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ATTACHMENT "F"
<br />Form W-7 Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Department of the Treasury Go to wwwJmgov1FormW9 for instructions and the latest information. send to the IRS.
<br />Irttarnu kcvonvo Service
<br />Before you begirt. For guidanca related to the purpose of Form W-9, see Pugx)so of Form, below.
<br />1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owners rame on line 1, and enter :he business/dlsregarded
<br />entity's name on line 2.)
<br />2 Business name/disregarded entity name, if ditforont from above,
<br />3a Check the appropriate pox `or federal tax classification of the enldy/individual whose name is entered on line I. Check 4 Exemptions (codos apply only to
<br />only one of the following seven boxes, certain entries, not individuals:
<br />see instructions on page 3):
<br />❑ IndividuaUsolc proorictor ❑ C corporation ❑ S corporation ❑ Partnership ❑ TrusVastato
<br />❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Exempt payee code (if any)
<br />Note: Check the "LLC" box above and, in the errtry space, enter 9ie appropriate code (C, S. or P) for 1heux
<br />classification of the LLC, unless it is a disregarded onnry. A disrepnrded amity should instoad chock the rtppropriato Exemption from Foreign Account Tax
<br />box for the tax classification of its owner. Compliance Act TATCA) reporting
<br />❑ Other (see Instructions) code (I any)
<br />31a If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P- as its tax classification.
<br />and you are providing this form outside to a partnership, trust, or estate in which you have an ownersnip interest, check (Applies to accounts maintained
<br />si
<br />this box if you have any foreign partners, owners, or beneficiaries. See mstractlons . . . . . . de the United States.)
<br />5 Address (number, street, and apt. or suite no.). See instructions
<br />6 City, state, and ZIP code
<br />7 L sl account number(s) here (optional)
<br />mber
<br />Requester's name and address (option:)
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given an One 1 to avoid l adcwraacwm
<br />backup withholding. For ;rlcrrrtnduals. it is is generally your soClatl security number (SSN). However, for a _
<br />resident aIler,. sole proprietor. or disregarded entity, see the instructions for Part I, later. For other
<br />entities, it is your employer identification number (EINI- If yo:l do not have a number. see How to get a or
<br />TIN, later. I Ernployer Wont
<br />Note: If the account is in more than one name, see the instructions for line 1. See also What Name and
<br />Number To Give the Requester for guidelines on whose number to enter.
<br />Certification
<br />Under penalties of perjury, I certify that:
<br />1, The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
<br />Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
<br />no longer subject to backup withholding; and
<br />3. 1 am a U.S. citizen or other U.S. person (defined below): and
<br />4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. .
<br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
<br />because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
<br />acquisition or abandonment of secured property. cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments
<br />other than interest and dividends, you are not required to sign The certification, but you must provide your correct TIN. See the instructions for Part II, later.
<br />sign Signature of
<br />Here I U.S. person Date
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest information about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go to www.irs.gov/FormW9.
<br />What's New
<br />Line 3a has been modified to clarify how a disregarded entity completes
<br />this line. An LLC that is a disregarded entity should check the
<br />appropriate box for the tax classification of its owner. Olheunrlse, it
<br />should check the "LLC" box and enter. its appropriate lax dlaSsification.
<br />New line 3b has been added to this form. A flow -through entity is
<br />required to Complete this lime to Indicate that it has direct or indirect
<br />foreign partrters, ovmers, or beneficiaries when h pirmdes the Form W-9
<br />to another Yaw-tlreugh entity in whilth It has an ownership Interest. This
<br />change is intended to provide a flow -Through entity with mforttalion
<br />regarding the status of its indirect foreign pariners, owners, or
<br />bereliciaries, so that it can sat15fy any applicable reporting
<br />requirements, For example, a partnership that has any indirect foreign
<br />paftrers may be required to complete Schedules K•2 and K-3. See the
<br />Parmarship Instructioms for Schedules K•2 and K-3 (Form 1065).
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />information return with the IRS is giving you this form because they
<br />Cal. No, 10231X Form W-9+,Rev. 3-2024)
<br />Kittitas County Agreement for Services (rev. 5/14/25)
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