AFS between Kittitas County and AtWork!

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Farr dr'-s Imo• 3-=4) Part II. Ceril#ication To establish to the withholding agent that you are a U.S. P rWc, or resident afim sign Fo an l,V--9. You may be ruled to sign by the wit-hofdirg agem 9ton if item 1. s. or 5 below indicates ati� For a font a..'^^a.mt, only the person whose TN is shown rn Pad u should sign 1Fahen m qi-zredy. In the case of a disregarded entity. the persen idenbhed on line 1 mast sign. Fxempt payves. see &emptpayee cede. earlier Signature requirements. complete the certification as irxVoAa -d in itd T thrltagh 5 balo:Y. 1. interest. dEri Wmi, and barter exchange accounts opened before 19" and broker accounts considered active during 1981 You must gke yraer vorrect TIN, but you do not have to sign the certifir- t . 2 Interest. dividend, broker. and barter exchange accounts opened after IQW and broker accounts considered inacbve during ISM, You must sign the certification or backup. withholdmg "it apply. IF you are subject 10 hacivap►Yithholding and you are m,-rety providing your correct TIN to thna requester. you must cross out item 2 in the c tiFicatian before siglinnig the form. 3. Real estate transactions. You must sign 1he certifcaton. You map cross out item 2 of the certification_ d_ other payments. You must give your cornet TIN, but you do not Fa%--�, to sign'the cartification unless you have been notified that you have preriou* ghren an mcorrect T1K 'Other payments' include payments made in the co wse of the regvastEes trade or business for rents, rayatties. goods (other than bills tar merchandnse). medical and heotth care sL-vices hroduding payments to corporations}. payments to a non —employee, :or services, payments made in settlement of payment card and third -party m wprk transactions. payments to certam fish boat cr'aty members arnd fisharmen. and grass pros, cis paid to attorneys tnctuding pa• ments. to cotporattcns�. S_ Mortgage interest paid by you, acquisition or abandonment of secured property, canceNation of debt, quaGTied tuition program payments (under section 529), ABLE accounts [under section 529A). IRA, Coverdet! ESA, Archer MSA or NSA contributions or di etribufitms, and pension cGstributilons. You must give your correct TIN. but vau do rx+thare to sign the cerffcation, What Name and Nurnber To Give the Requester For this type of account: Give name and SSN of: 1. In"iduat The india:*-i 2 Two or mere iry S idbak quint occoumth The actual owner of the account or, e6w char, an accaurit maintained by it crmlbimed fiends, the find inditiduad an FRI on the account' 3. Two or move U.S. persor's Each holder of the account faint ao=untmmialtaired by in FFtf 3. custodLd acomnt at a miner The minor= Rhdcmn G& to FArrors Act) 5. a The usual., a,7 6e srrrergs trust The grxtcr-husk"' 4ga'rtar is also ftswo h. So-called trust account tat is not The actual owner' a legal ar vaW trust urdle' slate lawn aSaieProPrietord pordisregarded TheVV.TW1 en* aniseed by an irxiviAd T. Grantor trust Ring under Optimal The g7rror' FiGN Yettnod t ode Pegratitirrs section 1.671-'at13t'2''0QA9" Kittitas County Agreement for Services (rev. 5/14/25) Page 18 of 22 PzKr- 5 For tfus type of account& Give name and EIN of- a- Disregarded _rroty not vaned by an Time a,r*nw li diwidual 4_ A talit' brut. elat& or persi in tnEt LAo sty r tfl. Corpwabon or I.LC decinngowVaiaw T*e carpraliarr sus an Fame E MP or Fare 11 _ Associaticm, dtu, rams d`vhzb�. THre cegcreati n -wail''. am 06-M .irt-1!%eM ti 12_ P'ahnership a muil:HTsunben LLG The pa t P t3_ A brdvE r or r egestoesd na rinee Die trake, or nominee td. Acnaund mid tl,e DqD rri- era at The puddle c rt . AWxxftre intlxnon'readapubic arm b zld as a or load y gaueviirnara. adlocl d"ehra#. ST wisor p drat receives arp`tlhural prGg'a'n pnrne nt3 t5_Giraindwtint fiFM%TnIC1411orr The trust under the Optional Fang Me>td 2- requiring Form taesfsee-Rr><1 aEun® section tZ 11-4boM 8ti" List Intern and circle the nacre of he pawn -how rm irnber y% Furnish tf only arse person are a Faint account has an SSN_ that perso s number must be Fur *d—*--3 Circle lFre mgrmes name and fvari*h the minoes SSN. 'You must show your irdnmktai name art fine 1, and enter business or DBA rune. if arj} on ine 2_ Ycu may use either your S� ELN Of you have orrek but the IFS aicourages you to use your SSN. `list first and circle roT a of the UW, tea. or pension bust. [Do not iEraish 11be TIh1 of the persanat representative Gr trustee unless the legal sty itself m not design iW in t-re visit trtla.y ' Note- The gramor must also pirrode a Fwm :V-o to tine tor, ae of the trust_ .. For mm inforrvubon anopojae a! filing methods for grantor crisis- see the lnstru, 5or ram 1 Ca1. Note: tt no name is ceded atr3n more ihim one narne is listed, the ncmber .all be wnszdered 1n lac ttzl of the first rare Ii t--d. Secure Your Tax Records From Identity Theft klen*y thart ca:curs -M!en sosnacna use )vur Wen , U111r-10rnnaboit suds as your na'raa, SSN. or titer iderttiil" inform5tion. withatA ycLr pamussion to comra fraud at odrer entree An ida rtty thief may l%F_ your SSN to ge5 a Icnk or may file a tax return usiN lair SSN to rvor--y a a ref.wd. To reduce your risk • Prol-�o your SM. ' Enst— your emplayer is protecting yct.rr SSN. and • Be cereM wrhen cueing a tax tear im praparzr. tf your tax records are allecW by i 1encity thieft and you recein,e a notce from Use IRS. respond rigE,,i a*--p to &-e narn and plane ntxrti+d printed on the IPS not3:�e air lec-fe'. If your Sex reCc+rcf, ate raas cuirerroy aFf .cted by idenMy d-*tl but you think you are at rise: due to a tars cr --wen purse or waineL qu'ntionable credit card gift iiri. or a orrelxla cre& report contract the IRS ksenthy Theft Fx ne-_ as er*-3t)tLU9D ar shall Porn S. 4M- For more etlormaticr t see R&L 5= bdenVyThett In.amaton fir Taxpayers.