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ATTACHMENT "E"
<br />Form W=9
<br />Request for Taxpayer
<br />Give form to the
<br />(Rev. March 2024)
<br />Identification Number and Certification
<br />requester. Do not
<br />Irtemzl Rof the Treasury
<br />Department Revenue Service
<br />Go to www.1mgovfFormW9 for instructions and the latest Information.
<br />send to the IRS.
<br />Before you begin. For gvidance related to the purpose of Form W-9, see "oso of Form, below.
<br />1 Name of en*Andlvldual. An entry Is required. (For a sole proprietor or disregarded entity, enter the owners name on line 1, and enter the business/dlsregarded
<br />entity's name on line 2.)
<br />2 Business name/disregarded entity name. it different from above.
<br />3a Check the appropriate box for federal tax classiflcalion of the entity/nd,wdual whose name Is entered on line t ci„ cc %
<br />4 Exemptions (codes opply only to
<br />only one of the following seven boxes.
<br />certain entitles, not individuals;
<br />a
<br />❑ Individual/solo proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust/ostato
<br />see instructions on page 3):
<br />c
<br />at
<br />❑ LLC. Enter the lax classification (C = C corporation, S = S corporation, P = Partnership)
<br />Exempt payee code (If any)
<br />a
<br />Note: Check the "LLC" box above and, In the entry spec*, enter the appropriate code (C, S, or P) for 1- • : r�
<br />u
<br />classification of the LLC, unless It Is a disregaMod entity. A dismgwrind ontdy should Instead check ti:r, a;i;:rnprlate
<br />Exemption from Foreign Account Tax
<br />o
<br />box for the tax classification of its owner.
<br />Compliance Act (FATCA) reporting
<br />❑ Other (see Instructions)
<br />code ('rf any)
<br />a n
<br />Tres to accounts maintained
<br />(Applies
<br />3b If on line 3a you checked "Partnership' or " rnrst/estate," or checked "LLC" and entered "P- as its tax dassficalion,
<br />and you are providing tt-rs for-* to a partnarship, trust, of estate in which you have an ownership interest, check
<br />instructions ❑
<br />outside the United States.)
<br />this box If you have any "a partners, owners, or beneriGmnrs . See . . . . . . . . ,
<br />5 Address (number, street, and apt. or suite no.). See instructions.
<br />ster
<br />Reques name and address (optloneq
<br />m
<br />1
<br />11
<br />e City, state, and ZIP code
<br />7 List account number(s) here (optionaD
<br />Taxpayer Identification Number (TIN)
<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 />I aocmi
<br />secumy
<br />numoar
<br />resident allen, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other
<br />entitles, it is your employer identification number (EIN). If you do not have a number, see How to get a
<br />or
<br />TIN, later.
<br />Employer lderHlncatlan 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 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 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 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 />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 ORA), and, generally, payments
<br />other than interest and dividends, you are not required to sign the certtflcation, but you must provide your 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.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. Otherwise, it
<br />should check the "LLC" box and enter its appropriate tax classification.
<br />Cat. No. 10231X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 14 of 19
<br />New line 3b has been added to this form. A flow -through entity is
<br />required to cam plete this Ilre to indicate that it has direct or indirect
<br />foreign partners, owners, or beneficiaries when It provides the Farm W-9
<br />to another slow -through entity in which rt 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 />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 />Pit rnership Instructions for Schedules K - 2 and K-3 (Forth 1065).
<br />Purpose of Form
<br />An lixilvldual or entity (Form W-9 requester) who Is required to file an
<br />infornatlon return with the IRS Is giving you this form because they
<br />Form W-9 (Rev. 3.2024)
<br />
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