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Pos* 4
<br />Ftrm !V-9 {Bev.3202.+)
<br />2-The United Siates Dr any of its agencies or instrumentalities'
<br />3-A state. the District of Columbia a U.S' commonwealth or tarritory'
<br />or any of their political suHivisions or instrumenlalities.
<br />4-A foreign govemmenl or any of its political subdivisions, agencies,
<br />or instrumenlalitie6.
<br />5-A corporation.
<br />6-A dealer in securities or commodities required to register in the
<br />United States, lhe Distict of Columbia. or a U.S' commonwealth er
<br />teriiory.
<br />7-A futures commission merchant registered with the C,ommod;ty
<br />Futures Trading Commission.
<br />8-A real e€tate investment trust-
<br />9-An entity registered at all times during the tax year under the
<br />lnvestment Company Act of 1 940'
<br />10-A common tust futnd opsrated by a bank under section 584(ai'
<br />1 1 -A financiai rnstituton as defined under sectan 581.
<br />1?-A middlenran known in the investment community as a nominee or
<br />custodian.
<br />13-A trust exempt from tax under section 664 or described in section
<br />4947.
<br />The following chart shows types o{ payments that may be exernpl
<br />from backup witnholding. The';hart aiplies to the exempt payees listed
<br />above, 1 through 13.
<br />lF the payment is for THEN the payment is exempt
<br />lar..,
<br />r lnterest and dividend payments All exempt payees excapt
<br />for 7
<br />. Broker Exempt payees 1 through 4 and s
<br />through 1 l and all C corporations.
<br />S corporalions must flot enter sn
<br />exempt payee code because theY
<br />are exempt only for sales of
<br />noncovered securities acquired
<br />prior to 2O12-
<br />r Barter exc transactions Exempt payees 1 through 4.
<br />and
<br />. Payments over $600 reqtrired to Generally, exemPt PaYees
<br />be reported and dirsct sales over 'I through 5.?
<br />s5,000'
<br />. Payments made in settlernent of Exempt payees 1 through 4.
<br />payment card or third-PartY
<br />neh'/ork transactions
<br />l See Form 10s9-MlSC, Miscellaneous lnformation. and lts instructions'
<br />2 However, the following payments made to a co-rporation and
<br />reportable on Form 1 og-g-Mi8C are not exempl from backup
<br />tr-lthholding: medical and health care payments, attomeys'fees, gross
<br />proceeds idd to an attotney reportable under seciion ro45{0' and
<br />payments for services paid by a federal executive agency
<br />Exemption from FATCA reporting code. The following codee identify
<br />payee! *tat are exempt from reporting under FATTJA These cods
<br />"pply
<br />to p"t"ont submitting this lorm for accounb matntained outside
<br />o? it''e Uriir"o States by certain foreign financial instiMions. Therefore' if
<br />vou are onty submittin'g this form foian account you hold in the United
<br />btates. yoLr may leave this field blank' Coreult with the person
<br />requesling this-form il you are uncertain iJ the financial inslitution is
<br />"ub!*t to-the"t requirements- A requester may indicate that a code is
<br />not reouired bv providinq vou with a Form W-9 with 'Not Applicable'' (or
<br />iny srriritar indic'ationJ en-trired on the line for a FATCA exemption code'
<br />A-An organizaton exempt from lax under section 5o1 {ai or any
<br />individual retirement plan ag defined in se€tion 770-l{aX37}.
<br />B-The United States or any of its agenciee or instrumentalities-
<br />G-A state, the Dislrict of Columbia, a U.S- commonweaith or
<br />teritory. or any of their political subdivisions or instrumentalities'
<br />D-A rorporation the stock of which is regularly traded on one or
<br />more estabiished securities markets. as described in Regulations
<br />section 1.1 a72-1 {c){1 }(i).
<br />E-A corporation that is a member of the sarne expanded alfiliated
<br />groilp as a corporation describecl in Flegulations section 1 1 'f72-1{c}{lHi}'
<br />Kittitas County Agreement for Services (rev.5/7a/25)
<br />Page t7 of 22
<br />F-A dealer in securities. coorrncrjities, or deriraiive financial
<br />in;hr;eflts $ncludng notional pnindpal cantracis, tutur-e€' ty-e'
<br />and optionsl"lhat is ftistered as such r,rnder ihe la*€ of lhs UniH
<br />Slates or any state.
<br />G-A real €€tata inlrestment ttttst'
<br />H-A requlated ire'esbnent r.ompaft9 as defined in so{tion 851 or an
<br />entity regis-tered at an firnes durirq th* lar yeff under the lnvesBnefit
<br />Company A6t ol 1348.
<br />l-4. common trust fr.nrd as 'lefrned in section 544{a}.
<br />J-A bank as defined in secdon 58tr "
<br />K-A broker.
<br />L-A trust exernpt from tax under sectiofi $6"t or d€sctihed in *ction
<br />4e47{a}{1}.
<br />lvl-A lax-exempt trust under a s€{tion 403ib} plan or B*etiofi 457b}
<br />p,an.
<br />Noto: You mny rvish to oonouit wilh the finonsiol inotiMion roquimting
<br />thls fomr to deieruine lvfiether the FATCA code andor exernpt payee
<br />code should be cornpleted.
<br />Line 5
<br />Enter your eddress {number. sbeet afid apartrnent or suite.n-tmber)'
<br />Tlris is wtrere the requeter ol this Form W-9 will mail your.informaiion
<br />retums. lf this addreis differs lrom the one the rEqusster already has on
<br />fite, enter "NEV\I" at the top" lf a new addres is provided' lhere is still a
<br />chance the old address ltill tle used until ihe payor changes yulr
<br />address in their reoards'
<br />Line 5
<br />Enter your c!ty. state, and ZIP cade.
<br />Part l. Taxpayer ldentification Number [tlN]
<br />€nter vour TIN in the appropriale box- !f you are a residenl alien snd
<br />you dd not have, and ari not eligibie ts get, an,SSN, y+ur TIN is yaur
<br />inS fftN. Enter it in lhe entn' spa,;e for the -social security number' lf yoil
<br />do nol have an fflN, see lfor'l to get a IIrtJ below-
<br />lf ynl are a sole proprietor and 1nu hate an ElN, you may enter eitlrer
<br />your SSN or ElN.
<br />lf you are a sing{e-rnember LLC tfrat rs drsregardTl..as.y. efltttt'
<br />*oamte from its owner, enter the ol'tne/s SSN {or Ell'|, il lhe owner has
<br />""Ei iiG" LLc is classified as a corporalian or partnenhip, enter the
<br />entiiy's ElN.
<br />Note: See l{hat ftlame and ljurn&er Io Gire ifie Hsquester. lalsr, for
<br />{urther clarification of name and TIH cornb*hatiocls.
<br />How to get a TlN, lf you do rot hate a TlFl, apply {or one immediately'
<br />To applyior an SSN, get Form SS-5. Appli'catim for a Social S€cildty
<br />Cani^ frilm your lccal SS'& offtce Dr get lhis fcmr lnline at
<br />mvr*.SSA&v. You rnay alse get this {elrn by calling 600-772-1313- Use
<br />iom W-r-loolication for |Rs-lntrniduaX Taxpayer tdenlilicatbn
<br />Nunrber, to jpply tor an IflN. or Fcrm SS-:r- ,Apdicaiion for Em$yer
<br />ldenfif catior'Fiwnber. lo apdy f*r an Ell'{' You can apply for an EN
<br />onllne by acce*sirg tfne 1ft5 website at r*':ow"ns"gorr,iEJlJ. Go to
<br />wtv'lv.irs-.grlFanti to vie,;r'. dorryntoad or p*int Farm W-7 srd/or Form
<br />SS+. Olyuu orl gt [o w1'sls-]ts'.Sur',rCqderFtnrru lu-gfacearr older altd
<br />have Fo# W-z anir'c,r Fonn SS-4 rnail€d tc you lvithin 15 bosiness
<br />dale
<br />l{ vou se asked to c+mr,lete Form W-g hut do fiot have a Tll'1, apply
<br />ior a'Ttt't and enter *Appfied Fof in the space tcr tfie-TlN' sign.and date
<br />the form. and giw it t6 itre rBquester' For rnlerasl and druiderld
<br />payrne*is, andcertain paynrents rnade I'lith resp€ct ql-readiFt tradabie
<br />int**"nb, yo* *m g#eralh'have 60 days to ge-i.1Tl1'land give il to
<br />ihe reque8tei before vau are suniea to backrrp '.'rithholding on
<br />oavnrents. The 60-dav rule do€s not ryp{f ts orher types of pa}rynenls'
<br />Voir vell ne subject to backup witiholdB-lS sn alf such payrnenis until
<br />you prorride 1"our Tll,l to the req.rsler.
<br />Note: Efltering "Applied For' means tfrai yau fute akeady applie'C for a
<br />itttt or ttrat vo"u iniend to appl'r' fer one soon. See also Estabi'stlring U 5
<br />it"i* fJrputp*es of ctuli#e a'rd efxqpler4 wttfiiufdiog, eartier, for
<br />*nen you'*"y insread be subiect to u'iifflsgding under chapler 3 or tl of
<br />the Crrde.
<br />Caution: A diveganJed U-S- efltitl that tlas a {oreign o!'Jner must use
<br />lhe appropriate Form W-8.
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