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Form W-9 {Rev. }.2024)Pase 4
<br />2-The United States or any of its ageflcies d inslrumentalities.
<br />3-A siate,lhe District of Columbia. a U.S. comrnonweatlh orlenitory,
<br />or any of thdr political subdivisions o. irstrumenlalifieo.
<br />4-A foreign govemment or any of its political subdivisions, agencies.
<br />or insbumentalifies.
<br />5-A corporation.
<br />6-A dealer in securilies or commodilies requircd to register in the
<br />United States, the Dishict of Columtria or a U.S. commonweallh or
<br />teritory.
<br />7-A tutures commission merchant registered wilh the Commodity
<br />Futures Trading Commiseion.
<br />8-A real $tate inveslm€nt bust.
<br />9-An entity registered at all times during the tax year under the
<br />lnvoslm€nt Company Act of 19lt().
<br />10-A common fuot fund operated by a bank under section 584(a).
<br />I 1 -A linancial institution as defined under soction 581.
<br />12-A middleman known in the investment cornmunity as a nominee or
<br />custodian.
<br />'13-A trust exempt from tax under seclion 664 or d€€cribed in section
<br />4947.
<br />The {ollowing chart shows types of paymenls lhat may be exempt
<br />from backup withholding. The chart applies to the exempt pay€€€ listed
<br />above,'l throush 13.
<br />lF tlre payrnent is lor .THEN the pafnent is exempt
<br />for, . .
<br />o lnterest and dividend payments All exompt pa!,ees excepl
<br />for7
<br />. Broker transactions 4and6
<br />F-A dealer in securities, commodities, or dedvative financial
<br />inslruments flncluding notional principal conlracts, fiiures, foni'/ards,
<br />and opticns) that is register€d as such under the laws of the United
<br />States or any stats.
<br />G-A real estate investment trust
<br />H-A regulated inv€ttnent cornparry as defined in s€ction 851 or an
<br />entity r€gistsr€d at all times during th6 tax year under ths lnvestrnent
<br />Company Act ol 1940.
<br />l-A common trust lund as delined in section 584(a).
<br />J-A bank as defined in s€ction 581.
<br />K-A broker.
<br />L-A lrust exempt from tar und€r section 664 or described in saotion
<br />aeaz{a)(1).
<br />M-A tax-exempt trust under a section ao3(b) plan or section 457(9)
<br />plan.
<br />l{ote: You may wish to consult with the financial inetitution requeeting
<br />this form lo determine wh€th€r the FATCA code andlor exempt payee
<br />code should be completed.
<br />Line 5
<br />Enter yorr address {number, street, and apartment or suite ntrmber).
<br />This is where the requester of this Form W-9 will mail your infrcrmation
<br />refums. lf this addrees diffss from the one the requesler already has on
<br />lile, enter'NEW at th€ top. lf a new address is provided, there is still a
<br />charrce the old address will be used until the payor changes your
<br />address in thdr recods.
<br />Llne 6
<br />Enter your city. state, and ZP code.
<br />Part l. Taxpayer ldentification Number fflNl
<br />Enter your TIN in tlre appropriate box. ll lpu are a resident alien and
<br />you do nol have, and are not eligible to g€t, an SSN, your TIN is your
<br />IRS fflN. Entcr it in the entry space for the Social security number. lf you
<br />do not have an fflN, see How lo gela IIAI below.
<br />lf you are a sole proprietor and pu have an ElN, you may enier either
<br />your SSN or ElN.
<br />lf you are a singls-member LLC that is dbregarded as an entity
<br />separate trom its owner, snter lhe owner'e SSN (or ElN, if the owner has
<br />one). l{ the LLC is classified as a corporalion or partnership, enter lhe
<br />entity'a ElN.
<br />Note: See What Name and Number To Give the Requestar,later, for
<br />further clarification of name and TIN combinations.
<br />How to got a TlN. lf you do not have a TlN, apply for one immediately.
<br />To apply for an SSN, get Form SS-5, Application for a Social Security
<br />Card, from your local SSA oflice or get this form online at
<br />www.SSA.gov. You may also get this form by calling aoo-772-1213.Vsa
<br />Form W-7, Application for IRS lndividual Taxpayer ldentilication
<br />Number, ro apply for an fflN, or Form SS-4, Application for Employer
<br />ldenlification Number, to apply lor an ElN. You can apply for an EIN
<br />online by accessing the IRS website at www.irs.govlFlN. k to
<br />www.its.gavlFonns to view, download, or print Form W-7 and/or Form
<br />SS-4. Or, you can go to wwnirs. pvlOrdartorms to place an order and
<br />have Forn W-7 and/or Form S94 mailed to you within 15 business
<br />days.
<br />lf you are asked to complete Form W-9 but do not have a TlN, apply
<br />for a TIN and enter "Applied Fo/' in the space for the TlN, sign and date
<br />the fiorm, and give it to the requester. For interest and dividend
<br />payments, and certain payments made with rospect to readily tradable
<br />in$trumenb. you will generally havn 6o days lo gcr a TIN anrl give it to
<br />the requester before you are subiect to backup withholding on
<br />payrn€nts. The 6o-day rule does not apdy lo other typ€s ot payments.
<br />You will be sut{ecl io backup withhdding on all such payments until
<br />you provide your TIN to the raquester.
<br />Nole: Entering "Applied Fof means that you have akeady applied for a
<br />TIN or that you intend to appty for one soon. See also Fslabisf,r'ng U-S.
<br />status forpnposes of chaptet 3 and chapter l withholding, earlier, for
<br />when you may instead be subiect to wilhholding under chapter 3 or 4 of
<br />lhe Code"
<br />Caution: A disregarded U.S. entity that has a foreign owner must use
<br />the appropriate Form W-8.
<br />pqy€€s
<br />11 andthrough all C corpomlion*
<br />S corporations must not enter an
<br />exempt pay€€ code because lhey
<br />are exempt only for sales ol
<br />noncovered securities acquired
<br />lo 2012.
<br />r Barter transaclinns Exempt payees ! lhrough 4.
<br />and
<br />r Payments over $600 required to Generally, exempl payees
<br />be reported and direct sales over 1 through 5,2
<br />. Payments made in settlement ol Exsmpt payees 1 through 4.
<br />payment card or third-party
<br />n€twork transaclions
<br />l See Form 1099-M|SC, Miscellaneous lnformation, and its instructions.
<br />2However, the following paym€nta made to a corporalbn and
<br />rsporlable on Form 1099-MISC are nol exempl from backup
<br />withholding: medical and health care paymente, attomeye'fees, 91063
<br />proceeds paid to an attomey reportable under section 8045{fl, and
<br />payments for services paid by a federal executive agency.
<br />Exemption from FATCA reporting code. The following codes ideniify
<br />pay€€s that are exempt from reporting under FATCA. These codes
<br />apply to persons submitting this form for accounts maintained outside
<br />of the United States by ce,rtain loreign financialinstihdions. There{ore, if
<br />you are only submifting this form for an accouni you hold in the Uru'ted
<br />States, you may leave this field blank. Consult with th€ pocon
<br />requesling this form if 1ou are uncertain il the fnancial instiMion is
<br />sutiiecl to these requircm€nts. A ruqu€st€. may indicate that a code is
<br />not requircd by providing you with a Fqm W-9 wilh 'Not Applicable" (or
<br />uny similar indlcatlon) entered on rhe llne lor a FATCA exempton code.
<br />A-An oryanization exempt ftom tax under section 5O1(a! or any
<br />individual retirement plan as defined in section 7701{af,37).
<br />B-The United States or any ol its agencies or instumentalitieo.
<br />C-A state.lhe f,lislrict ol Columbia, a U.S. commonwealth or
<br />tenitory, or any of lheir political subdivisions or imtrumentalhies.
<br />D-A corporation the stock of which is ragdarly traded on one or
<br />more established securitbs markets, as described in Regulations
<br />section 1.1a72-1(c)(1[).
<br />E-A corporation that is a rnember of the same expanded affiliated
<br />group a6 a corporation described in Regulations section 1.1472-1(cX1[0.
<br />Kittitas County Agreement for Services (rev.5/74/25)
<br />Page 19 of 21
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