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,"* lllf-9
<br />ATTACHMENT "E"
<br />Request for Taxpayer
<br />ldentification Number and Certificatlon
<br />Go to rnnv.rr!.govlFomw9lor lnttrucilonr and the latolt lnformtton.
<br />Give form to tfte
<br />requeitor. Do not
<br />eend to the lRS.
<br />(Re. M6rch 2024)
<br />Doparlmenl ol the tioasury
<br />Belora
<br />Ent€r your TIN in the apgropriate box. The TIN provided must match tho nam€ givon on line I lo avoid
<br />backup withholding. For individuals, this is generally your social security number (SSN). However. for a
<br />resident alion, solo proprietor, or distega.dod enlily, seo tho inslruclions for Parl l. later. For othe.
<br />entili€s, it is your employer identiticalion numb€r (€lN). It you do not have a number, see How lo get s
<br />tN, later.
<br />Nots: ll ths account is in more than ong name. see lhe instructions lor line 1. Seo also What Name and
<br />Number To Cive the Roguoslor for guidolines on whoso numb€r lo enler'
<br />Signaturs ol
<br />U,S. porEon Dato
<br />For ,dated to lhe of Form W-9, soo ol below.
<br />I Name ol ontity/lndMdual. An ontry 13 roquirod. (For a solo prcpristor or dbrogarded enilty, onlqr tho ovner'3 nam on llno 1, 8nd ontot tho busine3tdbtegarded
<br />fitity'3 nama on lim 2.)
<br />2 BGinca namo/d6roesood ontiy nmo, il ditlstml lrom 8bovo.
<br />4 Exomptiom {codos apPly sty lo
<br />certain odllls, not indivlduab:
<br />s€6 lnslructions on paga 3):
<br />Exmpt payeo codo (it anyl
<br />o
<br />c,6
<br />a!crg
<br />o
<br />eE*8
<br />btz5
<br />CoEII
<br />Eo
<br />Exornpllon trm
<br />Complianca Aci
<br />codo (t any)
<br />Foreign Accounl Tu
<br />r.ATCA) reportino
<br />{&pJios lo accenls minteimd
<br />optslde tlre Unitcd States,)
<br />R€quoster's mma and addr6$ (optlomt
<br />? L'st sccouni numbd(s) hre {optionat
<br />or
<br />Unde. penalties of perjury, I certity that:
<br />1. The number shown on lhis form is my correct taxpayer idsnlification number (or I am waiting for a number to tte issued lo mo); and
<br />2. I am not subiect to backup wilhholding beeause (a) I am exempt kom backup withholding, or {bl I have not been nolified by tho lntomal Rovenue
<br />Service (lRS) that I am subiect to backup withholding as a result of a failur€ to report all interest or dividends, or (c) the IRS has notilied me lhat I am
<br />no longer subiect to backup withholding; and
<br />3. I am a U.S. cilizen or other U.S. person (dofined below)i and
<br />4. The FATCA cod€(s) ent€red on this form {l any) indicaling lhat I am gxempl from FATCA reporling is cotrect.
<br />C€nncdbn lnstructions. You must cross oul ilem 2 abovs lf you havo beon notified by lhe IBS lhat you ate cutrently subjecl lo backup withholding
<br />because you hav6 lail€d to report all inleresl and dividends on your lax rstum. For real estalE transactions, item 2 does not apply. For morlgage interest paid,
<br />acquisition or abandonmenl of secured proporty, cancellation of d€bt, conttibulions to an individual
<br />olhor than intgrost and dividonds,arg not roquirod to tho but must
<br />Sign
<br />Here
<br />General lnstruetions
<br />Section reterences are to the lntemal Revenue Code unless otherwise
<br />noted.
<br />Future doyolopmonts. For lho lalesl informalion about dovelopmonls
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go to www.lrs.govlFomwg.
<br />What's New
<br />Un€ 3a has be€n moditied to clarit how a distegatded €ntity completos
<br />lhis line. An LLC lhat is a disregarded entity should check the
<br />appropriate box for tho tax classificalion of ils owner. Olhenpise, it
<br />should check the "LLC" box and enle/ its appropnate lax classitication.
<br />New line 3b has boon added to this form. A llow-lhrough ontily i5
<br />required to compl€te this line lo lndicate lhat il has di/ect or indirect
<br />loreign partners, owners, or beneficiaries when it provides th€ Form W-9
<br />to another llow-through entity in which it has an ownership int€rest. This
<br />change is intended to provido a flow.through enlity with informalion
<br />rsgarding th6 siatus of ils indhocl fo/sign partners, ownsrs, or
<br />beneficiarios, so that lt can satisfy any applicabl€ t€porting
<br />requirem€nts. For example, a partnership that has any indirect for€ign
<br />partners may bs tequir€d to complote Schedules K-2 and K-3. See lho
<br />Partnership lnstructions for Schedulos K-2 and K-3 (Form 1065).
<br />Purpose of Form
<br />An lndividual or ontity (Form W-9 requesler) who is required to lilo an
<br />information r€tum wilh lhe IRS is giving you this fotm because lhey
<br />3r Chack th€ apgroprialo box tor f€do.el tox classilkrlion ot lhe entityrndividual whos namo is €nlored ofl line '1. Chock
<br />mly onc of tho lollowino sovon box6.
<br />n
<br />'ndividuausolo
<br />progriotor fl C capomtim I S corporation ! eanmnnip D Trusv6lsto
<br />D LLC. Ents lhelaxcla3sincalion (C = C coryontldl. S = Scotpo.olld, P = Parho6hip)
<br />Nol.: Check lhe "LLC" bor ebove and, hr the stry spaco. enl* lhe appropdate code (C, S, d P) lor lhe tax-
<br />ciassilicalion of lho LLC, unls$ il ls a dis.ogardod c|lily. A dismgardod onlily should lnsload chsk lho approp.hlo
<br />box tor iho td clsllication ot it3 ownor.
<br />n othor {soo lnslrucliss)
<br />3b ll on lino 3a you checkod "Portno6hip' or "Trusu€stolo," or chockod 'LLC' and ontotod 'P- 6s its tu cla$ificalion,
<br />and you are providing thi3 lom to a pa.fn$ship, tru6t. tr estat6 in which you havo 6n ownsship inttrosl. ch6ck
<br />thb bor it you h6ve 8ny {oralgn pa.hm, ownoB, or b€n€ficlarias. So€ inglrucllon$
<br />5 AddGgs (numbor, sllml. trd epi, or suile no.l. S€e lnetrclims
<br />0 City,3tato, and ZIP code
<br />numbat
<br />Part I
<br />Part ll
<br />Cat. No. 10231X
<br />Kittitas County Agreement for Services (rev.5/74/251
<br />Page 14 of 19
<br />Fom W-9 Fev. 3"2024)
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