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Form W-9 (Rev. 3-2024) <br />Page 3 <br />Certain payees and payments are exempt from backup withholding. <br />See Exempt payee code, later, and the separate Instructio nS for the <br />Requester of Form W-9 for more information. <br />See also Estabfishing U.S. status for purposes of chapter 3 atd <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. account <br />holders that are specified U.S. persons. Certain payees are exempt from <br />FATCA reporting, See Exemption from FATCA repining code. later, and <br />the Instructions for the Requester of Form W-B for mere information. <br />Updating Your Information <br />You must provide updated infommat,)n to any person to whom you <br />claimed to be an exempt payee i you are no longer an exempt payee <br />and anticipate receiving reportable payrnertts in the 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 grantor of a <br />grantor trust dies_ <br />penalties <br />Failure to 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 that results in no <br />backup withholding, you are subject to a $500 penalty. <br />Criminal penalty for 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 the requesterdiscloses or uses Tills in violation of <br />federal law, the requester may be subject to civil and criminal penalties. <br />Specific 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 (FFf)). Hst first, and then <br />circle, the name of the person or entity whose number you entered in <br />Part I of Form W-9. If you are providing Form W4 to an FFI to document <br />a joint account, each holder of the account that is a U.S. person must <br />provide a Form W-9. <br />• Individual. Generally, enter the name shown an your tax return, If you <br />have changed your last name without informing the Social Security <br />Administration (SSA) of the name change, enter your first name, the last <br />name as shown on your social security Gard. and your new last name. <br />Note for MN applicant: Enter your individual name as it was entered <br />on your Form W-7 application, line I This should also be the same as <br />the name you entered on the Farm 1040 you filed with your applicaton. <br />• Sole proprietor. Enter your individual name as shown on your Form <br />1040 on [[no 1. Enter your business, trade. or "doing business as" [DBA) <br />name on line 2. <br />• Partnership, C corporation, S corporation, or LLC, other than a <br />disregarded entity. Enter the entity's name as shown on the entity's tax <br />return on line 1 and any business, trade. or DBA name on line 2. <br />• tither entities. Enter your name as shown on required U.S. federal tax <br />documents on line 1. This name should match the name shown on the <br />charter or other leg at 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 its owner (a disregarded entity). See Regulations <br />section 301,7701-2(c)(2). A disregarded entity should check the <br />appropriate box for the tax classification of its owner. Enter the owner's <br />name on line 1. The name of the owner entered on line 1 should never <br />be a disregarded entity. The name on line 1 should be the name shown <br />on the income tax return on which the income should be reported. For <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 18 of 21 <br />example, if a foreign LLC that is treated as disregarded entity for U.S. <br />federal tax purposes has a single owner that is a U.S. person, the U.S. <br />owner's name is required to be provided on line 1, If the direct owner of <br />the entity is also a disregarded entity. enter the first owner that is not <br />disregarded for federal lax purposes. Enter the disregarded entity's <br />name on line 2. If the owner of the disregarded entity is a foreign person, <br />the 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 it on line 2. <br />Line 3a <br />Check the appropriate box on line 3a for the U.S. federal tax <br />classification of the person whose name is entered on line 1. Check only <br />one box on line 3a. <br />IF the entity/individual on line 1 <br />THEN check the box for.. . <br />isafn)... <br />• Corporation <br />Corporation_ <br />• Individual or <br />Individuallsole proprietor_ <br />• Sole proprietorship <br />• LLC classified as a partnership <br />Limited liability company and <br />for U-S. federal tax purposes or <br />enter the appropriate tax <br />• LLC that has filed Form 8832 or <br />classification: <br />2553 electing to be taxed as a <br />P = Partnership, <br />corporation <br />C = C corporation, or <br />S = S corporation. <br />• Partnership <br />Partnership_ <br />• Trust/estate <br />Trust/estate. <br />Line 3b <br />Check this box if you are a partnership (icluding an LLC classified as a <br />partnership for U.S. federal tax purposes), trust or estate that has any <br />foreign partners, owners. or beneficiaries. and you are providing this <br />form to a partnership, trust, or estate. in which you have an ownership <br />interest. You must check the box on line 3b 0 you receive a Form IN-8 <br />(or documentary evidence) from any partner, ovrner, or beneficiary <br />establishing foreign status or if you receive a Form W-9 from any <br />partner, owner, or beneficiary that has checked the box on line 3b. <br />Note: A partnership that provides a Form W-9 and checks box 3b may <br />be required to complete Schedules K-2 and K-3 (Farm Ic6q. For more <br />infornation, 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 to do so. you may not <br />receive the information necessary to file a correct informafion return with <br />the IRS or furnish a correct payee statement to yeur partners or <br />beneficiaries. See. for example, sections 6698. W 22, and 6724 for <br />penalties that may apply - <br />Line 4 Exemptions <br />If you are exempt from backup withholding and/or FATCA reporting, <br />enter x1 the appropriate space on line 4 any codes) 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 backup <br />withholding for certain payments, including interest and dividends. <br />• Corporations are not exempt from backup withholding for payments <br />made in settlement of payment card or third -party network transactions. <br />• Corporations are not exempt from backup withholding with respect to <br />attomeys' fees or gross proceeds paid to attorneys, and corporations <br />that provide medical or health care services are not exempt with respect <br />to payments reportable on Form 10"-MISC, <br />The Wowing codes identify payees that are exempt from backup <br />withholding. Enter the appropriate node in the space on line 4. <br />1—An organization exempt from tax under section Sol (a), any IRA, or <br />a custodial account undersection 403(b)(7) ri the account satisfies the <br />requirements of section 401(Q(2). <br />