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o,,,,,,lllf-9
<br />{lle!. M.irch 2024)
<br />Dofran,ncrnt ol lhe Treasury
<br />ATTACHMENT,,E,,
<br />Request for TaxpaYer
<br />ldentification Number and Certification
<br />Go to ffi.i6.govlFormW9lor instructions and the latest information.
<br />Give form to the
<br />regue$ter. Do not
<br />send to the lRS.
<br />lnlcmal Rovonuc Soryicc
<br />Belore For rclatod to th6 ol Fonn W-9, *ae Purpose al boio!Y.
<br />I Nsmc of ent;tylirdividlal. An entr/ is ,equired. iFor a rcic proprietor or disregarded cnliry. enter the o\,/ner'e f;amc on lioe 1. and entcr :hc b!siness/disreqerded
<br />eniity's nnrne on lin€ 2.J
<br />2 Bu$i,lo$s namo/disroqarocd c'1tily ralnc. rl diilorcllt:roln abovc.
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<br />4 Excrnplio13 icodcs app'y o.ly to
<br />certain enlilieB. Dot rndir,iduals:
<br />oon innlruqtronu on p(qo 3)l
<br />Exomsi oayee codc (il anyi
<br />Exeorotlon frofir Foreign Accornt Tat
<br />Complinnco Act lfATCAl repodirQ
<br />codo (if u!)
<br />{Appl;ss lo xcccutlts aaiilain6cl
<br />outside the united gtata'.)
<br />Heq(iesler'F nsfl1e xrrri ad(Jress {oDliona }
<br />7 i $t aecounl roflrts.(si ltere i()ptioral]
<br />Number
<br />Enter your TIN in the aDpropriate box. The TtN provided ,nust rnatch the narne givell ou lirle 1 to avoid
<br />backup wirhholdinc. For individuals, thie is gonerally yo{r social seeurity nurnber {SSN}. l'lowevor, for a
<br />ro$irient alicn, sok! propri6rtor, or dis.egiladcd enliiy, seo lhe instructklnti lor P::rl l, later. For othcr
<br />entlties, it is your elnployer iclenlificat;oil lrurnber iElN). lf you do not have a rtutnber, see Haw to gel a
<br />IlN. later.
<br />Note: if the account ,s in rnore tharl one .larTlc, see the inslnrctrons lor Iine 1 , $ee also l'ytat Name and
<br />Numbcr To Qive lhe Requester fot gilide|nc$ on whose numiter lo *nler'
<br />or
<br />Under penalties ol perlury. I certify thai:
<br />1 . I he number snown oF tbis lonn ts tny coroci iaxpayer identification number {or I am waiting {or a numbcr to be isslled to lnel; and
<br />2. I aril aot subjecl to backup yithholdin5 becnu$e {a} I arn oxcrcpt from ba<;krrp *ilhholding, or {bi I havo iol beoF notified by lhe iolornal Rovonue
<br />Setujce (lRS) tha! I atn sublect to backup withholdhg as a result of a iailure lo {eport 3il intereet or dividends, or {ci the lRg ras notilied lne that I arn
<br />no ionger sub,ect to backup r"ithholding; and
<br />:1. I am a U.S. citizen or other U.S. person {detined belo!v). and
<br />4. The FATCA code(s) ente.ed on thi$ forln tlf any) indic{ting thal I am sxornpt fron FATCA reporliirg rlt cor.t!{rt
<br />becausa yoti have iailed to reporl all intarest and ciividerrds orr your tax returfl. Fol real esiate trallsaclions. item 2 does not appiy. For mortgage interest oajd,
<br />acquisition or abandDnment ol ssured prooerly.carcsllation of debt, colttribrltions 10 an individual rellrement arangenent {lRA), at:d. oenerally, payments
<br />3d Chek Il)e flpproprtate Dox 1)r aeljeril lar r.lasyrficrlror ql the €rltrlylndr!,dtral $lEqs rurne l$ 4'rlercd ryr llrle I Che(ik
<br />only ono of lho follolvrilt 3ovor btxc$.
<br />Ll irdividunl'soio proorietor l-l c corporariorr fJ B corpottior Ll Paduorshio L-l Trusvcstatc
<br />n LLC. Errler rhe l6x classifi.:*lioil {C - C co.poralloil, {; - S.olF{rallon, P - Partrrt:rslrip}
<br />Note: Cher:k lhe "L-1"(;" hox above !1d, i.r l[9 etlry spdce, erler ihe apProprlale code iC. S. or P] lor lhc l{x
<br />rllas$iflcall{rn {}a th4 LlC. ur:losn it is a rjlsrrluarddl or!ity. A di$regarddi entily shdJld insloild clr$k lhc ttptr)prirlil
<br />box io|iho ls clnssificatiorl ol ;ts o'&11c..
<br />f] c)!hdr {€ae i'rAtructioil.il
<br />3b :t cn tino 3a you checked "Partnorshrp" or "llist/ostate." o. €l'ccked "LLC' and ertered "P" as rts is classification,
<br />qod you.tre provrdiog li"ig iorn lo a oarlrreash,p, irusl, or oElale in which you iale nn ov/n€€rip 'nlerest, check
<br />lhi$ !)ox lf yoii lllve xily brei{J,r paatiles, ovller$, oi berreflcia.ies. See rllalr.cllol$
<br />5 ArlqJress inrrnber, slreel, and rpt. or srrte no.J. See instrlction5.
<br />6 City. stato. nnd Z,P codo
<br />Social numbet
<br />Part I
<br />Part ll
<br />other than intotost and
<br />Sign
<br />Here
<br />are r10l to the cedification, but $ust correcl TIN Sm tho rnstructions for Part ll, lator
<br />Signat0ro ot
<br />U,5, porsor Dato
<br />General lnstructions
<br />Section relerences are to ths lnlenral Hevellue Code urlless othenvise
<br />noted.
<br />Future dsvglopmgnls. For the lalcst informfll;oP ilboul devrlopnents
<br />related to Foilrl !V-9 and its inctrlrclions. strcil as legislalio,) enacted
<br />ai'ter they were pLblished. go to ww.its.gov/Fonnwg,
<br />What's New
<br />L;ne 3a ilas been rnodilied to clafliy hoYr a disreqarded entity colnpletes
<br />this line. An L[.C that is a drsreqardcd entity should check the
<br />ir[)propriatq box for ihe lax classifir;alion of its owner. OlheryJiso, il
<br />should cheek lhe "LLC" box anci et.'le.;ts approprii:te lax classiiiciltaoil.
<br />Nevr lino 3b has bcen added lo this fonn. A flolv-lhrough erlaty i3
<br />requiled to corrpiete thig line to andicaie that it has direct or indirect
<br />ioreiqn padDers. o\,il)ers, or berreficiaries v{helr ir provides tlre Fonn W-9
<br />to another ilow-throilgh entity in which it has all ownership intarest. l.his
<br />chang6 is inlcndcd lo provide a tlolv"throttgh enlily vith lnformation
<br />regdrdirg thr: stalu$ of i19 indirect lo.eign pattlerfi, owners, or
<br />baneliciaries, so that it can 6atisfy any applicable reporting
<br />requirements. For example. a parlnership that has any indirect ioreigrl
<br />partners may be /equired lo complele Schedtrles K-2 ar.d K'3 See the
<br />Parlnr:rship ln$tniclions for Schedule.s K.2 atd K l] (Fonr 1061i).
<br />Purpose of Form
<br />An indlvidual or entity (Foflr W-g requssldrl lvlro '$ rcqrired !o llle iin
<br />lnforrnatiorr return with th€ IRS js givirlg you this lorrll blecause they
<br />Cal. tl'r. l()23iX
<br />Kittitas County Agreement for Services (rev.5/74/25)
<br />Page t4 of 22
<br />rorm W-9 lilcv : :oz+1
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