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P:­ W-q (PP s-2r94) <br />Certain payees and payments are exempt from backup withholding. <br />See Exempf payee code, later. and the separate instructions for the <br />Requester of Form W-9 for more information. <br />See also Establishing U.S. status for purposes of chapter3 and <br />chapter 4 withholding, earlier. <br />What Is FATCA Reporting? <br />The Foreign Acceunl Tax Compliance Act (FATCA) requires a <br />participating foreign financial institution to report all U.S. account <br />holders that are specified U.S_ Parsons. Certain payees are exempt from <br />FATCA raporting_ See Exemption from FATCA reporting code. fater, and <br />th? Instructions for the Requester of Form W-9 for more information. <br />Updating Your Information <br />You must provide updated information to any person to whom you <br />claimed to be an exempt payee it you are no longer an exempt payee <br />and anticipate receiving reportable payments in the future from this <br />person. For example, you may creed to provide updated information if <br />you are a C corporation that elects to be an S corporation, or if you are <br />no longer tax exempt in addition. you must furnish a rrew Form W-9 if <br />the name or TiN changes for the account. for example. K the grantor of a <br />grantor trust dies. <br />Penalties <br />Failure to furnish TIN. if you fail to famish your correct TIN to a <br />requester. you are subject to a penalty of 556 for each such failure <br />unfess your failure is due to reasonable cause and not to willful neglect. <br />Civil penalty for false information with respect to withholding. If you <br />make a false statement with no reasonable basis that results in no <br />backup withholding, you are subject to a 5500 penalty. <br />Criminal penalty for falsifying information, Willfully falsifying <br />certifications or affirmations may subject you to criminal perrafties <br />including fines and/or imprisonment <br />Mistise of TINs. If the requester discloses or uses TINS in violation of <br />federal law. the requester may be subject to ci�nl and criminal penalties. <br />Specific Instructions <br />Line 1 <br />You must enter one of the following on this line; do not leave this line <br />blank. The name should match the name on your tax retum. <br />If this Form W-9 is for a joint account (other than an account <br />maintained by a foreign financial institution ff n)r, fist first. and then <br />circle, tha name of the person or entity whose number you entered in <br />Part I of Form W-9. if you are providing Form W-9 to an FFf to document <br />a joint account, each holder of the account that is a U.S. person must <br />provide a Form W-9. <br />■ Individual. Generally. enter the name shovm on your tax Mum. if you <br />have changed your fast name without informing the Social Security <br />Administration (SSA) of the name change. enter your first narne. the last <br />name as shown on your social security card, and your new last name. <br />Note for MN appficant: Frier your individual name as it was entered <br />on your Form W-7 application, line 1 a. This should atso be the same as <br />the name you entered on the, Form 1440 you filed with your application. <br />* Sale proprietor. Enter your individual name as shown on your Form <br />1040 on fine 1. Enter your business €rade. or "doing business as* (09A) <br />name on line 2. <br />• Partnership. C corporation. $ corporation, or LLC, other than a <br />disregarded entity. Eater the entty's name as shown on the entity's tax <br />return on fine 1 and any business, trade. or ❑BA name on line 2. <br />• Other entities. Enter your name as shosvn on required U.S. federal tax <br />documents on line 1. this name should match the name shown on the <br />charter or other legal document creating the entity. Enter any business, <br />trade, or DBA name on line 2. <br />• Disregarded entity. to generat. a husmess entity that has a single <br />oviner. including are LLC. and fs not a corporation, is disregarded as an <br />entity separate from its owner (a disregarded entity) . See Regulations <br />section 301.T701-2jrX2). A disregarded entity should check the <br />appropriate box for the tax classification of its owner. Enter the owner s <br />name on line 1, The name of the owner entered on line 1 should never <br />be a disregarded entity. The name on Irne 1 should be the name shown <br />on the income tax return on which the income should be reported. For <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 18 of 21 <br />Page 3 <br />example. d a foreign LLC that is treated as a disregarded entity for U.rz <br />federal tax purposes has is single owwr that is a U.S. person, the U.S. <br />owner's name is required to be pnavirJed on tine 1. If the direct owner of <br />the entity is also a disregarded entity. eater the first owner Mhat is not <br />disregarded for federal tax ptrp osm Eder tha disregarded entity's <br />name on line 2. if the owner of the drsrd entity is a foreign person, <br />the owner must complete an appropret` Fcrn 14 -8 instead of a Form <br />W-9. This is the case even if the foreagn persorr has a U.S. T1N. <br />Line 2 <br />If you have a business name, trade name. ®BA name. or disregarded <br />entity name, enter it on fine 2. <br />Line 3a <br />Check the appropriate box on line 3a for th-- Ll.S_ federal tax <br />classification of the person uvhose frame is entered on line 1. Check only <br />one box on line 3a. <br />IF the entitylindividuat on fine 1 <br />THEN check the box for.. <br />is a(n) ... <br />• Corporation <br />Carporatiun- <br />• Individual or <br />fndividuaWso[e proprietor. <br />• Sole proprietorship <br />• LLC classified as a partnership <br />Limited liability company and <br />for U.S. federal tax purposes of <br />enter tie appropriate tax <br />• LLC that has filed Form 8832 or <br />classification. <br />2553 electing to be taxed as a <br />P = Partner5hrp, <br />corporation <br />C = C corporation. or <br />3 = S corporation. <br />• Partrrership <br />F ship. <br />• Trust/estate <br />Trustrestale. <br />Line 3b <br />Check this box ti ycu are a pa,�r� fnudng an LLC classified as a <br />partnership for U.S. federat tax pvrpoc-est. In-ST. ar estate that has any <br />foreign partners, owners. or berraEcianes. and y"are prcoOdrrig this <br />form to a part"rship, trust, or estate. in which yw r have an ownership <br />interest. You must check the box on fine 3b if you receivs a Form W-a <br />(or documantary evidence) from any partri--r. owner. or beneficiary <br />establishing foreign status or if yw reDsi.s a Form W-9 from airy <br />partner. Omer. or beneficiary that has checked Via box on fin: 3b. <br />Note: A partnership that provides a Forrr. W-9 and chec�_- box 3b may <br />be required to complete Schedules K-2 and K-3 iForm 106*. For more <br />information, sea the Partnership Instruictiom for Schedules K-2 and K 3 <br />(Form 1065). <br />If you are required to complete fine 3b but fail to do so, you may not <br />receive the information necessary to rile a eorr7c1 informiabon rstum with <br />the IRS or furnish a co.Tect payee stnS rain nit to your Partners or <br />beneficiWiea. See, for example. sections e6ga. 6722. and 6724 for <br />penalties that may apply_ <br />Line 4 Exemptions <br />If you are exempt from back up wilPrlro6ding and/or FATCA repdrtn y, <br />eater in 11 re appropriate sWLe on ruse 1 uiy X)de(5) Utat tray iippiy to <br />you. <br />Exempt payee code. <br />• Generally, individuals (including sole Ft Apr eiors) are not exempt from <br />backup withholding_ <br />• Except as provided bdo•n. oorporatirms are exempt from backup <br />withholding for certain payiner ts. including rntarest and dit-idends. <br />• Corporations are not amfrom for PaYrftnts <br />made in 5ettiementof payment orr td-party irk transadkr*. <br />• Corporal ions are not exempt from backup •af.hhoiding w4h re5pecl to <br />attomeys' fees or gnaw proce5ds paid to a3torneys, and corporations <br />that provide medical or health care serA�- are not exempt With respect <br />to payments reportable on Form 1 C994VJ C. <br />The following codes identify payees that are exempt from backup <br />withholding. Enter the appropriate *cxde in the space an two 4. <br />1—An wganrtauon exempt from tax ends section 501(a), any tRA or <br />a custodial account under section 403tbJ7} if stye account satisfies the <br />requirements of section 401(f)(2). <br />