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ATTACHMENT "E"
<br />Form Wft9 Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Depart ent of the Treasury send to the IRS.
<br />Internal Rovenue Service Go to www.frs.gov1FormW9 for instructions and the latest information.
<br />Before you begin, For guidance related to the purpose of Form W-9, see Purposo of Fount, below.
<br />1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded
<br />entity's name on line 2.)
<br />2 Business name/c Jsregarded ontity, name, if different from above.
<br />3a Check the appropriate box 'or federal tax rlassdicaI ion of the anutyAndividuaI whose name is entered on Ime I. Cbeck 4 Exemptions (codes apply any to
<br />onty one of the following seven boxes, certain entries, not individuals:
<br />see instructions on page 3):
<br />❑ IndivltluaUsole proprietor [_1G corporaion ❑ S corporation ❑ Partnship er❑ TrusVestatc
<br />❑ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Exemot payee code (if any)
<br />Note: Check the "LLC" box above and, in the tray app§e, enlerlhe appropriate code (C, S. er P) for the lax
<br />classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead chock the aopropriato Exemption from Foreign Account Tax
<br />box for the tax classification of its owner. Compliance Act tAATCA) reporting
<br />❑ Other (see instructions) code (if any)
<br />3b if on line 3a you checked "Partnership" or " frust/estate," or checked "LLC" and entered "P' as its iax classification. I (Applies to xceunts maintained
<br />and you are providing this lone to a partnership, trust, or estate in which you have an ownersnip interest, check ❑ 11
<br />outside the United States.)
<br />this box if you have any foreign partners, owners, or beneficlaries. See instructions
<br />5 Address (number, street, and apt. or suite no ). See Instructions.
<br />fi City, state, and ZIP code
<br />7 List account numbers) here (optional)
<br />Requester's name and address (optional)
<br />Taxpayer Identification Number N)
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
<br />backup withholding. For individuals, this is generally your social security number (SSN). However, for a
<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 (Ell If you do not have a number, see Now to get a or
<br />TIN, later.
<br />Employer Ide ekRcarlon number
<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 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 (f 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 required to sign the certification, bumust provide Vow correct TIN. See the instructions for Part II, la
<br />tyric ter.
<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/FormN/9,
<br />What's New
<br />Line 3a has been modified to clarity 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 lax classification.
<br />Cal. No. 10231X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />New line 3b has been added to this form. A flow -through entity is
<br />required to cornptate this line to indicate that it has direct or indirect
<br />foreign partners, ovmem or oeneifciarfes when tt provides the Form W-9
<br />to another flow-throi entity in which 4 has an ownership inteest. 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 eMmple, a partnership that has any indirect-Ak"Ign
<br />partners may be required to complete Schedules Ill and K-3. Seo 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 />Form w-9 Rcv. 3-2024)
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