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ATTACHMENT 'T'
<br />Form W-9 Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Department or the Treasury Go to ww1mgov/FormfW9 for instructions and the latest information. send to the IRS.
<br />internal Revenue Service w
<br />Before you begin. For guidance related to the pu•pasa of Form W-9, see Purpose of Form, below.
<br />1 Name o1 entilyRndlvldual. An entry is required. (For a sole proprietor or disregarded entity, enter the owners name on line 1, and enter the businessrdlsregarded
<br />entity's name on line 2.)
<br />2 Buslnow name/disregardod entity name, it different from above.
<br />3a Check the appropriate box for federal lax classification of the entity/ndividual whose name Is entered on line 1. Check
<br />4 Exemptions (codes apply only to
<br />Ionly
<br />one of the following seven boxes.
<br />certain entities, not individuals:
<br />a
<br />❑see
<br />IndlviduaV❑ ❑ corporation proprietor C corporation S rporallon ❑ Partnership El
<br />Instructions on page 3):
<br />e
<br />❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . .
<br />Exempt payee code (M any)
<br />o
<br />Note: Check the "LLC" box above and, In the entry space, enter the appropriate code (C, S. or P) for the tax
<br />`o
<br />classlficellon of the LLC, unless It Is a disregarded entity. A disregarded entity should Instead check the appropriate
<br />Exemption from Foreign Account Tax
<br />box for the tax classification of its owner.
<br />Compliance Act (FATCA) reporting
<br />T❑
<br />Other (see Instructions)
<br />code (if any)
<br />a
<br />3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification,
<br />(Applies to accounts maintained
<br />and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
<br />❑
<br />outside the United States.)
<br />this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . , . , ,
<br />i
<br />0 Address (number, street, and apt. or suite no.). See Instructions.
<br />Requester's name end address (optlonaq
<br />0 City, state, and ZIP code
<br />7 Lst account number(s) here (optonal)
<br />Taxpayer identifica#ion Number �tN�
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
<br />backup withholding. For individuals, this is generally your social security number (SSN). However, for a
<br />$°oIal seL1rth' number
<br />resident allen, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other
<br />entities, it Is your employer Identification number (EIN). If you do not have a number, see How to get a
<br />or
<br />TIN, later.
<br />Note: If the account is in more than one name, see the Instructions for line 1. See also What Name and
<br />Number To Give the Requester for guidelines on whose number to enter.
<br />Certification
<br />Under penattles of perjury, I certify that:
<br />1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
<br />Service (IRS) that I am subject to backup withholding as a result of a fallure to report all Interest or dividends, or (c) the IRS has notified me that I am
<br />no longer subject to backup withholding; and
<br />3. 1 am a U.S. citizen or other U.S. person (defined below); and
<br />4, The FATCA code(s) entered on this form Of any) Indicating that I am exempt from FATCA reporting is correct.
<br />Certification Instructions. You must cross out Rem 2 above If you have been notified by the IRS that you are currently subject to backup withholding
<br />because you have failed to report all interest and dividends an your lax !slum. For real estate transactlons. item 2 does not apply. For mortgage mieres: paid.
<br />acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and, generally, payments
<br />other than Interest and dividends, you are not required to sign the certification, but your must provide your corrw., TIN. San the instructions for Part 11, later.
<br />Sign stpnature of
<br />Here I U.& person Date
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest Information about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go to www.irs.gov/FormW9,
<br />What's New
<br />Line 3a has been modified to clarify how a disregarded entity completes
<br />this line. An LLC that is a disregarded entity should check the
<br />appropriate box for the tax classification of its owner. Otherwise, It
<br />should check the "LLC" box and enter its appropriate tax classification.
<br />Cat. No. 10231X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 16 of 21
<br />New line 3b has been added to this form. A now -through entity is
<br />required to complete this line to Indicate that it has direct or Indirect
<br />foreign partners, owners, or beneficiaries when It provides the Forth W-9
<br />to another flow -through entity in which it has an ownership interest. This
<br />change is intended to provide a flow -through entity with information
<br />regarding the status of its Indirect foreign partners, owners, or
<br />beneficiaries, so that it can satisfy any applicable reporting
<br />requirements. For example, a partnership that has any Indirect foreign
<br />partners may be required to complete Schedules K-2 and K-3. See the
<br />Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
<br />Purpose of Form
<br />An Individual or entity (Form W-9 requester) who is required to file an
<br />information return with the IRS is giving you this form because they
<br />Forth W-9 (Rev. 3-2024)
<br />
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