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Form W-B {Flev.3-2O24)
<br />The chart
<br />13.
<br />lF lhe payment is for
<br />r lnteresl and dividend paymentB
<br />transactions
<br />. Barter
<br />and
<br />55,oo0r
<br />T}IEN
<br />Ior.,.
<br />Exempt payees'll andthrough all C
<br />the payment is exempt
<br />Pwe42-The Uniled States or any of its agencies or instrumentalilies.3*A state, the District of Columbil g U:S. "o.rnon*"J* or terrilory,or any of thdr political subdivisions or lnstumentatifies,-*
<br />"l;jri,?l?fllfl,?llmmenr
<br />or any of irs potiticat subdivisions, asencies,
<br />5-A corporation.
<br />6-A dealer in securilies oru"it;.;i;;,'ih;;;#i"i;;ailHff i:::ffiy.H#s:lili'l:
<br />tenitory.
<br />ol;f "t*ffd'#*'f;
<br />ior.romerchant resislered wilh ttre comrnodirv
<br />8-A real estate investment frrst.
<br />'J";"fr"T,t3"ffi11i'fl$if*[:
<br />o"n"g the tax vear under rhe
<br />10-A common trust fund operated by a bank under section s8rt{a}.
<br />1 1 -A financial institution as defined under section 581.12-A middleman known in tlcustodion, lg tnvestment communily as a nominee or
<br />l3;1 ,*" exempt from tax under section 664 or describ€d in s€ction
<br />F-A dealer in securitie.s, cornmodities, or derivative financialrnsrrum.ents.(incruding norionar pri""ipJ lJ,irllii!l;;r*, forwards,and optons) that is reoistered as
<br />"u"'t unJ"i'tn-" i"*-r-tt tn" Unit"aStates or any gtate.
<br />G-A realestate investment t ust.
<br />H-A regulat€d investrnent company as defined in s€ction gS1 or anentiry resistered at ail rimes durint-the,#;;;;#rie tnvestrnentCompany Act ot 1940.
<br />l-A common trust fund as defined in section Sa4(a).J-A bank as defined in section S8,1.
<br />K-A broker.
<br />L-A lrust exemDt from tax under section 664 or described in sectionasaT{a}{1).
<br />f\4-A tax-exempt trust under a section a03{b} plan or section 4S7{g}
<br />ilirt!;;L1?"Hf]ffi f r, yr,r'_the nnanciar insrilurion requesrins
<br />code should o"
<br />"ornpl"t"ilh"r
<br />the FATCA err4fs 1n6l/e7 sxempt payei
<br />Line 5
<br />Enter your address fnumber, stre€t, and apartm€nt or suite number).This is tlhere the requester of rhis r"^ fr_s;iii;a"it iJur informarionretums. lf this address differs from th" on; th;,"d;sii',
<br />"treaay
<br />fras onfite, enrer ,,NEW at the roo._.tf a new adl;;;;r';ffi;;, rhere is srill a
<br />:3eff"",,1;fi f ,igfi :"irro"**i,"rir'ir,?p""i"i"Jifr g""vo,,
<br />Line 6
<br />Enter your city, state, and Zlp code.
<br />Part l. Taxpayer ldentification Number (TlN)
<br />11._l-V:y:JtH in rhe appropriate. box. tf you are a resident atien andyou do not have, and are not'eligible to g"t,
<br />"n SGN, v;; TIN is youi-tRS tIN. Enter it in the entry spjce foi_rf," i;.Jd'ilJiiii) number. tf youdo not have an tTtN, see uow'to get i iiN fiii. -**'"
<br />r.ljrt3$tffirtffile
<br />proprielor and vou have an ElN, vou mav enter eitfier
<br />lf you are a single-member LLC that is.dbregarded as an enlilysepamte from its owner. enter the owner,; SSfrl.. AN, fithe owner hasonef. tf the LLG is ctassified ,"
<br />" "orpor"rioi-r, iiirillilip, enter theentity's ElN.
<br />Note: See lrtr?al Arame end Numbe-r,To Give lhe Beguesler, later, forfurther clarification of name and fff.f co.Ui^aiior;sYrco'E
<br />llow to get a TlN. lf you do
<br />To appry-ror an ssN. i;i ;;fri3:l.TrllLiffJ#:gXl:i$:1ff ,
<br />card, from your tocar bsR oree ord"iif,'"-ri#'riii,i#"ffig#*"t "
<br />g{X:&t?,"y:":#n!rit?#,*7,-".*vrcaetormstopraceanorderand
<br />have Form W-7 andtor Form ssj ;rt"l[;;r"rtinf,i'ii ou"in*r,days.
<br />ll you are agked to comblete Form W-9 but do not have a TlN, apply
<br />[:hHti!iJ::itrri:t{:,1",e#;nr[*:tnix*.,j,"?;;?i5:1"liflTl"t and cerrain paymenrs made *irt;;;pdiJ;aliry tradabternsrruments, you will oeneraily E*.ry OaVs to 6er-a fff.f-ind give it rothe requesrer b€fore lou are lubject to batrup"*ir,r,oioi,ia onpayments. The 6o-dav rute doeshor appty t;;mdiivp.J'lir payments.You wil be subjed to'backup withh;ffi;;;;i';l#f,ili"nr, unriryou provide your TIN to the iequesrer.
<br />Note: Entering "Applied For" means that you have already applied for a
<br />i,ffi iir{fr #$i:ffi ryiT.?t"ff !,:*;#,5t8:g#tfr tflfll#tr may instead be subiect to withhotOint unU".-ir,'Jprer 3 or 4 of
<br />t?:$??;3rXiffi#fr-'".*' *t"t *at has a foreisn owner must use
<br />Ail
<br />for
<br />exempt payees except
<br />4and6
<br />S coporations must
<br />corporalions.
<br />not enter an
<br />€xempt paye€ code because
<br />are exempt only for sales of
<br />lhey
<br />noncovered securilies acquired
<br />to 2012.
<br />transaclions Exempt paye€s 1 through 4.
<br />required to Generally, exempt payees
<br />sales over 1 thmugh S.2
<br />of Exempt pay€es'! through 4.
<br />E-A corporation that is a membelof the same expanded affiliatedgroup as a corporation described in negurafi;si;[#ii+za_t1"1r61.
<br />Kittitas County Agreement for Services (rev. 5/1,4/25)
<br />Page 17 of 19
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