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EAttachment G
<br />-Q Request for Taxpayer Give form to the
<br />Form � wA
<br />(Rev N'arcn 2C24) Identification Number and Certification requester. Do not
<br />send to the IRS.
<br />M:oarmor of the Treasury Go to www.irs.gev/FormW9 for instructions and the latest information.
<br />IrGornal Revers a Soraee
<br />Before you begin. For guidaMe related to the purpose of Form W-9, see Pub of Form, oeio',v.
<br />1 Name of enttyiirdivid ial. An entry is •ecwred-',For a sole propr•etor or disrngarded ntlti. enter the own^-%s rame on :ire 1, and en-er -.he b'-is:ncas,
<br />ntty's name on '•ne 2 )
<br />2 Business namo/cisregnrced entity aamo, ,f different from above.
<br />3a CHec'a the appropnate oox'or federal tax maSr1fica0on of Ice enhty;ina:• rual •..hose na— is a!•tere•d bn bne I Checrt
<br />only o" of ire ro:lc•.m;:g seven be%eS.
<br />❑ individuaYsolo prooriotcr ❑ C corpora-icn ❑ S corpo-atior ❑ martrersnio ❑ Trusvestato
<br />❑ LLC. =rtor kie txt-lawilicktior, iC : C corporAllOti, S . S CMIewAllon, P _ PaK"orrlhp) _ .
<br />NOW Cnack I^e 1L 10� 0= above 4"41, in Ire rtr'Iry IPMO, itrtlt!r '.tom AWODFiale rY)r1! (C, S, or P)'or ''^e 141M. .
<br />cu"iflralim of Inn L:.C, untoss it is a disregarded entity, AdiarrtQnriiryf ^r. lv Npoukf instead cb,,.k too .01Mrpwill-
<br />box:or:he ax classification of ds owner-
<br />❑ Other (soe Instruclloni)
<br />3b 3 pn line 3a you cnec. d 'Farnershi p'• or - rrustaestate,- oe ccecrted -L-C" and e-er•ad " P' as its tax cassis,catton,
<br />and you era provtomg f1'I5 loan to a partnersh fe, trust or estale n v:ricn you rt;,ve :vr owners-io nle•as1 eneck El. this nx It you have :my foreign partner.., ovmers, or bereLciares. See nsr.ar.:ions -
<br />5 Address (number, street, a•d apt. or sure no ) .S'ea inslruc!ions
<br />6 Cry, state. ord ZIP code
<br />7 L st aroo,:nt • jrrbw(s) "ere topt,e'-a1;
<br />Number
<br />4 >_xompnars +,ccoca app y or y to
<br />certain entities, not nd!vlauals'
<br />see erslnicLans on page ;c
<br />E emot omyea code (if any)
<br />-- evmptlon fromForeign Accocnl Tax
<br />Complrnce Act (ATCA) reporting
<br />coda (if any)
<br />u7,^.F',is is acccunrs mairtalnea
<br />curside the United States.)
<br />R=rp.esier s name erd arenas .op'tona,)
<br />Erter your TIN in the aopropriate box. The TIN provided must match the rame given on line 1 to avoid
<br />backup ev:thholcing. For individuals, -hs IS generally your social security number fSSN)- However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later, For e;ner
<br />enldies, it is your employer identification number (EIN). If you do not have a number, see How to yet a
<br />ON. later.
<br />Note: If the account :s in more that; one name. see the instructions for lire 1. See also Who, Name and
<br />Number To Give t'ile Requester for guidelines on whose number to enter.
<br />Certification
<br />Social socwfty number
<br />-
<br />- [I]
<br />or
<br />Employer identifcaton number
<br />Under penalties of penury. I certify that:
<br />t the number shown or th s form Is my cone, c:-axpayer dontftatior number for I am waiting =or a number to ce Issued to met; and
<br />2. 1 am not subjecr to backtip withholding because {a) 1 am exempt IMM bacsuo ,vilhi'elding. or(b) I nave no' beer, nolif:ed by :tye 'internal Reverue
<br />$ery ce (IRS) that I ain subject to backup efithholding as a result of a failure to report ail interest or dividerds. or •'epode !IRS nos notified me Inat I am
<br />ro longer subject to oackup withholding; and
<br />3 I am a U.S clt¢en or other U-S. oerson (defined beiov): and
<br />4. The ;7ATCA code(s) entered or 'his farm OF any) indicatirg That I am exempt from FATCA reporting .s correct.
<br />Certification instructions. You must cross out aem 2 above if you have been notified by the IRS that you are currently subject io backue withholding
<br />because you nave'ai!ed to report all interest and divderlds or your tax return, For real estate rarsactiors, itern 2 odes rot app'.y. For mortgage interest paid.
<br />acgdsi*ion or abandonment of secured propertry, cancellation of debt, contributions ,c an incividaal retren'srt amangernent (IRA)• ar.d, generally. paymerts
<br />other than irterest and divkian9s, you are rot required'o sign Iho cerrficanon, but ytitt must p^ r de your correc TIN. See the'nstructions for ?art IL later.
<br />Sign signature of
<br />Here I U.S- person Date
<br />General Instructions
<br />Section references are to the Intemal Revenue Code _nless c-her.Jse
<br />roiled.
<br />Future developments. For the'azW infortrohor atwi.t developments
<br />ra:att d to Form'.N-9 and its irstluctlsn5. suet as]egialalioni enacted
<br />alter :hey were publisned, go to 4vtvw-irsgov;Flrm:1f9,
<br />What's New
<br />Lane 31 has beer modified to clarity hoar a cisregarded entity completes
<br />(his kne. An LLC ln8 t4 a e sregarAed enhy should chKk me
<br />appropeinle box for the tax classification Of :s. owner. Otherwise, it
<br />should check the 'L-C" box ar•o er•.ter t9 apuropnata tax classifica.ion-
<br />cal No. IC23'x
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 16 of 21
<br />Ne, ine. ?b has bcQrl 3dt%d to : n.s form. A flow-tl,roLgh entity 6
<br />required to carp ete this lire l0 11•a bale that t has z;rect or Irdimt
<br />foreign porn era or cereliGarles :fier it provides the Form W-9
<br />to pnotncr `tow inrougt' enti ly n wnlcn f has ar ownership interest. rhys
<br />merge is gW.ded to provlda a flow •Ihrar:gh ^rt ly %nOn rtformaltion
<br />regard 'ng lho sla:us.of bs irdsrttcl'n,eign :::rnrurs. oyrners, dr
<br />cerelic:area, so :hat it can satsiv ar-y =lica" reporting
<br />requiraf-ents- For exnmpie. a partni, riip :hat has ar.Y Irtdirec 'ensign
<br />aifrlrnrs may by •egtureo -a rrarrplete Scneautes KC ;', and K-3- See the
<br />Onn. rrr } ip Irstn,cl"rxt4 icr Srhodtdix K,2 and K 3 tporm 1 CGS:.
<br />Purpose of Form
<br />An individt:al or e-iti'y (Form 6V-9 recuasti�r) MO s required to file an
<br />mfermalion return w4h Ina IRS is givirq fair this forr; because they
<br />Fern W-9 ;Lev. 3-2924:
<br />
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