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ATTACHMENT "E'r
<br />Fenn W'9
<br />Request for Taxpayer
<br />(new. March 2024)
<br />Identification Number and Certification
<br />[there Internal ent
<br />Department asue TreasuryicoCo
<br />to www.irs.gov/Fornri for instructions and the latest Information.
<br />Soo
<br />Give form to the
<br />requester. Do not
<br />send to the IRS.
<br />1 Name of ont ly/Individual. An entry is required. (For a solo propnolor or disregarded carry. enter the owner's name on line t and enter the business/dis cquice l
<br />entity's name on line 2.)
<br />2 ollslnaae 0am0/dlstogardod entity imm0, it different from above. �^
<br />m
<br />so Check the appropriate box for federal lax classification of the enGlyhndimduanvhose ,arm is enloretl on line 1. Chock
<br />4 Exemptians (codes apply only to
<br />rn
<br />silty one of the following seven boxes
<br />certain onlales, not individuals:
<br />�.
<br />o
<br />❑ IndWitluaVsole proprietor ❑ Ccorpormlon ❑ Scolporatlon ❑ Pnalomhip El TnlsUostato
<br />see Instructions on page 3g
<br />d c
<br />❑ I.I.C. Enter Ilia tax classIflimpon (C = C comomllon, S = S rorporalion, P = Partnership) . .
<br />Exempt Payne code (if any)
<br />Note: Check him"L-C" box above and, In the entry space, enter the appropriate code (C, S, or P) for Ilia tax
<br />to
<br />eiassifiealion of Iho LLC, unless It is a disregarded entity. A disregarded entity should Instond check Ilia Appropriate
<br />Exemption (torn Foreign Account Tax
<br />`o
<br />box for the lax cluslfication of its owner.
<br />Compliance Act(FATCA) roporling
<br />CG
<br />❑ Other farm Instmetlons)
<br />coda if any)
<br />w----
<br />--------' ---
<br />ab It oil line 3a yeu checked "Partnership" or"I'rusbv sltrta," or checked "LLC" And entered "P" on its tax classification,
<br />t
<br />(Applio9 to accmunls mainMined
<br />oulla.)
<br />and you are providing thin form to a partnership, trust, or estate in which you have in ownership interest, check
<br />oufsI the United
<br />pt
<br />alln box If you have Ally forelon partmera, owners, Or consolidation. Soriano nV0otions ❑
<br />$ Addrese (Alan ibrr, ehBet, and Apl. er at1118IM.1. SAe ln'truEhals.
<br />Requesters IINIIIB Nnd edAleBe (Op1I011a))
<br />6 City, $into, and ZIP code
<br />T L,sl account no n lar(s) here imA onah
<br />Taxpayer Identification Number (TIN)
<br />-
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
<br />I Social security number
<br />backup withholding. For individuals, this is generally your social security number (SSN). IFlowovor, for a
<br />j�
<br />resident alion, solo proprietor, or disregarded onlily, see the instructions for Furl 1, later. For oih0r
<br />ICI
<br />_ m ^
<br />entitles, it is your employer identification number (FIN). If you do not have a number, see How to gel a
<br />or
<br />TIN, later.
<br />Note: If the accent is in more than one name, sea the instructions for line 1. Soo also What Name and
<br />Number To Give the Roqumdor for guidelines on whose number to enter.
<br />Under penalties of perjury, I certify that;
<br />1. The number shown on this form is my correct taxpayor identification number (or I mn waiting for a number to bo Issued to mo); 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 an
<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 corals) opened on this form (if any) Indicating that I an exempt from FATCA reporting is correct.
<br />Certification Instructions. You must cross out item 2 above It 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, than 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 scan the certification, but You must provide Your correct TIN. Soo the instructions for Pan II, later.
<br />Sign (Signature of
<br />Hera U.S. person Date
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />Flood.
<br />Future developments. For the latost Information about developments
<br />related to Form W-9 and Its instructions, such as legislation enriched
<br />attar they were published, go to wmv1rs.gmcirormW9,
<br />What's New
<br />Line 3o has been modified to clarity how a disregarded entity completes
<br />this line. An LLC that Is a disregarded entity should check the
<br />nppropriato box for the tax classification of its owner. Otherwise, it
<br />should check the "LLC" box and enter its appropriate bur classification.
<br />Cat. No, 10231X
<br />Kittitas County Agreement for Services (rev. 5/14/25)
<br />Page 14 of 20
<br />Now line 3b has been added to this form. A flow -through entity Is
<br />required to complete this line to indicate that it has direct or Indirect
<br />foreign partners, owners, or beneficiaries when it provides the Form W-9
<br />to another flow -through entity in which it has al ownership Interest. This
<br />change Is intended to provide a flow -through entity with information
<br />regarding the status of its indirocl foreign partners, owners, or
<br />beneficiaries, so that it can satisfy any applicable reporting
<br />requirements. For example, a partnership that has any Indirect foreign
<br />partners may be required to complete Schedules K-2 and K-3. Sao 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 life al
<br />information return with the IRS is giving you this form because they
<br />Form W-9 (nov. 3-2024)
<br />
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