Laserfiche WebLink
Form W-9 (Rev. 3-2024) <br />Part II. Certification <br />To establish to the withholding agent that you are a U.S. person. or <br />resident alien. sign Fem1 W-9. You may be requested to sign by the <br />withholding agent even I item 1, 4, or 5 below indicates othernviBe, <br />For a joint account, only the person whose TIN is shown in Part I <br />should sign (when required}. In the case of a disregarded entity, She <br />Person identified on line 1 must sign. Exempt payees. see Exempt payee <br />code, earlier. <br />Signature requirements. Complete the certification as indicated in <br />items 1 through 5 below. <br />1. Interest, dividend, and barter exchange accounts opened <br />before 1984 and broker accounts considered active during 11M. <br />You must give your correct TIN. but you do not have to sign the <br />certification. <br />2. Interest, dividend, broker, and barter exchange accounts <br />opened after IN83arid broker accounts considered inactive during <br />190. You must sign the carlitication cr backup withholding will apply. If <br />you are subject to backup withholding and you are merely providing <br />your correct TIN to the requester, you must cross out item 2 in the <br />cartification before signing the form. <br />3. Real estate transactions. You must sign the certification. You may <br />cross out item 2 of the certification. <br />4. Other payments. You must give your correct TIN. but you do not <br />have to sign the certification unless you have been notified that you <br />have previously given an incorrect TIN. ''ether payments" include <br />payments made in the course of the requester's trade or business for <br />rents, royalties, goods (other than bills for merchandise), medical and <br />health care services (including payments to corporations). payments to <br />a nonemployee for services. payments made in settfament of payment <br />card and third -party network transactions, payments to certain fishing <br />boat crew members and fishermen. and gross proceeds paid to <br />attorneys (including payments to corporations). <br />5. Mortgage interest paid by you, acquisition or abandonment of <br />secured property, cancellation of debt, quatifted tuition program <br />payments [under section 529b A13LE accounts {under section 529M, <br />IRA, Coverdell ESA, Archer MSA or HSA contribtrtions or <br />distributions. and pension distriibudons. You must give your cr `-ct <br />TIN, but you do riot have to sign the certification. <br />What Name and Number To Give the Requester <br />For this type of account: <br />Give name and SSN of: <br />t Indr6du01 <br />The individual <br />2. Two or more individuals (joint account) <br />The actual owner of the account or. <br />other than an account maintained by <br />if combined funds, the first individsal <br />an FFI <br />on the account' <br />3. Two or more U.S. pereons <br />Each holder of the account <br />joint account maintained by an FFI) <br />4. Custodial account of a minor <br />The minor2 <br />lUnifrvtn Gift to Minors Act) <br />5. a. The usual revocable s-avings trust <br />The grantor -trustee <br />(grantor is also trustee) <br />b. So-called trust account that is not <br />The actual owner' <br />a legal or valid trust under state law <br />6. Sole proprietorship or disregarded <br />The owner3 <br />entity owned by an individual <br />7. Grantor trust firing under optional <br />The grantor' <br />Fling Method 1 (sle Rggtu afions <br />section 1.67t-4Ib}(24011" <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 20 of 21 <br />Page rJ <br />For this type of account: <br />Give name and EIN of: <br />e_ Dk4egarded entity not owned by an <br />The owner <br />individual <br />9_ A rand trust, estate, or pension trust <br />Legal entity' <br />io_ Corporation or LLC electing corporate <br />The corporation <br />status on Form M32 or Form 2553 <br />11 _ Association. club, religious. charitable. <br />The organization <br />educational, or other tax-exempt <br />organi=tion <br />12. Pwrhtership or mufti -member LLC <br />The partnership <br />13. A broker or registered nominee <br />The broker or norninee <br />14_ AccowA %rith the Department of <br />The public entity <br />Agrin*ureii the Franc of a pubtic <br />nifty (such as a stet* or local <br />gmarnment_ schooi distract. or prisonl <br />that receives agricultural pic-gram <br />payments <br />15. rr-antortrust filing Fors 1041 or <br />The trust <br />under the optional Filing Method 2. <br />requiring Form 1 CF39 {see Regulations <br />section 1.671-4{b)(2)(1(B))" <br />' List first and circle the name of the person whose number you fumish. <br />If only one person an a joint account has an SSN, that parsons number <br />must be furnished, <br />`Circle the minor's name and fumish the minor's SSN. <br />'You must show your individual name on line t, and enter SA <br />business <br />or DBA name, if any. on fine 2. You may use either your SSid or EIN (ff <br />you have one). but the IRS encourages you to use your SSN. <br />r List first and circle the name of the trust. estate. or pension trust. (00 <br />not fumish the TTN of the personal representative or trustee furless the <br />Legal entity itself is not designated in the accaurrt tille_j <br />'Note: The grantor must also provide a Form W-9 to the trustee of the <br />trust <br />'-For more information on optional filing methods for grantor trusts, see <br />the Instructions for Form 1641 _ <br />Note: If no name's circled when more than one noire is fisted the <br />number evi1I be considered to ba that of the first nama listr2d. <br />Secure Your Tax Records From Identity Theft <br />Identity theft occurs when someone uses your personal utformation. <br />such as -your name. SSN. or other idvttifying information, vhthout your <br />permission to commit fraud or other cruses. An identity thief nW use <br />your SSN to get a jab or may file a tax retum using your SSN to 9ec4ise <br />a refund. <br />To reduce your risk <br />• Protect your SSN, <br />• Ensure your employer is protecting your SSN, and <br />• Be carefulwhen choosing a tax retunr prepares. <br />If your tax records are affedtsd by ickri t theft and you receive a <br />notice from the IRS. r*sponct right away to the name and phone number <br />printed on the IRS notice or letter. <br />If your tax records are not curreAtiy affected by identity theft but jou <br />think you are at risk due to a loss or std-si purse of wallet• quasY3onable <br />oredit card activity, or a questionable credit report. contact the IFS <br />Identity Theft FtolSine at WO-9067-U90 or submit Form I4W9. <br />For more information, see Pub. 5027, Identity Theft Information for <br />Taxpayers- <br />