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Fo,,n llUrg
<br />(Flev. M8rch 2024)
<br />Doparlmont of ths Troasury
<br />lntomat Rovonuo Soilico
<br />ATTACHMENT,,E,,
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />Go to www.irs.govlFo'm$lglot lnstrucllon8 and the lstest informston.
<br />Give form to the
<br />requestor. Do not
<br />eend to the lRS.
<br />Bofo16 For rolalGd to th€of Form W-9, see o/Fom, below.
<br />I Name ol ontity/indlvldusl. An entry ls required. (For o sole propr;etor or disregarded enlity, enter the owner's nsme on llno 1, and entor tho businass,/dlsrcgerdod
<br />ontity's nm6 on lans 2.)
<br />2 Eusin8s nmo/disrogardod ontiiy namo, it diftoront trom abovo.
<br />4 Exomptions (codos apply sty to
<br />certain enthles. not indivldual$;
<br />s€e lnstnictbns on page 3l:
<br />Exempt paym codo (il Rny)
<br />ExornDllon from For€l0n Account Tex
<br />Complianco Act (|:ATCA) roporlhg
<br />codo (if anyl
<br />(Applios lo acc&nts mainlainod
<br />ilts/da |to Uniled Stot€s.)
<br />Reqtr$l6r'B nffme Rnd rddross (optlonaD
<br />7 t.,sl accounl oumbo(s) her6 (optiona0
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<br />Enter your TtN ln th€ appropriate box. The TIN provided must match the nam€ given on line I to avoid
<br />backup wilhholding. For indlvlduals, this is gsn€rally your soclal securily numb€r (SSN). However, for a
<br />r6sident ali€n, sole proprietor. or disregardod entity, soo lh6 lnstructions for Part l, lalcr. For othor
<br />enlltios, it is your employer identilicauon nurnber (ElN). ll you do not hav€ a number, see How lo get a
<br />IlN. later.
<br />Notc: lf lhe account is in moro than ono namo, see the instruclions for line 1. seo also What Name and
<br />Numbor To GtVe lhe Roguoslar for guldolinos on whoso numb€r lo ontor.
<br />Slgnslurs ot
<br />U,S, parlon Dalo
<br />o7
<br />Certiflcatlon
<br />Under penallles of perjury, I certify thal:
<br />1 . The numbor shown on this form ls my corroct taxpayor idonlilioallon number {or I am waiting for a numbcr to be issued to mo): and
<br />2. I am not subloct to backup wilhholding becnuso (a) I am oxompt lrom backup withholdlng, or (b) I havo not boen nollfiod by tho lntornnl Rovonuo
<br />Sorvice (lHS) thal I am sub.i6ct to backup withholdlng as a result of a lailure to r€port 8ll lnt€test or divldsnds, or (c) th€ IRS has nolified rne thRt I am
<br />no longer subioct to backup wlthholdhg; and
<br />3. I am a U.S, cilizon or other U.S. person (definod below); nnd
<br />4. Tho FATCA codo(s) ontorod on this lorm (lf any) lndicallng lhat I nm oxernpt lrom FATCA roporlhg is corroct.
<br />C.nmcstlon lnslructlona, You must croEs or,t itom 2 0bovo ll you hava bocn notlfiod by tho IRS that you oro cunonlly tubjocl lo backup wlthholding
<br />bocause you havs fa'lad to roport all lntorost and dlvidonds on your tax retunl. For roal sstato lransactlons, itam 2 does not apply. For lnorlgago irrlerost pald,
<br />ncqulsltlon or abondonmont ol securod proparty, cancollatlon ol dobt, conlrlbutions to an indlvlduRl
<br />other thnn lnterost and nro nol to tho cortiflcltion, but murt
<br />Slgn
<br />Here
<br />General lnstructions
<br />S€ction reJ€rences are lo lhe lntsmal Flevenuo Code unlgsg othorwlse
<br />notod.
<br />Fulurg devslopmontt. For tho latost lnformation Bboul dovolopmonts
<br />related lo Form W-9 and its lnslructions, such as leglslatlon enacted
<br />atler they were published, go to www.irs.govlFomwg.
<br />What's New
<br />Line 3a has be€n modilied to clarity how a disregarded entity compl€tes
<br />this line. An LLC lhat is a disregarded entlty should check lhe
<br />appropriato box lor th6 tax classificatlon of its owner. Olherwise, it
<br />should check lhe "LLC" box and enl6r i13 appropriate lax classllication.
<br />Now llno 3b has bg€n addod to lhi$ torm. A flow-through ontily is
<br />requlred to complot€ this llne to lndicate lhat it has di.ect or lndlract
<br />forelgn partrlerg, owners, or bensliclarios when it provides lho Form W'9
<br />to anothor llow-lhrough cnlity in which il hfls an ownorshlp intotost Thls
<br />chango is intondod lo provido a flow-through 6nlity with ,nformntlon
<br />rogarding lh6 slatus ot it$ lndlroct forelgn partnsrs, ownors, or
<br />baneliciariss, so that lt can satisty any applicab16 roporling
<br />r€quirsments. For example, a partnership that has any indirect for€ign
<br />parlners may bo requlred to completo Schodules K'2 and K-3. S€o th€
<br />Partnership lnstruclions for Schedulos K-2 and K-3 (Form 1065)'
<br />Purpose of Form
<br />An lndlvldual or entlty (Forrn W-9 roquestor) who is required to llle an
<br />inlormatlon r6tum wilh the lltS ls glving you this lorm bocause lhey
<br />3a Check th€ sppropri€lo box ld federel lax classilicrtlion of tho sntity/indrvrduAl whosc nana is snlcred on ln€ 1. Check
<br />only on6 of lho followlng gov€n boxss.
<br />E lndlviduausolo propriotor ! C corpotatlon f] S corporation f] Parlnorsnlo n Trusyostato
<br />fl LLC. Eutorlhrtexcla6slllcallon{C = Ccorpotallon, S. $corFDtatlon, P - Patharship)
<br />Nolo: Check lh€ "LLC" box abova flnd, In th6 6nlry 8pflc€, €nl6r the approprlala code tC, S, or P) tor ttre tai--
<br />cl0sslllcfflion ot lhe I I C, ilnlo$r lt ls n dinro0ord6d 6ntlly. A dl$ru$Hrd$d ontrty should lnsl€ad chock lho aDproprlAlo
<br />box tor ihs td clGslllcotion ot i$ ownot.
<br />E olh€r(soo lnslructions)
<br />3b lf on lino 3fi you chock€d "Portnorchip- or "Trusv$lalo," or chockod "LLC" and eoterod "l'- os its tox clds6ificalion,
<br />snd you sr€ provlding thls lom lo a parln6rship, lrusl, or 63lal6 in which you hnvo en owm6hlp inl6r63t, chack
<br />thls bdx It you hsva any lorelon Fsrlnors, ownsrs. or bonaflciAri€s. Se€ inslrilcllons tr
<br />5 Addrss$ (nufib€r, 8lr€el, sd apl. o. suito no.I, Sga ln$lnrclions.
<br />e City, stato, and ZIP codo
<br />numbar
<br />Part I
<br />numbar
<br />Part ll
<br />Cal- No. 10231X
<br />Kittitas County Agreement for Services (rev.5/74/25)
<br />Page 14 of 19
<br />Form W-g (Rov. 3-2024)
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