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ATTACHMENT "I'"
<br />Form -9 Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Department of the Treasury Go to wwwJrsgov/FormW9 for instructions and the latest information. send to the IRS.
<br />internal Revenue Service
<br />Before you begin. For guidance related to the purpose of Form W-9, see Pir+Noge of Form, below.
<br />1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owners rame on line 1, and enter the businessidisregarded
<br />entity's name on line 2.)
<br />2 Business nano. disregwocd entrty name, if drtforcnt from above.
<br />3a Check the appropriate pox for federal tax classification of the entityimd-dual whose name is entered on line 1- Check
<br />only one of the following sever boxes,
<br />❑ Individual/sole w0wictor ❑ C corporation ❑ S corpo-ation ❑ Partnership ❑ TrusVestate
<br />❑ L-C. Enter the lax classification (C = C corporation, S = S corporation, P = Partnership) -
<br />Note: Check the "I -LC" box above and, in Iheentryspai enter the Appropriate Ober (C, Si or P) for" i
<br />classification of the LLC, unless it is a disrega dad orillty. A disroperded entity shoufd Inslow chock the llopropriaw
<br />box for the tax classification of ns owner.
<br />❑ Other (see Instructions)
<br />3b If on line 3a you checked "Partnership" or "TrusVestate," or checked "LLC" and entered "P' as Its tax classification.
<br />and you are providing this torn to a partnership, trust, or estate in which you have an ownersnip interest, check
<br />this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . ❑
<br />5 Address (number, street, and apt or suite no.). See instructions.
<br />6 City, state, and ZIP code
<br />7 L.sl account numbers) here (optional)
<br />on Number
<br />4 Exemptions (codes apply only to
<br />certain entities, not individuals:
<br />see instructions on page 3):
<br />Exempt payee code if any)
<br />Exemption frorn Foreign Account Tax
<br />Compliance Act (FATCA) reporting
<br />code (it any)
<br />(Applies to accounts maintained
<br />outside the United States.)
<br />Requester's name and address (option')
<br />Enter your TIN in the anproprtate box. The TIN provided must match the noire given on line i to avoid socbai security number
<br />bacfurp withholding. For individuals. this is gorterally your soclal aecurlly number (SSN). Howevar, for a —
<br />redden: align, solo proprietor, or disregarded onhly, see the instructions for Pan 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. FlEmployer 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 />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 noliftod by the Intorrrnl 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 flay 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 fated 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 notrugiti to the certification, but you must provide your correct TIN. See the instructions for Part 11, later.
<br />Sign Signature of Date
<br />Here U.S. person
<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 disregarded entity completes
<br />this line. An LLC that is a disregarded entity should check the
<br />appropriate box for the tax climillicutlon of its own i_ Otherwise, it
<br />should check the "LLC' box srtd:BnitSr its approprWe lax classification.
<br />Cal. No. 10231X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 18 of 23
<br />New line 31d has been added to this form. A flow -through entity is
<br />required to comFitete this line to indicate that It has direct cr Indirect
<br />foreign partners, owners, or Beneficiaries when• h provides the Form W-9
<br />to another flow -Through entity In which it hits an ownershlp interest. This
<br />change is intended to provide aflow- through entity tsilh ,nformation
<br />regarding the status of its indirect foreign partri owners, or
<br />beneficiaries, so that it can satisfy any applicable repotting
<br />requirements. For example, a partnership that has any Indirect foreign
<br />partners may be required to camplele Schedules K-2 and K-3. See the
<br />Par•,nership htstn.,ct:ons for Schedules K-2 anr. K•3 (Forth 1065).
<br />Purpose of Form
<br />An Individual or entlty (Form W-9 requester) who Is required to rile an
<br />information return with the IRS is giving you this form because they
<br />Form w-9 (Rev. 3-2024)
<br />
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