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Attachment G
<br />Form W-9 Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Department of the Treasury send to the IRS.
<br />Internal Revenue Service Go to www.irr.gov/FormWg for instructions and the latest information.
<br />Before you begin. For guidance related to the purpose of Form '+ '). see Air'pm of Form, below,
<br />1 Name of entiy/individual. An entry is required. (For a sole proprietor or disregarded entity. enter the owner's name on line 1, and enter '.he business/disregarded
<br />entity's name on line 2.)
<br />2 Business name/disregardod entity name, if different from above.
<br />3a Check the appropriate oox'or federal lax classificalion of the entity/individual whose name is entered on line 1. Check 4 Exemptions (codos apply only to
<br />only one of the following seven boxes, certain entities, not individuals:
<br />see Instructions on page 3):
<br />❑ individual/solo progriotor ❑ C corporation ❑ S corporation ❑ Partnership❑ TrusUestato
<br />❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Exempt payee code (If any)
<br />Note: Check the "LLC" box above and, in lheeMry space, enter the »ppropriale code (C. S, or P) forttre tux
<br />classification of the LLC, unless it is a disregaulod ontlly. A disregerdixl entity should instead eheck thu appropriate Exemption from Foreign Account Tax
<br />box forthe tax classification of its owner. Compliance Act (FATCA) reporting
<br />❑ Other (see instructions) code (if any)
<br />3b If on line 3a you checked "Partnership" or" Trust/astate," or chocked "LLC" and entered "P' as its tax classfcation, (Applies to accounts maintained
<br />and you are providing this form to a partnership, trus', or estate in which you have an ownersnip interest, check
<br />outside the United States.)
<br />this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . .
<br />Address (number, street, and apt. or suite no.) See instructions-
<br />6 City, state, and ZIP code
<br />7 L sl account number(s) here {optional)
<br />Requester's name and address (optional)
<br />Enter yotrr TIN in the appropriate box. The TIN provided must match the name given on line S to avoid
<br />backup withholding. For individuals. this is generally your social socuirAy number (SSN). Ff over, for a
<br />Social sacurity number
<br />resident alien, 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 />EmAloyar identification number
<br />Note: If the account is in more than one name. see the instructions for line 1, See also What Name and
<br />m
<br />Number To Give the Requester for guidelines on whose number to enter,
<br />—
<br />IM Certification
<br />Under penalties 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 />2r I 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 failure to report ail 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 (if any) indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructions. You must cross out item 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 on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest 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 requkod to sign the certification, but you must proyido your correct TIN. See the instructions for Part II, later.
<br />$Ign Signature of
<br />Here U.S. 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 d,sregarded 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 />New line 3b has been added to this form. A flow -through entity is
<br />required to Complete this line to indicate that it has dirYCt or indirect
<br />foreign partners. owners. or aenelfdarfes when It provides the Form W-9
<br />to another flow -through entity in which It has an ownership rnteresil. 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 rmquffed to oempfoto 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 />Cal No. 10231X Forn w-9 (Rev- 3-2024)
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 16 of 21
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