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Form W-9 (Rev. 3-2024) Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Pail I should signs (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts Opened after 119B3 and broker accounts considered inactive during 11=1. You must sign the cerlification or backup withholding will apply. If you are subject to backup v4thholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification_ You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not hays to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requester's trade or business for rents, royalties. goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third -party network transactions. payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments [under section 524), ABLE accounts (under section 529A). IRA, Coverdell ESA, Archer IVISA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do riot have to sign the certification. What Name and Number To Give the Requester For this type of account. I Give name and SSN of: 1. Individual The individual 2_ Two or more individuals 6oint account) The actual owner of the account or. other than an account maintained by if combined funds, the first individual an FR on the account' 3. Two or more U.S. persons Each holder of the account (joint account maintained by an FFI) 4. Custodial account of a minor The minor' (Uniform Gift to Minors Act) 5_ a. The usual revocable savings trust The grantor -trustee' (grantor is also trustee) b. So-called trust account that is not The actual owner' a legal or valid trust under state law 6. Sole proprietorship or disregarded The ovnera entity owned by an individual 7. Grantor trust filing under Optional The grantor' Filing Method 1 (see Regulations section 1.671-4(b)(2)f)(A)I" Kittitas County Agreement for Services (rev. 5/14/25) Page 18 of 22 Page 5 For this type of account: I Give name and EIN of: a. Disreg nded entity not; owned by an The owner ind ividunl 9. A valid trust. estate. or pension ULPA Legal entity-4 1o. Corparalkm or L LC deding caporals The corporation utn" on Form 8&32 or Form 2S53 11. Asscciation. dub. religious, charitable. The organization Vducational, or Wier taic�xeript organizzation 12. Ihutnership or mult-memberLLC The partnership ta. A broker or registered nominee The broker or nominee 14. Account with the Deportrcrent of The public entity Ag.iwlhre n the Wine of a public rntity (such as a state or local government school district. or prised that receivua agricultural progi om payments 15. Grantor trust fifrig Form 1041 or The trust under the Optional Filing Method 2, requiring Form 1099 tsee Regulations section 1.671-4tbX2xd(B)r* ' List first and circle the name of the person whose number you furnish. ff only one person on ajoint account has an SSN. that paison's number must be fumishad. 'Circle the minor's name and furnish the minor's SSN. 'You must show your individual name on line 1. and enter yyarn business or Ol3A name. if any, on fine 2. You may use "her your S alU or EIN Of you have ono), but the IRS encourages you to use your SSN. i List first and circte the name of the trust, estate. or pension trust. (Do not furnish the TIN of the personal representative or trusters runless the legal entity itself is not designated in the account title.) Note: The grantor must also provide a Farm W-9 to the trustee of the trust- .. For more infarmatkm on optional fling methods for grantor trUStS, see the Instructions for Form I D41. Note. If no name is circled when more than one name is fisted, the number will be considered to be that of the first name fisted. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal Information, such as your name. SSN. or other identifying Information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Prweat your SSN. • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax return prepares. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed an the RS notice or letter. tf your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Iderttity Theft Hotline at aW-908-44911 or submit Form I d173S_ For more information, see Pub. 5027. Identity Theft Information for Taxpayers.