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<br />ATTACHMENT "E"
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />Go to rvww.rrr.govlFormwglot instructions and the lsle8t lnformatlon'
<br />Glve form to the
<br />requester. Do not
<br />scnd to ihe lRS.
<br />(Hev. MRrch 2024)
<br />Dopartmenl of th6 Tr€asury
<br />lntomal Rovonuo Sorvlco
<br />3a Chsck lho appropriala box for lodoral lax classilication of lhs slily/indivdual vhoae nam€ 13 entersd on line 1. Ch€ck
<br />only ono o, tbo lollowing sovon boxos.
<br />n hdlviduaysolo proprlotor fl c corporatlon f| S corporatlon ! Partnenhlp n TrusVosiato
<br />n LLC. Entor thetaxclassltlcsllon(C = Ccotporatlon, S = Scorfnrallon, P = Partnorshlp)
<br />Nota: Chrck lh€ "LLC' box abovo and, ln the €nlry 3pac6, enler lho approprlale codo (C. S, or P) lor lhs tax
<br />classltlcatlon ot lha LLC, urjloss ll ls n diBreg8rdod ontlly. A disrogardod ontily should lnsl€ad chock the soproprlal€
<br />box for th6 td classilication ot il3 owng/.
<br />n Olher {s6o lnshucllons)
<br />3b It on lins 3o you chocked "Psrtn€rehip" or "Trusvostalo." or chscked "LLC" and €nlsrod "P'as ils ts clsssificatlon,
<br />md you era provldino lhis lorfi lo a psrln€iship, lrust, or €stqto in whlch you havo nn owm€hlp int6r€gl, ch6ck
<br />thls box lf you hava any lorelgn p&dners, own6r3, or bonaflclari€s, soa inolrdcllong , , . n
<br />6 Addrs$B (numba., strotl, and apl. or snlle no.). S€6 loslnrcllons,
<br />6 City, stot6, and ZIP codo
<br />Part I
<br />dooGa
<br />5
<br />oE
<br />9.8;tt!
<br />4o|eIIooa
<br />Belore
<br />Entor your TIN ln the appropriale box. The TIN provlded must match the name given on line 1 to avold
<br />backup withholding. For individuals, this is gsn€rally your soclal securily numb6r (SSN). Howover, for a
<br />r6sldent alion, sole propriotor, or disrogardod onlity, ss6 lhe lnstructlons for Part l, lat€r. For oth€r
<br />entities, it is your employer identlllcatlon number (ElN). lf you do not have a number, 3ee How lo get a
<br />fl/V, later.
<br />Noto: lf tho account is in more than ono namo, seo lh€ instructions for lins 1. Seo also What Name and
<br />Number To Give tho Feguesler for guldolines on whoso numbar lo ontor.
<br />Slenslu.t ol
<br />U,9. plrlon Drt.
<br />For rolatod to lh6 of Form W-9, s6o of Form, b6low.
<br />t Name ol entity/lndlvidusl. n entry ls roquired. (For tr sole proprietor or disrogarded slity, ontor lho owneig nsm on llno 1, snd enter tho business/dbregsrded
<br />sntily's ndms on ling 2.)
<br />2 Eusino8s namo/disrogardod ontity nrmo, it difloronl from obov6.
<br />4 Exomptions (codos apply only to
<br />certain enlhles, not indivlduals:
<br />sea Inslruction3 on page 3):
<br />txomDt oavm codo lil anvl _
<br />Exempllon lrorn Foroiotr Account Tax
<br />Complianco Act {FATCA} roporting
<br />codo (it sy)
<br />(Appllas lo accunls mdinlainad
<br />oulsido the Unlt€d Slatas./
<br />Fequaster'B nam6 and addro$s (optlonaD
<br />7 t.!Bt Accounl numbo(s) hore {optional)
<br />or
<br />Under penaltles ot periury, I certity thai:
<br />'1. Tho number shown on this form is my correct taxpayer identilication number (or I am waiting for a number lo bo issued lo mo)i and
<br />2. I am not sublcct to backup withholding b€cause (a) I am oxompt lrom backup wlthholding, or (b) I havo not been notlfiod by tho lntomal Revenuo
<br />Sorvice (lRS) lhat I am subiecl to backup withholdlng as a result of a tallurc to report all intsrest or dividends, or (c) tho IRS has notilied tno that I am
<br />no longer subiect to backup withholdlng; and
<br />3. I am a U.S. citiz€n or other U.S, person (defined bolowl and
<br />4. Tho FATCA code(s) ontored on thi$ form (if any) lndicallng lhat I am oxempt lrom FATCA roporllng is corr€ct.
<br />Ccdmcdlon lnstructlons. You must cross out item 2 abova lf you havo boen notlliod by tho IRS lhat you aro currently subjecl to backup withholding
<br />becauso you have lailed to roport all lnterest and dividonds on your t$( rolum. For roal $tato transactlons, il€rn 2 doos nol apply. For morlgago intarosl paid,
<br />acqulsltion or f,bandonm€nl ol secur€d propsny, cnncollatlon of dobl, contributions to an indlviduql retirement anengoment (lBA), and, generally. paymonts
<br />olhor and nrg not lo tho but mugt corrscl TlN. Soe lho inslrucllons lor Parl later
<br />Slgn
<br />Here
<br />General lnstructions
<br />Section references ar€ to lhe lntemal Revenuo Code unloss oth€rwlse
<br />noted.
<br />Fulure d6v6lopmont!. For th€ lnl€st lnlormntion sbout dovolopmonls
<br />relatod lo Fonn W-9 and lts lnstructlons, such as leglslation €naoted
<br />atler they were published, go lo wlvw.lrc.govlFormW9,
<br />What's New
<br />Lin€ 3a has been modiflad to clarify how a disregarded €ntity completes
<br />this line. An LLC that is a disregarded enllty should check lho
<br />6ppropriol6 box for th€ tax classiflcation of itg owner. Othoru.,lse, il
<br />should check the "LLC" box and enler ils appropriat€ lax classlticatlon.
<br />Now llno 3b has boon ndded to this form. A flow-lhrough entily is
<br />roqulrod to compl€l€ this llna to lndicate lhat il has diroct or indir€ct
<br />lorelgn partners, ownors, or bon€liciarlos when it providas lhe Fonn W-9
<br />to anothor tlow-through entity in which it has sn ownorshlp intorest. Thls
<br />chnngo is intondGd to provldo a flow-thtough entity with inlormallon
<br />rogarding th6 stotus ot its lndlr6ct loroign partnsrs, ownors, or
<br />b€n€liciaries, so lhat lt can salisfy any appllcabl€ rsporting
<br />roqulroments. For example, a partnership that has any indirect foreign
<br />parlners may bo requlred to complote Schodulos K-2 and K-3. Seo the
<br />Partnorshlp lnstructions for Schedules K-2 and K-3 (Form 1065).
<br />Purpose of Form
<br />An lndlvidual or entlty (Form W-9 roquesto0 who is requlred to flle an
<br />inlormation r6tum wilh th€ IHS ls glving you this lonn b€cau96 thoy
<br />Part ll
<br />Cat. No.'10231X
<br />Kittitas County Agreement for Services (rev.5/t4/25)
<br />Page 14 of 19
<br />rorm W-9 (Rev. g-zoea)
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