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ATTACHMENT "E"
<br />FormWill 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 www.irs.gov1FormW9 for instructions and the latest information.
<br />Intinternallsend to the IRS.
<br />Revenue Service
<br />Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
<br />1 Name o1 entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owners rame on line 1, and enter -.he business disregarded
<br />en•'ib/'s name online 2.)
<br />2 Business name/cimrcgarood entity name, if different from above.
<br />1. Check the appropriate oox ror federal lax classification of the entity/individual whose name is entered on line 1. Check 4 Exemptions (cedos apply only to
<br />only one of the following seven boxes. certain entities, not individuals:
<br />see instructions on page 3):
<br />❑ Individuallsole propdetor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Tnlst,'estato
<br />❑ LLC, Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . Exempt payee code (if any)
<br />Note: Check the "t1G" Dox above and, in theentry spw*. enler!I* AuMpriale code (C. &OF.P) for tl6e Wx
<br />classification of the LLa unless It is a disregarded entity. A disregorood entity should inslaW eheck the AWropriato Exemption from Foreign Account Tax
<br />box for the tax classification of its owner. Compliance Act (FATCA) reporting
<br />❑ Other (see instructions) code (it any)
<br />3b If on line 3a you checked "Partnership" or "TrusUestate." or checked "LLC" and entered "P" as its tax classification, (Applies to accounts maintained
<br />and you are pr4Wding this form to a oartnarrlhip, trust, or mibta in whim you have an ownersnip interest, check outside the United States.)
<br />this box if you have any forllgn partners, owhem, or benelicinnes. See instructions ❑
<br />Address (number, street, and apt, or suite no ) See instructions.
<br />6 City, state, and ZIP code
<br />7 L at account numbeds) here (optional)
<br />ntification Number
<br />Requester's name and address (cptlonaQ
<br />Entet' your TIN in the aoproprlate box. The TIN provided mtfat match the nacre given on ling i to avoid I Social security number _J
<br />baefalp withholding. For ,ndivtduafs. ;his is gamemily your social unurity number (SSN). However, for a
<br />resident alien, sole proponlor, or disregarded entity, see ihw instructions for Pan I, later. For outer
<br />entities, A is your employer identification number (EIN). If you do not have a number, see How to get a or
<br />TIN, later.
<br />Employer Identification number
<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 />Under penalties of perjury, I certify that:
<br />1, The number shown on this form is my correct taxpayer identdication number (or I am wafting 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 (f 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 sigh the certification, but you must provida your correct TIN. See the instructions for Part 11. later.
<br />Sign Signature of Date
<br />Here U.S. person
<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 hole a disregarded entity completes
<br />this line. An LLC that is a disregarded entity should check the
<br />appropriate box for the tax ciassifrcabon of its owner- Otherwise, it
<br />should check the "LLC" box and enter its appropriate lax classification.
<br />Cal No. 10231x
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 14 of 22
<br />New line 3b has been added to this form. A flow -through entity is
<br />required to complete this line to Indicate that it has direct or indirect
<br />foreign partners. ot+ners, or berefiefaries vrher It provides the Form W-9
<br />to anti erftow-through entity in which it has an ownership interest. This
<br />change is intended to provide a flow -through entity with information
<br />regarding the status of its indirect foreign partners, owners, or
<br />berericiaries, so that it can sa!isfy any applicahte reporting
<br />requiramants. For example. a partnership that has any indirect foreign
<br />Wriars may be required to complete Schedules K-2 and K 3. See the
<br />Prit-Ir l•ip Instn:ci=s for Schodulas K-2 and K-3 (Form IM).
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to rile an
<br />information return with the IRS is giving you this form because they
<br />Form w-9 (Rev- 3-2024)
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