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Form W-9 (Rev. 3-2024) <br />2—The {baled States or any of its agencies or instrumentalities. <br />3—A state, the District of Columbia, a U.S. commonwealth or territory <br />or any of their political subdivisions or instnm entafities, <br />4 — A foreign govemment or any of its political subdivisions. agencies. <br />or instrumentalities. <br />5—A corporation. <br />6—A dealer Ln securities cr commodties required to register in the <br />United States. the District of Columbia. or a U.S. commonwealth or <br />lemory. <br />7—A futures oammrssion merchant registered with the Commodity <br />Futures Trading Commission. <br />8—A real estate investment trust. <br />9--An entity registered at all times during the tax year under the <br />Investment Company Act of 1940. <br />10—A common trust fund operated by a bank under section 5"a). <br />11—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 from 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 patrortage dividends <br />• Payments over $500 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 Iransactians <br />1 See Form 1099-MISC, Miscellaneous Information, and its instructions. <br />2However. the following payments made to a corporation and <br />reportable on Form 1M-MISC we not exam pt from backup <br />withholding: medical and health care payments. attorneys' fees, grass <br />proceeds paid to an attorney reportable ur+dar section 6045(f). 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 reporting 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 form 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 she financial institution is <br />subject to these requirements. A requester may indicate that a code is <br />not required by providing you with a Form W-9 with 'Not Applicable" jot <br />any similar indication) entered on the lime for a FATCA exemption code. <br />A— An organization exempt Rom Iax under section $01(a) or any <br />individual retirsrnsrtt plan as defined in section 1701(aK37). <br />B—The United States or any of its agencies or instrumentalities_ <br />C—A stale. the District of Gotumbie. a U.S. commonweal lhor <br />territory. or any of their political subdiviewrrs or instrumentalities. <br />D--A corporation the stock of which is regularly traded on one or <br />more established securities markets. as described in Regulations <br />section 1.1472-11c)(V.$). <br />E—A corporation that is a member of the same expanded affihated <br />group as s corporation described in Regulations section 1 1472-11c lfli , <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 19 of 21 <br />Page 4 <br />F—Adealer insecuritiss.ccmmadities, crderivativa financial <br />instruments (including notional p ordeal contracts. futures. for.,ards. <br />and options) that is registered as such under t -e laws of the United <br />States or arry slate. <br />G—A real -state invesunerrt tn.s_ <br />H—A regulated investment ,_ampariy as defined in section 851 or an <br />entity registered at all limas during the tax year under the Investment <br />Comparry Act of 1940 <br />t—A common trust lurid as defined in sedan 584(a) <br />0—A bank as defined in section 581. <br />ii--A broker. <br />L—A trust axernpt from tax under section 664 or described in section <br />3947ja)(1). <br />M—A tax-exempt trust under a section 40:34bi plan Or section 457+,9) <br />plan. <br />Note: You may wish to consult with the financial inMilution requesting <br />this form to detemnin- whether the FATCA code and/or exempt payee <br />code should be completed. <br />Line 5 <br />Enter your address inrxttber. street and apartment or suite number). <br />This is where the requester of this Form W-9 Will mail your information <br />returns. If this address drlfers from the one the requester already has on <br />tile, enter 'NEW" at the tap. If a new address is provided, there is stiff a <br />chance the old address wilt be used until the payor changes your <br />address in their records. <br />Line 6 <br />Enter youu city. state- and ZIP code. <br />Part 1. Taxpayer Identification Number (TIN) <br />Enter your TIN in the appropriate box. if you are a resident align and <br />you do not have, and are not diygbEe to get. an SSH. yeur TIN is your <br />IPS MN. Enter it m the entry space for the Social security number. If you <br />do not have an rflN. sza Hcvr to get a T FP! below. <br />tf 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 o•rner's SS for EIN, if the saner has <br />one). If the LLC is classified as a onrmomton ar partnership. enter the <br />entity's EIN. <br />Note: See I'Vhar rNzwne and Numti To Give the Reque;,er. later, for <br />further clarification at name and TIN combinations. <br />How to get a TIN. if you do not have a TIN. 3Wj for ❑ne immediately. <br />To apply for an SSN, get Fomn SS-5. Application for a Social Security <br />Card. from your local SSA office or get this form online at <br />www.SSflgov. You may also get this form by calling 540-772-1213. Use <br />Form W-7. Application for IRS Indradual Taxpayar Identification <br />Number. to apply for an (TIN, or Form SS-4, Application for Employer <br />Identification Number. to apply for an EIN. You can apply for an SIN <br />online by accessing the IRS •meebsits at wrvw,hm govlEW. Go to <br />vrvrw1mg;o•r1Forms to view, dvmnlcad, or print Form W-7 and/or Form <br />SS-4, Or. you can go to rvrvuv.cs.govKirdsrFofms to place an order and <br />have Form W-7 and/or Form SS-4 rraifed to you within 15 business <br />days. <br />If you are asked to complete Form IN-9 but do not have a TI61, appl y <br />for a TIN and enter "Applied Fod' in tlx space for the TIN. sign and date <br />the farm. and give it to the requester. For interest and dividend <br />payments. arld certain payments made with respect to readily tradable <br />instruments. you wit generally Etas,* W days to get a TIN and give rt to <br />the requester before you are sr,lblect to ba(*JAp •withholding cm <br />payments. The 604ay rude does oat apply to other types of payments. <br />You will he subject to backup+ withhokicy on all such payments untll <br />you provide your TIN to the recflsster <br />Note: Entering 'Applied For' means that you have, already applied for a <br />TIN or that you intend to apply for one soon. See also Esrabbshing U.S. <br />snafus forpuToses otshapter3ar�d chapmr� wifhh+o?ding. earlier, for <br />when you may instead be subject to withhotding under chapter 3 or .3 of <br />the Code. <br />Caution: A dts�gardpd U,S. emity theI has a foreign owner must use <br />the appropriate Form W-3. <br />