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Form W-9 (Rev. 3-2024) <br />Part II. Certification <br />To establish to the withholding agent that you are a U.S. person, or <br />resident alien, sign Form W-9. You may be requested to sign by the <br />withholding agent even if item 1. 4. or 5 below indicates otbermise. <br />For a joint account, only the person whose TIN is shown in Part I <br />should sign (when required). In the case of a disregarded entity, the <br />person identified on line 1 must sign_ Exempt payees, see Exem)pr payee <br />code, earlier. <br />Signature requirements. Complete the certification as indicated in <br />items 1 through 5 below. <br />1. Interest, dividend, and barter exchange accounts opened <br />before 1984 and broker accounts considered active during 1993. <br />You must give your correct TIN, but you do not have to sign the <br />certification. <br />2. Interest, dividend, broker, and barter exchange accounts <br />opened after i983 and broker accounts considered inactive during <br />1983. You must sign the certification or backup withholding will apply, I <br />you are subject to backup withholding and you are merely providing <br />your correct TIN to the requester, you must cross out item 2 in the <br />certification before signing the form. <br />3. Real estate transactions. You must sign the certification. You may <br />cross out item 2 of the certification. <br />4. Other payments. You must give your correct TIN, but you do not <br />have to sign the certification unless you have been notified that you <br />have previously given an incorrect TIN. "other paymentC include <br />payments made in the course of the requester's trade or business for <br />rents, royalties, goods (other than bills for merchandise), medical and <br />health care services fincluding payments to corporations), payments to <br />a nonemployee for services, payments made in settlement of payment <br />card and third -party network transactions. payments to certain fishing <br />boat craw members and fishermen, and gross proceeds paid to <br />attorneys (including payments to corporations). <br />5. Mortgage interest paid by you, acquisition or abandonment of <br />secured property. cancellation of debt, qualified tuition program <br />payments (under section S29), ABLE accounts (under section 529A). <br />IRA, Coverdell ESA, Archer MSA or NSA contributions or <br />distributions, and pension distributions. You must give your correct <br />TIN, but you do not have to sign the certification. <br />What Name and Number To Give the Requester <br />For this type of account: <br />Give name and SSN of: <br />1. Individual <br />The individual <br />2. Two or more individuals (joint account) <br />The actual owner of the account or. <br />other than an account maintained by <br />if combined funds, the first individual <br />an FFI <br />on the account' <br />3. Two or more U.S. persons <br />Each holder of the account <br />(joint account maintained by an FRI <br />4. Custodial account of a minor <br />The minor' <br />(Uniform Gift to Minors Act) <br />5. a. The usual revocable savings trust <br />The grantor -trustee' <br />(grantor is also trustee) <br />b. So-called bust account that is not <br />The actual owner' <br />a legal or valid trust under state law <br />6_ Sole proprietorship or disregarded <br />The owneO <br />entity owned by an individual <br />7. Grantor trust filing under Optional <br />The grantor <br />Fling Method 1 (see Regulations <br />section 1.671-41[bi(2)Q)(A))-- <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 5 <br />For this type of account: <br />Give name and EIN of: <br />8. D6regasded entity not owned by an <br />The camper <br />individual <br />8. A valid trrst. estate, or pension trust <br />Legal entity-n <br />10. Corpwation or LLC elt� ing corporate <br />The corporation <br />status on Form SW or Form 2553 <br />11. Associnbrn. dub, religious, tF-ar able. <br />The crgar=tioen <br />educational. or other tax-exempt <br />crganiaaliw+ <br />12. Parbr*mhip or mule -member LLC <br />The partnership <br />13. A broker or registered nominee <br />The broker or nominee <br />14. Account with the Ueparbnent of <br />The public entity <br />Agriculture in the name of a public <br />entity (such as a state or local <br />govemment school district. or priowl <br />thou receives agricultural program <br />payments <br />I5. Cunt*( trust filing Form 1041 or <br />The trust <br />under the OpGaml Filmg Met3rod 2 <br />requiring Form 1099 (see Ragulationg <br />section 1.671-4(hX2KJl(S))- <br />1 List first and circle the name of the person whose number you fumish. <br />If only one person on a joint account has an SSN, that person's number <br />must be furnished. <br />ICircle the minor's name and furnish the minor's SSN- <br />5 You must show your individual name on line 1. and enter your business <br />or DIVA name. it any. on line 2. You may use artier your SSN of EIN (if <br />you have one). but the IRS encourages you to use your SSN. <br />List first and circle the name of the trust, estate, or pension trust. (Do <br />not fumish the TIN of the personal representative or trustee unless the <br />legal entity itself is not designated in the account title.) <br />'Note: The grantor must also provide a Form W-9 to the trustee of the <br />trust. <br />"For more information on optional filing methods for grantor trusts, see <br />the Instructions for Form 1041. <br />Note: If no name is circled when more than one name is listed, the <br />number will be considered to be that of the first name listed. <br />Secure Your Tax Records From Identity Theft <br />Identity theft occurs when someone uses )rota personal information. <br />such as your name. SSN, or otiver identifying information, without your <br />permission to convrlit fraud or other cTimes. An idenlity brief may use <br />your SSN to get a jab or may file a tax rift m using yotu SSN to receive <br />a refund. <br />To reduce your risk: <br />• Protect your SSN, <br />• Ensure your employer is protecting your SSN, and <br />• Be careful when choosing a tax return preparer_ <br />If your tax records are affected by ideality theft and you receive a <br />notice from the IRS, respond right away to the mane and phone number <br />printed on the IRS notice or letter. <br />If your tax records are not currently affected by identity theft but you <br />think you are at Fisk due to a ;out or stolen purse of wallet. questionable <br />credit card activity, or a gmsestionabte credit repom contact the IRS <br />Identity Theft Hotline at 800-908-4490 or submit Form 14039_ <br />For more information, see Pub. 5027, Identify Theft information for <br />Taxpayers. <br />18 <br />