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<br />ATTACHMENT'F"
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />Go io ww.irs.govlFormllg lor inatructions and ihe latest intormation'
<br />Give lorm to the
<br />requester. Do not
<br />send to lhe lRS.
<br />{llev, Mnrch 2024)
<br />D*pan!acnt ot lhe Tlea5ury
<br />lDta.nnl Rcvohuo Soryicc
<br />Betore you begin. For rolalod to the 6f Form W-9, see ofForrn, bdo$.
<br />enlly 5 aarne rn lne ?.)
<br />2 3u$l*o$$ namc/dasrsqarood ontily nalto, f dfteaont from abovo.
<br />4 Exornptiorls {codos apply onlyto
<br />c€rtain cnliti€. not irdtvidu{15:
<br />$ee i.slruclions on page 3.):
<br />Exelnot pays cade (ii enlt
<br />Fx.Prrptior: l.(rr
<br />Compl'anca Act
<br />code lit arv)
<br />Fo'eigir Acroirnl Tat
<br />{IATCA} roportiqg
<br />(Appli* ta accoutlts fraillaioad
<br />Ntsidc the Unitcd States.)
<br />Reqoesler'$ nnne tfl(1 o<1.lre$s {.4}iionflt
<br />7 l.sl ir.;(i}!rl n{rrDtpri$} here lopt'onall
<br />oo6(6a
<br />o
<br />ilceo>E
<br />OE
<br />z6.:e
<br />Co
<br />ooIooth
<br />Enler your IIN in the appropriate box. The TIN provided rnust match the name given o:r line 1 to avoid
<br />backup wlthholding. For individuals, this is ganorally your social security trumber {SSN). }Jowovar, for a
<br />rosidont aliBn, so16 proprietor, or disrsgafd€d entity, see thc: lnstrdclions tor l'at! l, iater- For oihef
<br />enlities, it is your elnployer identitication nurnber (ElN). lf you do uot have a rilmber, sm How lo g€t a
<br />17N. later.
<br />Note: It the account is in more thail ane name. see lhe instftrclions lor line 1, See also l&hat Narne ancl
<br />Numbet Ta GivE the Requcster lar gilidelines on whosc numb$r lo enier.
<br />or
<br />Certilication
<br />Under penallies ot perjrry, I certity ihat:
<br />'I lhe n.lmber shown on this lorm is |ny corect taxpayer rdontiticatio[ 11q16[sr {or I am l'raitirrg for a number to be issued lo me): and
<br />2. I irm not $ubjeot to backup rvithholding bfcau$e {a} I arn exempt from bnckup lvilhholding, or (b) I ltavt nol besn notlfied by lhe lntemal nevenile
<br />Seruice (lRS) that I am subject to backup vrithholdi.lg as a result of a tailure to report all inlerest or dividends, or (c) lhe IBS has roiilied rne that I aln
<br />no longer sirbiecl to backup vJithnolding; and
<br />3. I am a U.S. citizen or other U.S. person {deftned balo!'4, and
<br />4. The FATOA codc(s) ontered on this fonn (if any) indiealing lhal I arn exenpt lrom FATOA rcPorling i5 corrcot.
<br />Certification inslruclions. You ttru$t cros."' out ilctn 2 above if yo{have boer notified by the IRS lbal you are cu.rently subJect to backup withholding
<br />because yori have tailed ta report all interest and dividgrlds on your tax return. For real estate tran$ctio[s, ilem ? doas r]ol app1y. FoI lnortgage interesi paid,
<br />acquisition of abandonmenl ol secured property. cancellation of debt, cortributions io an individual r€iirarnellt anangemeni {lHA), and, generally. payrnenis
<br />3a Clrechtleaflproprialed.rrlorisderd,lax(ilnssiticfllro.rsflhee'ltiltrndrv|(lua{vho$eil!!nei$ertteraJonInel.Check
<br />only ono oa lh8 lollowiilg sarvcr boxes.
<br />I lrdilldualilolc prcoriotor I C corporariorr n 6 coDo'4tion f] Farlnorahio n Tnlorroototo
<br />n LLC. gnter:he t:rx rlas$ificat'dr (C = C 64)oralioil, S -- I corporallcfi, P - Pirrlna.$hip)
<br />Notei Chek ths "LlC" box aiFve a1d, in lhe enlry spac€, etrler lhe ipp.opridle code {C, S, or P} ktr lhe 1ax
<br />eiassiticalbn oi the Li.C, urles$ ll is A .ji$regtrdod oillily, A {iisr€Oardsl errtii.v sholrkl insl.rad cilfr:k l11o aopropriato
<br />box ior th6 lu classilication ol its otvner.
<br />n Oth€r [se.: i.rslructiqrsi
<br />3b ll on lne 3.r you creck€d "liadnership. or "l-.!suostate." or ehocked .LLC' and elte.ed "P' as ils til ciassitlcf,iion,
<br />and you are p.gvidiag ll'i$ lor.n 10 a parineBhip, tr!s:, or eslale !n *hich you hfll'e al ov/neNrip rnleresi, check
<br />lhli l)ox il yoil have any {oreigl parlfte6, ovrne.5, or beoefrchrie$' Sec lnsl.rdion6
<br />5 Ad{ir€r$ {nil$l)e., 5lreel, flnd npt. o. 5irte no,l, See irstrlldions-
<br />ldentification
<br />6 Cily. state, and ZIP cod6
<br />lt
<br />Part I
<br />€mployer idontritlcdtior numbgr
<br />Part ll
<br />othor than intersst and dividends,are not raquired 10 5i0n tha cerl'ficaiion, but must
<br />Sign
<br />Here
<br />General lnstructions
<br />Seciiorr reler€lrces are lo lhe lntental Revettue Code unlegs othenvise
<br />noted,
<br />Future dovolopments. For lhe lalesl lnlormalion about developmenl$
<br />related to Form W-9 and ils insttrrctio.ls, such as legislation enacte{j
<br />after they were published, go to q/wul. its.gov/l:ortnw9,
<br />What's New
<br />Line 3a has besn modified to clarily how a disregarded entiry completes
<br />this line. An t"t,C ihat is a ctisregarded entity shotlld check 'the
<br />approFrisle hox [or the tax classification of its owner. O'lhen(i$o, ll
<br />should check the "LLC'' box Bnd enler its appropriale lax cldssitication.
<br />corrscl TlN. Soe lh8 ,nst.uclions for Part ll, lat6r.
<br />glgnature of
<br />lJ.S. porson Dalo
<br />Now line 3b ha$ boon added to this fom. A tlolY-through ontity i$
<br />required to complete lhis line to indiEale that it has direct or lndirect
<br />loreign partrrers, owlrers. or beneticiaries when i'l provides the Fonn W-9
<br />lo another flow-lhrough entity in which it has an ownership interest' This
<br />change is intendcd lo provida a {low-through enlity with information
<br />regarc,jng lho slatus of;ls lndiroct {o16ign parlnors, ol'rnors, or
<br />bsDefaciaries, so that it can salisfy any applicabl€ reporting
<br />requirernents. For exalnple, a partnership that has any inditect ioreigll
<br />parlners may be roqtlired to complete Schodtllos K-2 and K'3 Sae the
<br />Partn€rship lnstruotions for Schedules K'7 €nd K-3 {Forn 1065).
<br />Purpose of Form
<br />An indivldual or dntlly (Forrn W-g requesle4 who is required to file an
<br />iilorilatio|) ret{n with the lFlS is giving you ihis forln b€cause thoy
<br />Cat. No. 10231X
<br />Kittitas County Agreement for Services (rev.5/Ia/25)
<br />Page 16 of 21
<br />Form W-9 {Hev. 3-2024}
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