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Form W-9 (Rev. 3-2024) <br />2—The United States or any of its agencies or instrumenlabbes. <br />3 — A state. the District of Columbia. a U.S. commonwealth or territory. <br />or any of their political subdivisions or instrumentalities. <br />a —A foreign government w any of its political subdivisions. agencim <br />or instrumentalities. <br />5—A corporation- <br />6 —A dealer in securities or commodities required to register in the <br />United States. the District of Columbia, or a U.S. commonwealth or <br />territory. <br />7—A futures commission merchant registered with the Commodity <br />Futures Trading Commission. <br />8—A real estate investment trust. <br />9—An entity registered at ail times during the tax year under the <br />Investment Company Act of 1940. <br />i0—A common trust fund operated by a bank under section 584(a). <br />i 1—A financial institution as defined under section 581. <br />12—A middleman known in the investment community as a nominee or <br />custodian. <br />13—A trust exempt €rom tax under section 664 or described in section <br />4947. <br />The following chart shows types of payments that may be exempt <br />from backup withholding. The chart applies to the exempt payees listed <br />above, 1 through 13. <br />IF the payment is for ... <br />THEN the payment is exempt <br />for... <br />• Interest and dividend payments <br />All exempt payees except <br />for 7. <br />• Broker transactions <br />Exempt payees 1 through 4 and 6 <br />through 11 and all C corporations. <br />S corporations must not enter an <br />exempt payee code because they <br />are exempt only for sales of <br />noncovered securities acquired <br />prior to 2012. <br />• Barter exchange transactions <br />Exempt payees 1 through 4. <br />and patronage dividends <br />• Payments over $600 required to <br />Generally, exempt payees <br />be reported and direct sales over <br />1 through 5.2 <br />55.000, <br />• Payments made in settlement of <br />Exempt payees 1 through 4, <br />payment card or third -party <br />network transactions <br />See Form 1099-MISC, Miscellaneous Information, and its instructions. <br />z However. the following payrnents made to a corporation and <br />reportable on Form 1099-A+{iSG are not exempt from backup <br />withholding: medical and health care payments, attomeys' fees, gross <br />proceeds paid to an attorney reportable under section 6045(Ej, and <br />payments for services paid by a Federal executive agency. <br />Exemption from FATCA reporting code. The following codes identify <br />payees that are exempt from reporbrrg under FATCA. These codes <br />apply to persons submitting this form for accounts maintained outside <br />of the United States by certain foreign financial institutions. Therefore, if <br />you are only submitting this fotm for an account you hold in the United <br />States, you may leave this field blank. Consult with the person <br />requesting this form if you are uncertain if the financial institution is <br />subject to these requirements. A requester may indicate that a code is <br />not required by providing you with a Fors W-9 with "Not Applicable" (or <br />any similar indication) entered on the line for a FATCA exemption coda. <br />A —An organization exempt from tax under section 501(a) or any <br />individual reFirement plan as defined in section 7701(a)(37). <br />B—The United States or any of its agencies or instrumentalities. <br />C—A state, the District of Columbia, a U.S. commonwealth or <br />territory, or any of their political subdivisions or instrumentalities. <br />D—A corporation the stock of which is regularly traded on one or <br />more established securities markets. as described in Regulations <br />section 1.1472-1(c)(1)(). <br />E—A corporation that is a member of the same expanded affiliated <br />group as acorporation described in Regulations section 1,1472.1(cXlK). <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 21 of 23 <br />Page 4 <br />F--A dealer in securities, commodities, or derivative financial <br />instruments {ncluding notional principal contractst futures, for►vards. <br />and options) that is registered as such under the laws of the United <br />States or any state. <br />G—A red as tale investment trust. <br />H—A regulated investment company as defined in section 851 or art <br />entity registered at all times during the tax year under the Investment <br />Company Act of 1940. <br />I —A common trust fund as defined in section 584(a)- <br />3—A bank as defined in section 581. <br />K—A broker. <br />L—A trust exempt from tax under section 664 or described in section <br />4947 (a)(1). <br />M—A tax-exempt trust under a section 403[b) plan or section 457(g) <br />plan. <br />Note: You may wish to consult with the financial institution requesting <br />this form to determine whether the FATCA code and/or exempt payee <br />code should be completed. <br />Line 5 <br />Enter your address (numhar. street. and apartment or suite number). <br />Thia is where the requester of this Form W-9 will mail your information <br />returns. If this address differs from the one the requester already he on <br />file, enter `NEW" at the top. if a new address is provided. there is still a <br />chance the old address will be used until the payor changes your <br />address in their records. <br />Line 6 <br />Enter your city, state, and 21P code. <br />Part I. Taxpayer identification Number ITIN) <br />Enter your TIN in the appropriate box. If you are a resident alien and <br />you do not have. and are not eligible to get, an SSN. your TfN is your <br />IRS [TIN. Enter it in the entry mace for the Social security number. If you <br />do not have an ITIN. see Flow to ger a T7N below. <br />If you are a sole proprietor and you have an EIN, you may enter either <br />your SSN or EIN. <br />If you are a single -member LLC that is disregarded as an entity <br />separate from its owner. enter the owner's SSN (or EIN, if the owner has <br />one). It the LLC is classified as a corporation or partnership, enter the <br />entity's ON. <br />Note: See What Name and Number To Give the Requester, later. for <br />furlher clarification of name and TIN combinations. <br />How to get a TIN. II you do not have a TiN, apply for one immediately. <br />To apply Loran SSN. get Form SS-5. Application for a Social Security <br />Card, from your focal SSA office or get this form online at <br />www.SSAgov. You may also get this form by calling 800-T72-1213. Use <br />Form W-7. Application for IRS Individual Taxpayer Identification <br />Number. to apply for an ITIN. or Form SS-4, Application for Employer <br />Identification Number, to apply for an EIN. You can apply for an EIN <br />online by aocessing the IRS webshe at www.irs.govION. Go to <br />wwsv mgov1Forms to view, download, or print Form W-7 and/or Form <br />SS-4. Or. you can go to wwiv.irs.gov1OrdarFarrns to place an order and <br />have Form W-7 and/or Form SS -A mailed to you within 15 business <br />days. <br />It you are asked to complete Form W-9 but do not have a TIN, apply <br />for a TIN and enter `Applied For" in the space for the TIN, sign and date <br />the form, and give it to the requester. For interest and dividend <br />payments, and certain payments made with respect to readily tradable <br />instruments, you will genera)ly have 60 days to get a TIN and give it to <br />the requester before you are subject to backup withholding on <br />payments. The 60-day rule does not apply to other types oI payments_ <br />You will be subject to backup withholding on all such payments until <br />you provide your TiN to the requester. <br />Note: Entering "Applied For' means that you have already applied for a <br />TIN or that you intend to apply toy one soon. See also EstabAshing i _S. <br />stalW for purposes of chapter and chapter 4 withholding, earlier. for <br />when you may instead be subject to withholding under chapter 3 or 4 of <br />the Code. <br />Caution: A disregarded U.S. entity that has a foreign owner must use <br />The appropriate Form W -a. <br />