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Farm W9 tRev. 3-20241 <br />page 4 <br />2—The United States or any of its agencies or instrumentalities. <br />3—A state, the District of Columbia, a U.S. commonwealth or territory, <br />or any of their political subdivisions or instrumentalities. <br />4—A foreign goverment or any of its political subdivisions, agencies. <br />or instrumentalities. <br />5—A corporation. <br />6—A dealer in securities or commodities required to register in the <br />United States, the District of Columbia or a U.S. commonwealth or <br />territory. <br />7—A futures commission merchant registered with the Commodity <br />Futures Trading Commission. <br />8—A real estate investment trust. <br />9—An entity registered at all times during the tax year under the <br />Investment Company Act of 1940. <br />10—A common trust fund operated by a bank under section 584(a). <br />11—A financial institution as defined under section 581. <br />12—A middleman known in the investment community as a nominee or <br />custodian. <br />13—A trust exempt from tax under section 664 or described in section <br />4947. <br />The Following chart shows types of payments that may be exempt <br />from backup withholding. The chart applies to the exempt payees listed <br />above. 1 through 13. <br />IF the payment is for ... <br />THEN the payment is exempt <br />for... <br />• Interest and dividend payments <br />All exempt payees except <br />for 7. <br />• Broker transactions <br />Exempt payees 1 through 4 and 6 <br />through 11 and all C corporations. <br />S corporations must not enter an <br />exempt payee code because they <br />are exempt only for sales of <br />noncovered securities acquired <br />prior to 2012. <br />• Barter exchange transactions <br />Exempt payees 1 through 4. <br />and patronage dividends <br />• Payments over $600 required to <br />Generally, exempt payees <br />be reported and direct sales over <br />1 through 5.2 <br />$5,000, <br />• Payments made in settlement of <br />Exempt payees 1 through 4. <br />payment card or third -party <br />nemork transactions <br />See Form 1099-MISC, Miscellaneous Infonnation, and its instructions. <br />2 However. the following payymments made to a corporation and <br />reportable on Form 1099-MISC are not exempt from backup <br />withholding: medical and health care payments, attorneys' fees, gross <br />proceeds paid to an attorney reportable under section 6045(t), and <br />payments for services paid by a federal executive agency. <br />Exemption from FATCA reporting code. The following codes identify <br />payees that are exempt from reporting under FATGA. These codes <br />apply to persons submitting this form for accounts maintained outside <br />of the United States by certain foreign financial institutions. Therefore. if <br />you are only submitting this form for an account you hold in the United <br />States. you may leave this field blank. Consult with the person <br />requesting this form i€ you are uncertain if the financial institution is <br />subject to these requirements. A requester may indicate that a code is <br />not required by providing you with a Form W-9 with "Not Applicable" (or <br />any similar indication) entered on the line for a FATCA exemption code. <br />A —An organization exempt from tax under section 501(a) or any <br />individual retirement plan as defined in section 7701(a)(37). <br />B—The United States or any of its agencies or instrumentahes. <br />C—A state. the District of Columbia. a U.S. commonwealth or <br />territory. or any of their political subdivisions or instrumentalities. <br />D—A corporation the stock of which is regularly traded on one or <br />more established securities markets, as described in Regulations <br />section 1.1472-1(c)(1 )n. <br />E—A corporation that is a member of the same expanded affiliated <br />group as a corporation described in Regulations section 1.1472-1(c)(1)fr). <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 19 of 21 <br />F—A dealer in securities. commodities, or derivative financial <br />instruments (including notional principal contracts, Futures. forwards, <br />and options) that is registered as such under the laws of the United <br />States or any state. <br />G—A real estate investment trust <br />H—A regulated investment company as defined in section 851 or an <br />entity registered at all times during the tax year under the Investment <br />Company Act of 1940. <br />1—A common trust fund as defined in section 584(a). <br />J—A bank as defined in section 581. <br />K—A broker_ <br />L—A trust exempt from tax under section 664 or described in section <br />4947(a)(1). <br />M—A tax-exempt trust under a section 403(b) plan or section 457(g) <br />plan. <br />Note: You may wish to consult with the financial institution requesting <br />this form to determine whether the FATCA code and/or exempt payee <br />code should be completed. <br />Line 5 <br />Enter your address (number. street, and apartment or suite number). <br />This is where the requester of this Form W-9 will mail your information <br />returns. If this address differs from the one the requester already has on <br />file. enter "NEW at the top. IF a new address is provided. there is still a <br />chance the old address will be used until the payor changes your <br />address in their records. <br />Line 6 <br />Enter your city, state, and ZIP code. <br />Part f. Taxpayer Identification Number (TIN) <br />Enter your TIN in the appropriate box. If you are a resident alien and <br />you do not have, and are not eligible to get. an SSN, your TIN is your <br />IRS ITIN. Enter it in the entry space for the Social security number. If you <br />do not have an ITIN, see Now to get a 77N below. <br />If you are a sole proprietor and you have an EiN, you may enter either <br />your SSN or EIN. <br />If you are a single -member LLC that is disregarded as an entity <br />separate from its owner, enter the overier's SSN (or EIN, if the owner has <br />one). If the LLC is classified as a corporation or partnership. enter the <br />entity's EIN. <br />Note: See What Name and Number To Give the Requester, later. for <br />further clarification of name and TIN combinations. <br />Now to get a TIN. IF you do not have a TIN, apply for one immediately. <br />To apply for an SSN, get Form SS-5. Application for a Social Security <br />Card, from your local SSA office or get tKs form online at <br />www.SSAgov. You may also get this form by calling 800-772-1213, Use <br />Form W-7, Application for IRS Individual Taxpayer Identification <br />Number, to apply for an [TIN, or Form SS4. Application for Employer <br />Identification Number, to apply for an EIN. You can apply for an ON <br />online by accessing the IRS websife at www.iis.gov10N. Go to <br />www.irs.govlForms to view, download. or print Form W-7 andlor Form <br />S5-S. ter, you can go to wwwars.1qov10rderF6rms to place an order and <br />have Form V4-7 and/or Form SS-4 mailed to you within 15 business <br />days. <br />If you are asked to complete Form W-9 but do not have a TIN, apply <br />for a TIN and enter "Applied For' in the space for the TIN. sign and date <br />the form, and give it to the requester. For interest and dividend <br />payments, and certain payments made %vith respect to readily tradable <br />instruments. you vns generally have 6D days to get a nN and give it to <br />the requester before you are s bod to backup withholding on <br />payments. The 60-day rude does not apply to Other "Of payments. <br />You will be subject to backup witlihokfzrg on all such payments until <br />you provide your TIN to the requester_ <br />Note: Entering "Applied For" means that you have already applied for a <br />TIN or that you intend to apply for one soon. See also Establishing U.S. <br />slates for purposes of chapter 3 and chapter a withholding. earner. for <br />when you may instead be subject to vthholding under chapter 3 or 4 of <br />the Code. <br />Caution: A disregarded U.S. entity that has a foreign owner must use <br />the appropriate Form W-8. <br />