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Fn W-9 Pev. 3-20241 <br />Certain payees and payments are exerWl from backup vrithholding. <br />See. Exampt payee code, later, and the separate Instructions for the <br />Requester of Form W-9 for more information. <br />See also Establishing U.S, status for purposes of chapter and <br />chapter 4 withholding, earlier. <br />What Is FATCA Reporting? <br />The Foreign Account Tax Complianoe Act IFATCAi requires a <br />participating foreign Financial institution to r:p(r all U.S. account <br />holders that are specified U.S. persons. Certain payees are exempt from <br />FATCA reporting. See Exemption from FATLft reporffng code. later, and <br />the instructions for She Requester of Form W-9 for more information. <br />Updating Your Information <br />You must provide updated information to any person to whom you <br />claimed to be an exempt payee if you are no longer an exempt payee <br />and anticipate receiving reportable payments in the future from this <br />person. For example. you may need to provide updated information if <br />you are a C corporation that elects to be an S corporation, or if you are <br />no longer tax exempt. In addition, you must kanish a new Form W-9 if <br />the name or T)N changes for the account. for example. if the grantor of a <br />grantor trust dies. <br />Penalties <br />Failure to furnish TIN. If you fail to furnish your correct TIN to a <br />requester, you are subject to a penalty of 950 for each such faaure <br />unless your failure Is due to reasonable cause and not to wllfvl neglect. <br />Civil penalty for false infortnalion with respect to withholding. If you <br />make a false statement with no reasonable basis that resuh5in no <br />backup withholding, you are subject to a S500 penalty. <br />Criminal penalty for fals)fyincg information. 4Ylifu[ly folsifying <br />certifications or affirmations may subject you to criminal penalties <br />including fines and/or imprisonment <br />Misuse of TINS. If the requester discloses or uses TINS in violation of <br />federal law. the requester may be subject to cril andcriminal penalties. <br />Specific Instructions <br />Line 1 <br />You must enter one of the following on this line; do not leave this line <br />blank. The name should match the name on your tax return. <br />If this Form W-9 is for a joint account (other than an account <br />maintained by a foreign financial institution (FFfjf. fist first. and then <br />circle. the name of the person or entity whose number you entered rn <br />Part i of Fdtrm W-9. if you are provir5ng Form W-9 to an FH to document <br />a joint account. each holder of the account Ore is a U.S, person must <br />provide a Form W-9. <br />• individual. Generally. enter the name shown on your tax return. If you <br />have changed your last namewhhout informing the Social Security <br />Administration (SSA) of the name changer. anteryour first name. the last <br />name as shown on your social security card. and your new last name. <br />Note for [TIN applicant: Enter your indrr�idual name as it was entered <br />on your Form W-7 application. line ia. This should also be the cams as <br />the name you entered on the Form 1040 you filed with your application. <br />• Sole proprietor. Enter your individual name as sttpYm on your Form <br />1040 on fine 1. Enter yaur business, trade. or 'doing business as PGA) <br />name on line 2. <br />• Partnership, G corporation. S corporation, or Luc, voter than a <br />disregarded entity. Enter the entity's name as Shown on the entity's tax <br />return on line 1 and any business, trade, or DGA name on line 2_ <br />• Other entities. Enter your name as shown on raquired U.5_ federal tax <br />documents on line 1. This name should match the name shown on the <br />charter or other legal document creating the entity. Enter any business. <br />trade, or DBA name on line 2_ <br />• Disregarded entity. In general, a business entity that has a single <br />owner, including an LLC. and is not a carp oration, is disregarded as an <br />entity separate from its owner (a disregarded entity). See Regulations <br />section 301.7701-2(c)(2). A disregarded entity should check the <br />appropriate box for the Sax classification of its owner. Enter the owner's <br />name on fine 1. The name of rite owner entered on line 1 should never <br />bee disregarded entity. The name on line 1 should be the name shown <br />on the income tax return on which the income should be reported. Far <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 18 of 21 <br />page 3 <br />example, if a foreign LLC that is treated as a disregarded esttity for U.S. <br />federal tax purposes has a single owner that is a L.S. persrwt. the U.S. <br />mvrier's name is requirad to be provided on iine,1. If the direct owner of <br />the entity is also a disregarded entity. anter the first arm that is not <br />disregarded for federal tax purposes. Enter the disregarded entity's <br />name on hoe 2. If the owner of the disregarded entity is a foreign person, <br />the owner must complete an appropriate Form111.8 imtead of a Form <br />W-9_ This is the case even it the foreign person has a U.S. TIN. <br />Line 2 <br />If you have a business name. trader name, DRA rime. or disregarded <br />entity name, enter it an line 2. <br />Line 3a <br />Check the appropriate box on line Sa for the U.S. federal tax <br />classification of the person intone name is entered :Ln line 1. Check only <br />one box on line 3a. <br />IF the entity/individual on line 1 <br />THEN check the box for... <br />is a(n)... <br />• Corporation <br />Corporation_ <br />• Individual or <br />Individuabrsola_ proprietor. <br />• Sole proprietorship <br />• LLC classified as a partnership <br />Limited liability company and <br />for U.S. federal tax purposes or <br />enter the appropriate tax <br />• LLC that has filed Form 8832 or <br />classification: <br />2553 electing to be taxed as a <br />P = Partnership_ <br />corporation <br />C = C corporation. or <br />S = S corporation_ <br />• Partnership <br />Partnership. <br />• Trust/estate <br />Trust'estate. <br />Line 3b <br />Check this box rf you are a partnership (including an LLC classified as a <br />partnership for U.S. federal tax purposes). trrssL er estate that has any <br />foreign partners. owners. !)r beneficiaries. and you are proAding this <br />form to a partnership. trust a estate, in which you nave an ownership <br />interest. You must check the box on lane 3b it you receive a Forin W8 <br />(or documentary evidence) from any partner, owner, or berf=fic iary <br />establishing foreign status or it you receive a Form `#-4 from any <br />partner, owner. or beneficiary that has checked the box on line W <br />Note: A partnership that provides a Form W-9 and cb_=d(s box 3b may <br />be required to complete Schedules K-2 and K-2 (Form 1 CBSy. For miens <br />information. see the Partnership IrGtixtioris for Schedules K-2 and K-3 <br />(Form 1065)_ <br />it you are required to comptpte line 3b but tail to do so. you may not <br />receive the information necessary to file a contact information return with <br />the IRS or furnish a correct pay -us staterrrerit to your partners or <br />beneficiarias. See. for example. sections 6MO, 6722 and 8724 for <br />penalties that may apply. <br />Line 4 Exemptions <br />if you are exempt from backup wilf ihoidng anWor FAT CA reporting. <br />enter in the appropriate space on line 4 any cade(s) that may apply to <br />you. <br />Exempt payee code. <br />• Generally, individuals (including sole proprietors) are mat exempt from <br />backup withholding. <br />• Except as provided below. corporations are ersmpt from backup <br />withholding for certain payments, inclWiOg interest and dridands. <br />• Corporations are not exa<mpt tram backup Wttlteiding for payments <br />matte in settlement of payment card or third -party r*tWc144 transaction. <br />• Corporations are not exempt from backup wrfh olding with respect to <br />attomeys' fees or gross proceeds paid to attorneys and corporations <br />that provide medical or health care se-r ices are not exerPPI with respect <br />W payments raponable on Form 1 D99W IX - <br />The following codes identity payees that ar= exempt from backup <br />withholding. Enter the appropriate code in the space On One 4. <br />1—An Organization exempt from tax under se. -iron 501(a), any IRA. or <br />a custodial account under section sp3fDjf71 if the account satisfies the <br />requirements of section 401(fl(2). <br />