl!n1,•.:r also. '•ilbl.gl,•)rtttpy n ."Ion I nits 11' r:a'•_`r5hip 111.)"''1, This
<br />cnonge is Intended ,o orovide a Ildw•through entity •eilfh nWrinalion
<br />••t.; the status of its.rc-irect 'oruign o.wr.:n:. o•:.rr,r.- or
<br />cos• zl c .1-3s, so !hat it _a!, -a:afy ary a.)pn. 2t; er_i
<br />rry:r•r. sii For .>>In�is, a nnnn• ship'Ii ^ . it r • .u;i !ore:gn.
<br />cril -rq may oe •cruiroc to ccrr{aau, Sc^cc:rl• : �t-:ru•if !C-3. see !ho
<br />Partnership Irs11',c::ons for Schedules %42 and r:•3 (Form ;Gi
<br />Purpose- or Form
<br />An indlvidual or enh'.v (Form'P/-9 r=.questet; •Hno is ,-quirad :o lile in
<br />nformation rebum •arilh the IRS is giving you :his ierm xcause -hay
<br />el
<br />r. r•n'etf -'?rev 3R02.1',
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 13 of 19
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