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ATTACHMENT "E"
<br />Forin w-9 Request for Taxpayer Give form to the
<br />(Hev. March 2024) Identification Number and Certification requester. Do not
<br />eternal ev n the Treasury Go to www.irs.gov/Form W9 for instructions and the latest information. send to the IRS.
<br />Internal Revenue Service
<br />Before you begin. For guidance related to the purpose of Form W-9, see rkwose of For"i. below.
<br />S Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's rame on !ine 1, and enter :he ousinessedisregarded
<br />en:ity's name on line 2.)
<br />2 Business namo/disrogarced entity name, it difforent from above,
<br />3a Check the appropriate Dex'or federal lax classification of the enbtyimd-dual whose name is entered on line I, Check 4 Exemptions (codes apply only to
<br />only one of the followirg seven boxes, certain entities, not individuals:
<br />see trstruchons on page 3):
<br />❑ Individuab'solc proorictor ❑ C corporation ❑ S corporation ❑ ?artncrshia ElTrust,'cstato
<br />❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) - , Exemot oayee code fit any)
<br />Note: Check the "LLC" box above and, in lheeelry space, enter the •ap)11Uprlale code (C, S. ar P) Wine trox%
<br />classification of the LLC, unloss it is a disregarded entity. A disregnednd entity should instead rheck theAnPropriato Exemption from Foreign Account Tax
<br />box for The tax classification of its owner. Compliance Act FFATCA) reporting
<br />❑ Other (see Instructions) code (rf any)
<br />3b if on line 3a you checked "Partnership" or "Trust/estate," or chocked "LLC" and entered "P- as its tax classification, (Applies to accounts maintained
<br />and you are providing (his form to a partnership, trust, or estate in which you have an ownersnip interest, check outside the United States.)
<br />(his box it you have any foreign par(n ens, owners, or beneficiaries. See insmicl Ions 0
<br />5 Address (numbe,, street, and apt, or suite no) See insructions,
<br />6 Coy, state- and ZIP code
<br />7 L sl account numbers) here (optional)
<br />Number
<br />Requester's name and address loptiorim)
<br />Enter your TIN In the appropriate box. The TIN provided must ingtch the rame given on line t to avoid I Social security member
<br />backup vathholorl For individuals, 'his is generally your social security number (SSN). However, for a TT
<br />resident alien, sole proprietor, or disregarded enhly, ten the Instructions for Part I, later. For other
<br />entities, it is your employer identification number (EIN) If you do not have a number, see How to get a or
<br />TIN, later.
<br />Employer identfificatlon
<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 :dentification 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 Intemal 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 file 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 faired 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 rmvired to sign the certification, but you must provide Vol correct TIN. See the Instructions for Part II, later.
<br />sign signature of
<br />Here 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.imgov/FormN/9,
<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 classfila an of its owrser. Othervrise, it
<br />should check the "LLC" box and enter its appropriate tax classification.
<br />Now line 3b has been added to this form. A flow -through entity is
<br />required to complete this line to iro:cale that It has direct ar Ittdirect
<br />foreign partners. ovmers, or oereliciaries when it pmvides.the Form W-9
<br />to another flow-tnrough entity in which 4 has an ovmerahip Interact. 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 />banallcfaries, so that it can satisfy any applicable reporting
<br />requirements. For example, a partnership that has any Indirect'oreign
<br />partners may be required to complete Schedules K-2 and K-3. See the
<br />Par'lnor9hep Itssinictions for Schedules K-2 and K-3 (Form t¢65).
<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)
<br />Page 14 of 22
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