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AFS Kittitsa County and Elmview 26.27
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2026-09-01 10:00 AM - Commissioners' Agenda
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AFS Kittitsa County and Elmview 26.27
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Last modified
8/27/2026 12:13:04 PM
Creation date
8/27/2026 12:04:43 PM
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Meeting
Date
9/1/2026
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve an Agreement for Services between Kittitas County and Elmview
Order
27
Placement
Consent Agenda
Row ID
148367
Type
Agreement
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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 />
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