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ATTACHMENT "I'"
<br />Form W=9 Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Department of the Treasury send to the IRS.
<br />Intornal Revenue Service Go to www.irs.gov/FortnW9 for instructions and the latest information.
<br />Before you begin. For guidance related to the purpose of Form W-9, see Pulposo of Form, below.
<br />1 Name of entitylindividual. An entry is required (For a sole proprietor or disregarded entity, enter the owners name on line 1. and enter ,he business/disregarded
<br />entity s name on line 2 )
<br />2 Business name/disregarced entity name, it different from above.
<br />3a Check the appropriate box for federdl tax classification of the entayhndividual whose name is entered on line 1. Check 4 Exemptions (codes apply only to
<br />only one of the following seven boxes, certain entries, not individuals:
<br />see instructions on page 3):
<br />[IIndividuaVsole proarietor ❑ C corporation ❑ S corporation ❑ Partnershio ❑ Trust/estate
<br />❑ LLC. Enter the lax classification. (C = C corporation, S = S corporation, P = Partnership) Exempt payee code (f any)
<br />Note: Check the "LLC' box above and, in the entry apace, enter theappropriale code (C. S. or P) for It* her
<br />classification o'the LLC, unloss it is a disregarded ewily. A disregarded antiry should insbatf check the appropriate Exemption from Foreign Account Tax
<br />box for the tax classification of its owner. Compliance Act (FATCA) reporting
<br />❑ Other (see instructions) code (if any)
<br />3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P' as its tclass'rficalion, I (Applies to accounts maintained
<br />and you are providing this lorm to a partnership, trust, or estate in which you have an ownershipax mleresl, check outside the United States./
<br />this box it you have any foreign partners, owners, or beneficiaries. See instructions . - . . . . . . .
<br />5 Address (number, street, and apt or suite no.). See instructions.
<br />Requester's name and address (optional)
<br />6 City, state. and ZIP code
<br />7 L.sl account nurnber(s) here (optional)
<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 Social °e redly number
<br />backup withholding. For individuals, this is generally your social socuritlt number (SSN). However, fora
<br />resident alien, sole proprietor, or disregarded entity, see 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 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 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 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 rule 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 itern 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 sign the certification, but you must provideyour 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 clarity 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 artier its appropriate tax classification.
<br />Cal. No. 10231X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 16 of 21
<br />New line 3b has been added to this form A flow -through entity is
<br />mclulred to complete this line to Indicate that it has director Indirect
<br />Foreign partners. owners, or beneffciarles when It provides the Fibrin W-9
<br />to another flow-Irirough ontity 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 ind9ecl foreign partners, owners, or
<br />beneficiaries, so that it can satisfy any applicable reporting
<br />requirements. For example, a partnership that has arty indirect foreign
<br />partners may be required to complete Smadules K-2 and K-3. See the
<br />Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
<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 11i (Rev. 3-2024)
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