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Form W-9 iF ev. 3-2424) Certan payees and payrmerrts ai e exempt from backV w&jhdd-,g- See Exempt payee code. later, and the separate Ins--rx6ors 5Dr the Requester of Form W-9 for mare infortrtaturi See also Fst ditF W us sraLw for pcapasas oecftapor3and cuter d wrthhokfMg, ex'Fer. What Is FATCA Reporting? The Foreign A£,aunt Tax Compliance Act tPA]-CA, r- r res a participating foreign firkv c institution to report alt U.S, ataour'd Holders that are sgea5ed U.S. persons. Certain pays am exempt fmrrt FATCA reporting. Sea Fxernp6on [roar Ff TUA repafWW code. UX-r, and the Instructions far the Requester of Form W-9 far more infzmratiN-� Updating Your Information You must provide updated information w wry person to whom yoc claimed to be an exempt payee if you are no brger an exempt payee and anticipale receiving reportable payments in the, f>rhre ir,,- this pemont For example. you may need to provide updated inlionnation if you are a C corporation that ekwft to be. an S mrporcdon, of iF {ou are no longef tax exempt. in addition. you must famish a new Form er 4 if the name or TIN changes for the acootxtt for example. iF the grantor ae a grantor trust dies. Penalties Failure to furnish TIN. If you Fart to furnish your correct TIN to a rectaester. you are subject to a Wally of 60 for each such W1-i e unless your failure is due to reasonable cause and mat to wiM, neghect. CiO penalty for false information with respect to withholding. If yrsa make a false statement with no reasonable trans turd. vest is in no backup withholding, you are subject to a S5W penaitg. Criminal penalty for falsifying information. Willfully Wsitrvrg certficatons or afEnnations may subject you to crimmal penalties indudng fines anWor in prisonmertt Misuse of T1Ns. If the regnresler drsdoses or uses TIUs in 4iWoo a federal law. the requester may be subject to chit and awl inal penat'a�. Specific Instructions Line I You must enter one of the following on this line: do not feat tls Wr blank The narne should snatch the rrarne on your lax reams. IF this Farm W-9 is For a joint account (other than-i an aaxu # mamtainecd by a fcfaign financial institution i RFi tSt first and&;ern circle, the nanne of the person or entity whicise number roe entered in Part I of Form W-9. IF you are providnq Form W-9 to an FFI b document a joint aooaunL each holder of the account that is a U.S. pe'son rrffst provide a Form W-9. • IncHviduaF. Generaly, enter the name shown co year tax return. If you have changed your last name without informing the Soaarl Securty Adrninistraton (SSA) of the name change. enter fast name. ffna law name as shorm ore your social 9,-m fity card. arc} +.,new last name. Note for MN applicant: lister your inndsidual manse as n rras entered on your Form W-7 application, lime 1a. This should also be the same as the name you entered on the Farm 1046 you iced voh y" applica on. • Sale proprietor. Enter your indivdual fray as shiawn cup yoau Farris 14=11 on !ne 1. Enter your business, trade. or "doing business as O&N mama on line 2. • Partnembip. C corporation. S corporation, or LLC. o#wr than a disregarded entity. Enter the errlitys tame as sh ovin on the entity's. tax return an line 1 and arty business. trade. or D13A nitre an line 2 • Other entities. Enter your name as shown on required U-S_ fadesaI man documents on Fine 1. This name should match the. name shown on tt a charter or other legal document creating the entity. Enter any busi,r.-- trade, oe DBA rtarne on trte 2. • Disrsgirde l entity. In gmetal, a business aamity that has a single owner. including an LLC. and is rmt a corporatiom is disregarded as an - ity separate from its owner (a dsregarded erttisy}. Sea Reguialions section 301.Tftl1-2(cKZt. A disregarded entity st oLk ctiedx 1-e appropriate box for the tax classifcation of its o%Tw. cErfter the owrreds r%3rma on tine 1. The name of the owner entered on line 1 should rw%w be a disregarded entity. The name on lira3 l should be ttra name shown on the income tax return an which the inane should be sported. For Kittitas County Agreement for Services (rev. 5/14/25) Page 16 of 22 P39t3 example. tf a foes p LLC dat is treated as a died an ilv bar U-S. federal lax purposes has a srrale owner flat is a t4.S, persona ft L.S. awn"- Is name is miclured to be praw.rxd on fine 1_ of the cirect Owner d the. ernity is also a t%egarded entry. enter tta irs;,saner tftw is rn: disregeced for federal tax ptrpzes. En-r the dmrgwdcd a sbityrs name on urae 2- H the IYAYPV ai Ile d+s*egard--i entity Is a farsgn p the owner rmist compta�,- an appropr4te Farm IN-6 irsWead of a Frm W-a This is the tie %-en it ttfe irxayn person tress a U.S. Tft Line 2 It ti h3ve a lupines name. trade To". MA narm or disregarded aiitky name, enter it an fire 2- Una 3a Check the appropriate box an fine 3a for the U.S. federal ta-tti classftaboo of the person whose name is entm-cl ar fsrr- 1. F. hxi, cc* acne box an line 3a. IF the enthyiutdvidual on fine d T KEN check the box for ... isaN--- • Corporati , n Carpordhov- • Individual ar Irtdviduai sde proviewt. • sa4a proprietorship • LI-C dassiFed as a par tip 13nvted hablitir conpareyr and fur U.S. federal tax purposes or enter the appropi ate tax • LLC lhat has filed Form M32 or dass�ati;om 2553 6-acting to be taxed as a P = Fartnemshp. corporal iarr C = C co poralxvk or S = S oorpCrahcrL • Partrrer5tsp Rar��n'srrip. • Trusflesta[e Trusts�tate. Line 3b C heck this bmx if you are a p&uwr I* [i cluding an, LLC clxmliW as a pa tfcrslip for US_ federal tax p.uposes}, trust or s"a lhaa has arrr, foreign partraers. -ArKn. or bezaficianes, and you are prcrrixdiii g t1� form to a partnership-1r"t or estates in which �cu ha%* an ownership interest You must dxxc* She box on b-* 3b i= you n3cei a3 a Farm W4 for dmurrar"ry, 2Videncel imm any partrw. owner. or ben iary establishing foreign staffs or H you recekea Form W-9 ism arty partner, owner. or beneficiary that has checked this box an fete 3b. Note: A parrnership that provides a For n IM-9 and cineclxs box 3b may be required to complete S�hedules K-2 and K-3 (F-w-m 1L'65L For mom in7fornVhan, see the partnership heir=fixes for Sdrzdxdes K-2 and K-3 [Farm IM.t. Id you ate reWred to tample�* lint 3b but i al to do so. you may riot naa -.a the infamtation necessary to file_ a comEcl infotmaitio n return with the PS or famish a o=e t payer s=er neat to gear partsrers ar beneficiaries. See. for exaample. sec dons 66M 6722."672s for +A may apply. Line 4 Exemptions if you are exempt frorrn backup w+thhoidnc an for FATCA reparLng- e:tLer in the appropriate s- r e fxt Inca a w%y crxleiya tiraLnray apply to SOU - Exempt payee code. • indrAduals [Including sale propnetamsy are dal exempt irar n bad-j-p vAtbolding. • Exeepi as provided beho H_ oorporadons are exempt moan teckW v ihho]dng for certain payrr-nun, incItAirag rnttres t and dyid,2nds. • Corporations are Trot a xempt from backup w.-- dioidirx3 for payrTeffts made in satSfefnefntof pa?,me tt card or Ord -party rnatauufk tr.iore_ Corporaticos are not exerrxpt tram backup wiftd ding Ywatr re%,ect to atfomeys fees or grass proceeds pad to aHornays, ar4 corprrabcrfs that provide medical or health care services are no-[ exempt wft respect to pafr>- reparh Ue on Form tO99-MISC. Th-- loiawing cades identity payers that era exernpi from backup -Ai thholdng- Fnter the appropriate code in the space on fine 4- 1 — Ar orgarnzz_atio n exempt tam tax under section 501 tag any 04A or a Custodial account under section 4R3tvX-A id ttre account satisfies the mcluiremants of section -W MS(