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0",,,' Ulf'9
<br />ATTACHMENT'E"
<br />Request for TaxPaYer
<br />ldentification Number and Certification
<br />Go to ffi.,-rs.gov/Formwg lor instruciions and the latest information.
<br />Give form to the
<br />requester. Do not
<br />send to lhe lRS.
<br />(llef. Mf,rch 202.1)
<br />Dcp,'n'nort ol lhd lroaiury
<br />lntonal Rcvcnuc Scryicc
<br />Before you begin. For quidarree rolilied to :ho of For[r !V-9, $eo ol beiou.
<br />t Nalne of entjty/irdivid!{1. An enlry is tequired. lFor a soie proprietor or disrega.d4d e,ltity, entcr the o\t/ne,'e ramc on line 1, and entcr :hc b!eiIc:sldisreqarded
<br />enrity's na,ne on he 2 j
<br />2 glrsi':csa ra,nc/disrcqorccd ontily tarrc. ;l dificrcnt trorn abovc.
<br />o
<br />uo
<br />4
<br />6
<br />u8q6
<br />z6.!i
<br />Io
<br />oooq
<br />oo6
<br />4 Zxornpt:ons (corjos
<br />.€rtain entilieg. not
<br />appiy only to
<br />irdividLrals;
<br />see irslnr(droas on pilJs 3):
<br />Exencl payoe codo lil nFyi
<br />Fxa*nptkrr fao4l ao:ei(D A6.0unl Tilt
<br />CoinFl;nnca Aet iF^TCA] roporla'r!l
<br />cocjo iit ily)
<br />(Applios la nccau)ls ltaitlaiDad
<br />drts;de the Unifod Slales.j
<br />Hflll.pcler's nHft:c HI (: ,r,irtIP$s ioolIrr]i,i
<br />7 i sl nccorill ,rrnrtFr{si here i'optoraf
<br />Ta
<br />Elrter your TIN in th€ appropriate box. The TIN provided rnust rnatch the ratre qivelr orl lirle 'l to avoicl
<br />tlackup lvithholciirg. For rndividrrals, ihis is gonerally your social sor;trrity nurnhr:r {SSN}. l'iowe'/ar, for a
<br />r{}sidcfit nliorl. sob proprietor, or di$.cga'ded onlily. $ee tho inslructions lor Par! l,
<br />'ater.
<br />For Qiher
<br />entities, rt is your erilployer idertiiicatior ilut:roer (ElN). lf you do not have a nunlber' see How lo get a
<br />IIN, later.
<br />Note: ll the accoult !s in lnore thalt orle tame, see the instrlictrorts for line 1. $ee also What Name and
<br />Numher To Qive tln Rcq)esler tat gilillolincs on whoss nunrher lo oni"r'
<br />Slgnaturc of
<br />[J.S. porson Dato
<br />or
<br />Certilication
<br />Under pefralties ol perjirry. I cerlify that:
<br />1 I he number snoutn oD this tonr ts my correci ldpayDr rdortiflcation rumbcr for I am lvailing tor a ntlmbe r to be tssued lo lnei; and
<br />no 'onger srDitrt to backup withholding; and
<br />:J. I am a U.S. citizcn or other U.S. ocrson {defined belolrl: and
<br />4. The FATCA codc{s} efiteru:d on this forn tif rny) indic.tting thal I arn exerul)t frotrr FnTCn reporlirg iti corrod.
<br />btrailse y6o nave ialied to teport all interest and divid€nos on your tax.6turn. For raai estaie lrarsaciions. iterr 2 does lloi appiy. For rnodgage lrl',eresi paid.
<br />acqtrisition or abandonrnetrt ol smured propedy. cancellation ol Cebt, contribriions to an individual rel:rement arrangernent [lHA). and. generally. paymenls
<br />otl'ar than irtorast and d'vidends. to(r il.o |ot to tho cBrli{icati0n, cut *{ist yoLir correcl TlN. See tho instructions for part ll, later
<br />Sign
<br />Here
<br />General lnstructions
<br />Section refere|ces are to lhe ltlenral llevehue Code L,rlless oihemise
<br />notod.
<br />Futurs dovelopmonls. For the lateei iftormalion abo(rt dcvelof)rnonls
<br />related !o Fonn W-9 ard it$ irrstrilctions. stich as legislatiot enacted
<br />alter they vrele publisned. go to Mtrw.l6.9ov/!'armlry9,
<br />What's New
<br />Ljne 3a il€ls been rnoditied to clanty horT a drsregarded entity cornpletes
<br />this line. An L.L.C lhat is a rlrsregarded cntity shottld check tne
<br />apfJropriatc box for lhe tax classificnlion of :is owrter. Olhr:ruise, it
<br />siro.lld check lhe "LLC" tlox 3|d eFlelts aplrropr;.rte lax classiiicalion.
<br />Now lioc :lb ha1: becn adcier! to lhis fonil. A flow-through enlity i:;
<br />.eqilired to cor'rlpiete thig lire to indicate that it has d;rmt or ir)direcl
<br />foreiqn padners, o\,./lreis, or berleticiaries Yrherl it provides the forln !V-9
<br />to anolaler flow-throrigh ettity tlt wnich it has alr ownclship ;ntefcst. lhls
<br />chang;e is intended lo provide a llol'r ll'rough e|r!rty',vilh inforniltion
<br />regarditg lho slalus dt its ilrdireci iorcigff oartncrs, 6r'Jrler$, or
<br />cenelicia/aes, so iirat it ca,r sai,sfy any applicable reporting
<br />req[irsrnents. For exafi]ple. a parlnersnip that has any indirect ioteigrl
<br />partners may bo required io complete Schedlules K-2 and K-3. Sae tho
<br />Parlnarsbip lr$lruclions for $chcdules K 2 ard K-3 iFonn 106ii).
<br />Purpose of Form
<br />An iflrjivitlual or eltily {Forrn !V-9 rcqueslcr) who is rcquirod to lilc arl
<br />lnforrnation rst.rrn w,th the lfls is giving yot; this torrn because lhay
<br />3s Olrg,k lhe Hl)Drrpriale rox tr ferlerii lax {:iasSrfjcilon ol Ihe e'rLlyllnll !(ilal el()is nalrre ig 9rler{l orI l:ile L fjhe(:i(
<br />orrly ono oi tl'D fo,lolvi,rg sovoa box{i.
<br />fl ,ndilirlilnl'/.nin Frnnrietor ! n norF,nrion ! S rnrpn.nt;np f] sadnrrchin f] Trltt/f stahl
<br />[ [LC. Enkri ihc tax llassilicalion lC '. C ft)rF:orrllorr, S ' S.orF)r.rlkt]' P = Ptrr1!)crshrl!]
<br />Note; Ct'stk tre "l,l,i)" box above a,rrj, ir lhe eillry spdce, errler ll€ al4rropriale.jorle (O, :i, or lJ) {d lle lRx
<br />r:laesiijclti.rr i)r lh{, I i.C, u'losa it is a .liBre-{raej({l orlily. A disf.,gnrdfll rr[!1y rl'ouid insload cirsk !ilo dopft4tialo
<br />box {or il,o iu claSsilication of iic orvDe,.
<br />n Other{sc.o i.strk:tiorrs)
<br />3b rf on litla 3a you chscted "t'anf,crsh;p' or ' l,let/oslate, o. ilccksd "LLC" rild ettcred "P' as ils tax cias$iircation.
<br />atnd yau.lre provrdirg llag lora lo a par1ne.shrp, laust, or 9sl;rle rn wiich you hale an o\'J.iefgrip interesi, check
<br />Itr,s lxrx rl /(,., liilv{ ilr'y tleigrr l:arl lafi, r)v lPrs, rY iic' el'( l{r'es :;Fe rr.lr',r::rnrs n
<br />5 Addreis lnrlrrber, elreet, aad irpt. ot srrie no.J. See i.slndions.
<br />6 City, state. ind Z:P codo
<br />number
<br />Part I
<br />numbet
<br />Part ll
<br />(lil.
<br />^k].
<br />ItJ23iX
<br />Kittitas County Agreement for Services (rev.5/M/25l'
<br />Page L4 of 22
<br />Forrr W-9 {ncv : aoz.l}
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