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Attachment G
<br />Form Wig
<br />Request for Taxpayer
<br />Give form to the
<br />(Rev. March 2024)
<br />Identification Number and Certification
<br />requester. Do not
<br />Department of the Treasury
<br />Go to www.irs.gov/FormW9 for instructions and the latest information.
<br />send to the IRS.
<br />internal Revenue Service
<br />Before you begin. For guidance related to the purpose of Form W-9. see Pwpdsa of Form, below.
<br />1 Name of entityAndividual. An entry is required. (For a sole proprietor or disregarded entity, enter the owners rame on line 1, and enter -he business/disregarded
<br />entity's name on line
<br />2 )
<br />2 Business nano/cisrogaraod ontty name, if different from above.
<br />3a Check the appropriate oox `or federal tax classification of the entitylndividual whose name is entered on line 1. Check
<br />only one of the following seven boxes.
<br />❑ Individuausolo proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estato
<br />❑ LLC. enter the tax classification (C = C corporation, S = S corporation, P = Partnership) I . .
<br />Note: Check the "LLC" box above and, in the entry a enter the epprppriate code (C, 9, or P) for the tax
<br />classification of the LLC, unloss it is a disregarded ontlty. A disregarded entity should insloW Check the appropriate
<br />box for the tax classification of its owner.
<br />❑ Other (see instructions)
<br />3b If on line 3a you chocked "Partnership" or "TrusUestate," or checked "LLC" and entered "P" as its tax classification,
<br />and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
<br />this box if you have any foreign partners, owners, or beneficlaries. See instructions . . . . . . ❑
<br />5 Address (number, street, and apt or rude no ).See Instructions,
<br />6 City, state, and ZIP code
<br />7 L st account number(s) here (optional)
<br />4 Exemptions (codes apply only to
<br />certain entities. not individuals:
<br />see instructions on page 3):
<br />Exempt payee code fit any)
<br />Exemption from Foreign Account Tax
<br />Compliance Act (FATCA) reporting
<br />code (if any)
<br />(Applies to accounts maintained
<br />outside the United States.)
<br />Requester's name and address (optional)
<br />Taxpayer Identification Number [TIN)
<br />Enter yovr TIN in the appropriate bax. The TIN provided must match the name given on line I to avoid social security number
<br />backup withholding. For individuals, this is generally your social sect&ity number (SSN). Fhowover, for a m _
<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 or
<br />TIN, later. I Employer Identification number
<br />Note: If the accounts 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 />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 />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 failure 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 (if any) indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructions. You must cross out itern 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 ropuifod to sign the certification, but you must provido your correct TIN. See the instructions for Part 11, later.
<br />Sign Signature of
<br />Here I 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/Form0/9,
<br />What's New
<br />Line 3a has beer 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 eater its approprialatax classification.
<br />New line 31b has been added to this font. A flow -through entity is
<br />required to complete this fine to indicate that It has direct or indirect
<br />foreign partners, ovens s. or beiaficiarles when it provides the Form 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 eri. with information
<br />regarding the status of its indirect foreign psrtnam owners, or
<br />ceneUciaries, so that it can satisfy any applicable reporting
<br />revlulrements. For example. a partnership that has any indirect foreign
<br />parlii may be required to complete Schedules K-2 At.d I4-3. See the
<br />partnership Instructions for Schedules K-2 and K-3 [Form 1 Q65).
<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 Form W-9 (Rev 3-2024)
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 16 of 21
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