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Force W09
<br />IRev Warcn 2e24)
<br />caoarMon; of Iho Treasury
<br />Irtcmai Rcvenua Scrrice
<br />FA=ttachment
<br />Request for Taxpayer Give form to the
<br />Identification Number and Certification requester. Do not
<br />send to the IRS.
<br />Go to www.irs.gov/FormW9 for instructions and the latest information.
<br />Before you begin. Far gufdotnee related to ;he purpose o' Form W-9, see Purpose of Form, below.
<br />1 Name of entty/individual. An entry is lacwred. (For a see proor etor or disregarded enter the omle� s -acre on ',ine 1, ❑rd enter -Le ous ncssidisregnrdsd
<br />r'rc,%s rame on'ine 2 )
<br />2 3LISMOS. name/drragarced entity name.:f dYoront'rcln above.
<br />3a Cnerk :he appropnal. no. 'or ''ederel la. c:osS,fical'.or• of the anhtvta rl v:nunl ;,hose name 13 =.rterad ou 6ne 1 Check
<br />anly one of the follo`.vrng seven Loxes.
<br />❑ ndi.•'dualyso!c proorictcr ❑ G corpora:ion ❑ S corpo-ation ❑ oartrersnio ❑ TrUSTJe State
<br />❑ LLC. Entry 'ha hart tlf+sifira!ian ;C - C ::nrponlrwr, S - S carffaaAl, P - P,• ,4, {h O -
<br />Note: Check Ir* "LAC" pox above ard, in tneanlry sptlue, (C, S, et Pi tpr the tall
<br />Grg"ificgtion ar llul V LC, WI —sit i s -, :1'sregerCrxl :YIHry. A d!dr pll,•1ri7nd'np!,:V siru.:ai irslr>q� CrlDClt rem i?flpfgflri0.:n
<br />ocx'or :ho tax classification of is osvna?.
<br />❑ O[her '�sCt? Ir`:ilrUCl,C/iSI
<br />3b 'f on Im 3a you thecled Parre•shrp' or "Tst'ostate' x �recxed' LLB :.nd -crud 'P' as is tax classiicatioc,
<br />ard yrt, are pro�lalnq his torn to is oa'ner,h,p, ;rus', 9r aslala .n ticicn y'oo n&ve ed ar nerscip nleresr, check ElIaIs :lox 1f you have any 'lxolgn p=rtnyr;, owners. or :?erenclanas. See • nsln:�,:lons .
<br />Adc-- (nurnbe , tilreet ard ap% or rude tie ). Sea irlslrur,:ions..
<br />6 Crty, state. or.c Z:P :ode
<br />7 sl -!sr-111 --A -r(sl ^ere 'ape e• a.'
<br />Number
<br />4-xornptions iccces apply cnly to
<br />certain antitias, not individuals:
<br />see irslnrchocs on page 3):
<br />-xemot oayee coca (if any)
<br />xorr•odcn from Foreign Account Tax
<br />Gomp6a11co Ad !FATGA; rop.dwg
<br />Coco (if any)
<br />iA�Flic., rr. Lccc nf3 ravW.,.oed
<br />cutslde :tie Uri' red States.l
<br />' ere I.Sl of s hectic rrt; ai4dress fop'ion*
<br />Enter your TIN in the acpropriate box. i he TiN p!Ovtdsd mst mztett the rarr,e given on line 1 to avoid
<br />backup w. tnhole.ng. For individuals, -h`s s generally Mir 50rkil sr]carity number (SSM. flowe:`er, for a
<br />resident alien, sole proprietor, or disrcyar ded no ty. see We irslructions for Part I, eater. For ri.,111
<br />enb.lies, t is your employer Identification oumcer ON) If yoJ co not have a number, see How to yet a or
<br />T.1N. later.
<br />Note: If the account !s 11 more than one namo. sce the ulstrt_ct:ons for fine 1. See also V✓nat Nacre and r
<br />Number To Gi*vc- In(,Pe;uester for quide. nee on whose numoer to enter, 11
<br />number
<br />num
<br />Under penalties of penury. I Certify that:
<br />1 1•te number snovvn or, th's fnim Is r-y correc'-axpayer clontficatior cumber (or I am :vading -or number to ce Issued to me); ard
<br />2. I Itrrl not subJere to backup :v.lnhola:nq becat.3e':a) I err nxrrrpt from hackup vilhtc1ding, or;h) I -lave not beer noliflcr by --he ni;grtlal Revenue
<br />Sery'ce IIRSi L'rlat I arr, sutilect to oackl-10 withholding as :a resent of n failure to report all interest or dividends, or (c) :he !RS has "olified :ne that I arc
<br />ro onner sjo,ect to cat<uo v:ithnolding; and
<br />3, 1 am a U S. c:h7en or other U S. oerson (defined pave:;: and
<br />a, The FATCA ccde(s) en°ered or '.h:s form (if ary) indicatirg that I am exempt from FATCA reporting .s correct-
<br />CeRification instructions.'%oc must cross out den? 2 lCove if you have been no.if;ed by Ine IRS ?hat you are currently subac W backLn wilhhcluny
<br />because yeu nave a!ed to report all interest and eivid2rics cr yocy 'tax return. For real estate :r nsac:iors. tern2 does r•a apply. For mcrl.gage r,!eres; paid,
<br />acquisi. ien or aba!idor:rent of secured croper /. cancellation of debt, rontnbUtiors -o an inci'viduai rebremer arrange!rer•.'IRAi. ard, generally, p : rnerrs
<br />other than irterest and d:sidet1cM yw., are rot ropLimd -o sign Ina ood'Scation, 'out yor. - urt pro.vldo your corroc, TIN. See the nstructions for ?a i II, a cr.
<br />Sign
<br />Here
<br />Signature of
<br />11.S person
<br />General Instructions
<br />Section references are to the ln,emal Revenue Code unless other -vise
<br />rolled.
<br />Future developments. For the !82wy; irfcrrrtrtt:or about developments
<br />re:ated .o Form':V-9 ard its irstrJG:ii 'qs. awn as legislation enacted
<br />aver =,ey :vere publisned, go to wtvw.irs.goviFor r.019,
<br />What's New
<br />Lne 3a has beer moc.fied to clar^y hoe,, a d•sregarded entry completes
<br />ch,s Itna. An 110 tart M a otsregatarrd entry Shoaled GhEGk Me
<br />approp ante ocx for he :ax cla5sfflratlon of ;1,owner. Q.haralse, it
<br />should ct ttck te'L box:ar•u ertrsr L; aparoprate lax chlssi`ication.
<br />Cal Yo. Ifl�;31y,
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 16 of 21
<br />Date
<br />Nnej ill❑ $b has been adrald lo, to s ferna tlotiv-1i ml.gl ?r•lily u
<br />required to corlp-ate tni$ fire tU ina.ca?e '"l I has ci.'ect or ir'L•ireci
<br />IoMgvl partrer,, O%we s. or Oerefivaries,,het- I- provides .he Form VV-9
<br />to anOs'.trr Jovv-tnret-tqt' -mi:y 'n Which it has ar: owrIOtarilp ill^-.r''St- jt'Is
<br />enargr i, ntnrdrd to provide, a low•thmugh artily v,in nlnrmnlrnn
<br />r^g; rc ig tho sl,-V s -Of is irdirocl °o,olgn aarlr•crs. osvrcr. or
<br />^er3licrari8. so:i'fat it can satsty ary aophicable raDartl•tg
<br />rL5Q:lirar`ents For exampltt. a pArnevsnip hat ties any Indl ec 'ore ggri
<br />cFrfr rs nay ts'+:gwrno o cotrplate •cgnocules K-2 ard K, 3, See the
<br />Dar rwr�t•ip Ir•ytru:l ers inns Srhrdulrm K 2 a K 3 ri=arnti 1^65).
<br />Purpose of Form
<br />An individual or e,iti:y (Fora W-9 mcuestcrj 'who s required :o file vul
<br />nlornation relim w to t:ie Igs is gi`,iry you this lorm because they
<br />Fcr•n W-9 r.e'a 3--0241
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