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,",.llU'9
<br />ATTACHMENT,,F,,
<br />Request for Taxpayer
<br />ldontiflcation Number and Certification
<br />go lo www.bs.govlFormwg lot lnlttuctlons end the latGst lnfotmston.
<br />(Rsv. Merch 20241
<br />Dopartmont of the Tr6a9ury
<br />lntomal Rovonuo Sorulco
<br />General lnstructions
<br />Section references are to lh6 lnlemal Revenue Code unl6ss othorwise
<br />noted,
<br />Futuro devalopmonts. For lho lal69t lntormalion about dovolopmsnls
<br />relat€d to Form W-9 and lts instruclions, such as leglslallon onact6d
<br />atter they were published, go la www. lrs.gov / Fo rmw,
<br />What's New
<br />Line 3a has bo€n modilled to clarity how a disregarded entlty complotes
<br />this lin€. An LLC lhat ls a disregarded €ntity should check lhs
<br />appropriate box for the tax classlllcation of ils ownor. OlhollA,lse, lt
<br />should check th€ "LLC" box and enter its appropriat€ lax classlticatlon,
<br />Give form to ifte
<br />rsquostor. Do not
<br />eend to tho lRS,
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<br />Enter your TIN ln tho appropriatE box. The TIN provlded must match lho name givon on lhlo 1 to avold
<br />backup withholding. For indlviduala, thie le generally your soclal socurity number (SSN), However, for a
<br />rosldont allon, solo propriotor. or dlsrogardod enlity, s6s tho lnslructlons for Psrl I, lal6r. For olhsr
<br />onlitios, it ls your €mployor idontlllcatlon numbor (ElN). It you do not hava a numb€r, soo How lo gel a
<br />nN, later.
<br />Not : lf lho account is ln mor6 than ono namo, soo lho lnstructiong for llne 1. See also What Ndms dnd
<br />Number To Olvo the Roquastil lor guldolinos on whoso numbsr lo 6nlor,
<br />Slgnrturc of
<br />U.S. pe6on Date
<br />For rolatod to lho goo of For?r, bolow,
<br />I Nams ol ontny/lndivlduel. An entry ls rsquitod. {For a aolg prop/ietor or di8rogffdsd ontity, ontor tho ownor's nam on llm 1. 8nd cnter tho businssry'dl$rogtrd6d
<br />6nlity'5 nam€ on lina 2.)
<br />2 Buslnoas namo/dBr60ardod ontiiy namo, il diltotonttrom abovo.
<br />4 Exomptions (codo3 apply only lo
<br />conain enfltleg, not lndivldualsi
<br />se6 lmtrucllons on pag6 3):
<br />Cxompl pllym €odo (ll iny)
<br />Ex€mptlon trm Forstgn Account Tax
<br />Complianc6 Act (f'ATCA) roponing
<br />code (if uy)
<br />fApdiss ,o tccg./nls mainlainad
<br />orrtsido at6 Unilcd Slales.J
<br />Requ€ster'8 nam6 and address {opllonaD
<br />7 List mcounl numbor(s) hsro {optiona0
<br />ot
<br />Under ponallles ot periury, I cortity thal:
<br />1. The number shown on this form ls my conoct taxpayor idontlficatlon numbor (or I am waitlng lor a numbor to bo lssuod to mo); and
<br />2. I am not subloct to backup wllhholdlng bocouso (a) I am 6x€mpt from backup wlthholding, or (b) I hav€ not bosn nollllod by the lntornal Rovonus
<br />Sorvtce (lRS) that I am subtacl to backup wlthholdlng as a result of a talluro to report all intorest or dlvldends. or (c) tho IRS has nolitiad mo lhat I am
<br />no longor subl€ct to backup wllhholdlng; and
<br />3. I am a U.S. clliz€n or oth€r U.S. person (defined below)t and
<br />4. The FATCA codo{s) onl€rod on thls lorm (if any) indlcating lhal I am oxompl from FATCA roporllng is correct.
<br />Conmcdbn lnrlructlon!. You must cross out llom 2 abov6 lf you havo boen nollflod by the IRS lhat you aro currenlly subJect lo backup wllhholding
<br />because you havo failod to report all intorost and dividends on your tax r6tun. For roal 6tato lransactions, item 2 do€s not apply. For morlgage inlerost paid,
<br />acquisition or abandonment ot secur€d property, cancollatlon of dsbt, contributiong to an individual t€tir€ment ananggment (lRA), and, generally, payments
<br />other than lntorost and aro nol lo lho c€rtiflcslion, but miist coreci TlN. Se6 lhe instrucllons for Parl ll, later
<br />Sign
<br />Here
<br />New llne 3b has been added to lhis fom. A flow-lhrough onlity ls
<br />rgqulred to complot€ thls lino to indicat€ thal il has dircct or indirect
<br />foreign partners, owners, or beneticisrles when lt provides lhe Form W-9
<br />to anothor tlow-through €ntlty in which it has an ownorshlp intorost. This
<br />change ls intonded to provldo a flow-through entily wilh informallon
<br />r€garding lh€ status ol its lndh€ct foroign partnors, ownors, or
<br />beneficiaries, so that it can satisfy eny applicabl€ roporllng
<br />requir€ments. For example, a partnershlp that has any indiroct for€ign
<br />partners may bo roqulred to complete Schedules K-2 and K'3' Soo lhe
<br />Padnorshlp lnstruclions lor Schedul€$ K-2 nnd K-3 (Form 1065).
<br />Purpose of Form
<br />An lndlvldual or onllty (Form W-9 r6quosto4 who is requkod to lllo an
<br />inlormallon r€tum with ths IRS ls glvlng you thls form becauso lhay
<br />fl lndlviduausotsprcprlotor I ccorporatlon I scorporatlon I Pdrtmnhlp fl Trust/ostdto
<br />fl LLC. !nt$ thd lrx classlllcullon (G = C wfsrEllun, s. S tprrrotallon, P = P8ilngr$hlp)
<br />Nolr: Chock tho "LLC" box abovo and, ln tho onlry space enl6r lho &pproprialo cod6 (C, S, or f1 lor th€ lax
<br />classltlcallon ot lho LLC, unloss ll ls a disdgardod enllly. A dlsrognrdod antlty shorJd lnslead chock lha approprlalo
<br />box loalho tax clolsltlcation of iis own6r.
<br />n Oth6r(s6o lnskuctions)
<br />ot lhe ontitylndividuAl whoge namo 19 snlsred on lim 1. Check3a Ch6ck thc npproprlala box tor t€derdl l6x
<br />only onc ol lho lollowlno svan boxas.
<br />3b It on lino 3a you chockod "P6rtnership" or -Trusu*tal6," or chocked "LLC" and enterod "P' as ils tu classificstion,
<br />and you ar6 provldlng lhb lom lo I pa^n€€hip, trust, or oslat€ in whlch you have an ownoBhlp intmsl, chock
<br />lhls box lt you havo sny toralgn partnoN, ownets, o. bon6flclarl63. Ses instrucllong
<br />6 Addrass (nurnber, strs6t, 6nd ept. or sulle no.). See lnstructlons.
<br />6 Cily, slate, and ZIP codo
<br />Part I
<br />Part ll
<br />C6t. No. l023lX
<br />Kittitas County Agreement for Services (rev. 5/L4/25)
<br />Page 16 of 21
<br />rorm W-9 (nov. s.eoal)
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