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ATTACHMENT "E"
<br />(Rev. March 2024)
<br />Departmont of the Treasury
<br />Internal Revenue Service
<br />Beforeyou begin. For, ,
<br />Request for Taxpayer
<br />Identification Number and Certification
<br />Go to www.irs.gov/Fo1mW9 for instructions and the latest information.
<br />related to the purpose of Form W-9, see Purpose of Form, below.
<br />Give form to the
<br />requester. Do not
<br />send to the IRS.
<br />Name of entity/Indlvidual. An entry is required. (Fora sale proprietor or disregarded entity, entor the owners none on line 1, ano emer
<br />entity's name on line 2.)
<br />2 Business name/disrogarded entity name, if different from above.
<br />3s Check the appropriate box for federal tax classification or the entity/individual whose name Is entered on line 1. Check
<br />only one of the fotlowing seven boxes.
<br />❑ Individual/solo proprietor ❑ C corporation ❑ S corporation ❑ Partnenho ❑ Trust/astato
<br />❑ LLC. Enter the fax classiflrleuon (C = C corrlerailon, S - S corporation, P - Partnership)
<br />Note: Check the "LLC' pox above and, In lrie entry space, enter the appropriate code (C, S. or P) for'nn zx
<br />classYrrcalion Cr Ihn LLC, unless It Is a d smpardod witty. A dprogwdrid nntny rtiouA Instead check thn ynl:rarniin
<br />box for the tax classification of its owner.
<br />❑ Other (see Instructions)
<br />3b 11 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 to a partnership, trust, or estate in which you have an ownership interest, check ❑
<br />this box it you have any foreign partners, owners, or beneficiaries. See instructions - -
<br />Requester's name and address (optional)
<br />Address (number, street, end spL or suite no.) See Instructions
<br />a City, state, and ZIP code
<br />7 Usl account number(s) here (optional)
<br />Number
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
<br />backup withholding. For individuals, this is generally your social security number (SSN). However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other
<br />entitles, it is your employer identification number (EIN). II you do not have a number, see How to get a or
<br />TIN, later. Emplo
<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 />4 Exemptions (codes apply, only ro
<br />certain enthim, not individuals:
<br />see instructions on page 3):
<br />Exempt payee code (it any)
<br />Exemption from Foreign Account Tax
<br />Compliance Act (FATCA) reporting
<br />code (if any)
<br />(Applies to accounts maintained
<br />outside the United States.)
<br />number
<br />number
<br />Under penalties of perjury, I certify that:
<br />1, 1 he number shown on this form is my correct taxpmyer deriMcation number (or I ttm waRing for R number to be issued to me): and
<br />2.1 am not subject to backup withholding because (a) I amt exempt from backup withholding, or i have not been notlimd 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 1 am
<br />no longer subject to backup wlthholding: 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 said.
<br />acquisition or abandonment of secured property, cancellation of debt, contributions to an indMdual 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. Sec the instructions for Part 11, taxer.
<br />Sign signature or
<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 tho latest information about developments
<br />related to Form W-9 and Its instructions, such as fegisiation enacted
<br />after they were published, go to wwwdrs.goWForrrtW9,
<br />What's New
<br />Line 3a has been modrfted 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. Q(henvice, It
<br />should check the "LLC' box and enter its appropriate tax classincalIon.
<br />Cal. No. 1o231X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 14 of 19
<br />New Ifnd 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 />lardgn partners, owners. or beneficiaries vrhen it provides the Form W-9
<br />to another now -through entity in whicil it has an ownership irderesL This
<br />change is intended to provido aflow- through entity with :"formation
<br />regard ,ng the SIX=of its indirect foreign par(nors, owners. or
<br />beneficiaries, so that it can satisfy any applicable reporting
<br />requirements. For example, a partnership that has any Indirect foreign
<br />partners may be required to complete Schedules K-2 and K-3. See the
<br />partnership Instructions for Schedules K•2 and K-3 (Form f4)t35).
<br />Purpose of Form
<br />An Indlvtdual or entity (Form W-9 requester) who is required to rile an
<br />information return with "IRS is giving you this form because they
<br />Forth W-9 (Rev. 3-2024)
<br />
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