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<br />ATTACHMENT "E"
<br />Request for Taxpayer
<br />ldentification Number and Certlfication
<br />Go to rutaw.,irs.govlFormW9lor lastructlons and the latest intormauon.
<br />Givo form to the
<br />rsquoster, Do not
<br />send to tho lRS,
<br />(R€v. MRrch 2024)
<br />Depsilmsnt of lhs Trsasury
<br />lntomal Bovonuo Soruico
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<br />Botore you For r6lal6d to lho of Form soe o(balow.
<br />I Nam€ ol Entity/indlvlduol. An 6ntry is requitod. (For a sle p;oprietor ordisregarded cnlity. enlor ths owner's oame on llno 1. and snter tho businesvdlsregtrrded
<br />on 2.1
<br />9
<br />2 Eusln$s nmo/disrogsrdod ontity nomo, il trom abovo.
<br />4 Exomptions (codo3 apply only to
<br />cortoin enlills, not indivldurls;
<br />see lnslruclions on pag6 3):
<br />Erurrrpt payw rurlv (ll ntry)
<br />Fxomptlon lrom Forolon Accounl Tex
<br />Complianco Act (fAICAl roporllno
<br />codo {ll any)
<br />(Applids lo accounls maintalnod
<br />rulsldo lhr Utif.d Slalos.)
<br />HoqtrBslor'8 nnmo and sddrass (optloner)
<br />7 t.,$l aceounl h6re
<br />Enter your TIN in ths appropriate box. The TIN provlded must match the name given on line 1 lo avoid
<br />backup withholding. For indlviduals, this is genorally your social socurity number (SSN). However, for a
<br />resldenl allon, sole proprietor, or disregarded 6nlity, se6 lhe lnslructlom for Parl l, later. For olher
<br />entities, it ls your 6mploy6r identillcation number (ElN). lf you do nol have a numb€r,3ee How to get a
<br />IrN, later.
<br />Not!: lf tho account is ln moro than one name, soe lho instnrctions for lino 1. See also What Namo and
<br />Number To Glve tho Raquostot lot guidolinos on whoso numbor to anlar.
<br />Under ponalties ot peiury, I cedity that:
<br />'L Tho numbor shown on this form is my corroct tnxpaysr idontifioBtion numb€r {or I am walllng for a ntrmbsr mo): and
<br />2, I om not subjcct to oxompt trom backup withholdlng, or (b) I hav6 by tho lntornal Revenuo
<br />Se/vlc€ (lRS) lhat I I r€sult ol a failure to report all lntorost or IRS has notiliod riro that I am
<br />no longsr sublect to backup wlthholdlng; and
<br />3, I am e U.S. cilizen or other U.S. porson (deflnod bolow)i and
<br />4. The FATCA codo(s) onlo.6d on thi$ form (lf ftny) lndlcnting lhat I am oxornpt from FATCA reporllng
<br />gadmcs{lon lnsiruotlon., You mu$t cro6s out llotn 2 abovo lf you hevo boon notlliod by lho IRS cullonlly subjoct lo backup wlthholding
<br />b€cRu$o you havo fsiled lo roport all lnt€rgst and dlvidonds on your tax totufi. For rodl astato 2 does not apply. For rnort0ago intarcst pald,
<br />acqulsltlon or obandonmEnt ol securod propsrly, cancollatlon of dsbt, conlrlbutions to sn end, gonorally, pnylmnts
<br />olhor thnn lntorost ond aro not to tho but musl lor Parl lator.
<br />Slgn
<br />Hers tLl I
<br />ot
<br />backup wllhholding b€cnuse (a) I am
<br />am $ub,oct to backup wlthholdlng 08
<br />General lnstructions
<br />Section r€t€ronces are to ths lnlenral R€venue Cods unl€ss otherwlse
<br />notod.
<br />Future d€wlopmentr. For the ldtost lnformation about dovolopment$
<br />relatod lo Form W-9 and lts lnstruclions, such as leglslallon enact€d
<br />atter lhey were published, go 10 www.hs.gov/FormW9,
<br />What's New
<br />Une 3a has been rnodilied to clari{y how a disregarded €ntity completes
<br />lhis lln€. An LLC that ls a disregarded €ntlty should chock the
<br />approprlate box lor the tax claseillcatlon of ils owner. Oth6n^rlso, it
<br />should check the "LLC" box and ent6r its appropriate lax cla3sificatlon.
<br />Now llno 3b has boon rddod to this form. A flow-lhrough ontity is
<br />required to comploto lhis line lo lndicat€ lhat al has diroct or lndlrocl
<br />loreign parlners, owners, or b€neficiarles when it provides tho Form W-g
<br />to onothor tlow-through entity in which it has sn ownsrshlp intorost. This
<br />chango is int€ndod to provldo a flow-through ontity with informallon
<br />r€garding th€ status ol its lndir€cl lorolgn partnors, ownors, or
<br />b€noticiari€s, so lhat it can satisly any applicabl€ r€porling
<br />requirements. For example, a parln€rship lhat has any indit€ct torsign
<br />partners may be roquirod to complete Schedules K-2 and K-3. So€ tho
<br />Parlnorshlp lnstructions tor Schodules K-2 and K-3 (Form I 065).
<br />Purpose of Form
<br />An lndlvldual or entlty (Fonn W-g requeslo4 who is requlred to flle an
<br />inlormation r€tum with the IRS is giving you this toiln becauss thoy
<br />3e Check lhe approprlala box tor federal lax clas8iflcalioo ot th6 slilyindrvdual whoss namr is €nlered on lrns 1. Chack
<br />only ona ol ths followlng s6v6n box€s.
<br />n hdlviduatholoproprlotor I ccorporatlon n scorpor.llon ! Prrtnoruhlo ! Tnrsyostato
<br />f] LLC. Errtur llNlarolasglllcrllurr(C * Curlnrallun, S* 3t;ut|xrHllutt, F - Pu?lrof$hlp!
<br />tlol.: Check tho "LLC* box abov6 and, ln lh6 6nlry spac€, 6nl6r tha appropriala codr {C. S, or P) for ltr" t"i-
<br />clflgslllcallon ol lhe LLC, unless ll ls { di$eoardod ontlty. A disro0ardod ontity should lnBlaad chock ths aDproprlnlo
<br />El'Othor (eoo ln8tuctlon8)
<br />box lor tho tu clarssllicotion ot itgdDt c-3
<br />3b lf on lino 3a you chsckod "Parlnorship" or "Trusvoslolo," or chockod 'LLC" end antgrod "1,' os ils ldx clo$iilicstion,
<br />and you 616 p?ovldlng thl3 lom lo 6 paintrship, lrust, or aslat8 in which you havo sn ownorsnlp inter68l, chock
<br />thls box ll you havo 8ny torol0n parln96, ownors. or banoficlflrlos. Saa lnslnrcllon$n
<br />6 AddroBB Blr6dt, dnd 6pt, or sslte
<br />0 Crty,ztP
<br />numbcr
<br />Part I
<br />Part ll
<br />3l0nrlull ol
<br />U,8, p.iron Dolc
<br />Cat. No. 10231X
<br />Kittitas County Agreement for Services (rev.5/74/25)
<br />Page 14 of 19
<br />rom W-O {Rev- o-eozq)
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