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Form 14r-9 IRev. 3-2024) Part II. Certification To establish to the withhotding.agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the vrithhold N agent even If iten, 1. 4, or 5 below indicates Aerwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity. the person identified on line I must sign. Exempt payees. see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. i. interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during f983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 11983 and broker accounts considered inactive during 1993. You must sign tha certification or backup withhoiding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross Out item 2 in the certification before signing the form. 3_ Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4.Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments' include payments made in the course of the requester's trade or business for rents, royalties. goods (other than bills for merchandise). medical and health rare services (including payments to corporations). payments to a nonemployee for ser4-ices, payments made in settlement of payment card and third -party network transactions. payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). S. Mortgage interest paid by you, acquisition or abandonment of secured property. cancellation of debt, qualified tuition program payments (under section 529). ABLE accounts (under section 529A)r IRA, Coverde(i ESA, Archer RASA or HSA contributions or distributions, and pension distributions, You must give your correct TIN. but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account: Give name and SSN of: 1. individual The individual 2. Two or more individuals 6oint account) The actual owner of the account or. other than an account maintained by if combined funds, the fist individual an FR on the account' 3. Two or more U.S. persons Each holder of the account ✓joint account maintained by an FFI) 4- Custodial account of a minor The minor (Uniform Gift to Minors Act) =, a. The usual revocable savings trust The grantor -true (grantor is also trustee) b. So-called tn: st account that is not The actual owner' a legal or valid trust under state law o. Sole pmprietomlup or dismgar6ed The owner entity owned by an individual 7- Granter trust filing under Optional The grantor' Fling Method 1 (see Regulations section 1.671-41b)(2)(d(A))" Kittitas County Agreement for Services (rev. 5/14/25) Page 20 of 21 page 5 For this type of account: Give name and EIN of: a. Flrr!•p:uded iota( not awned byan The owner jj a. A svfd mzt. Mate. or Pe'-6- tr—' Legal entity+ 1a. Corpvafian or LLC 0ectin4 =Pgrale The corporation staksaon Farm a= or Form 2553 11. AnodciA. chmrezbL-. The ofganizaticn edtr3tien:3. or ititzr tmc-expltF1 argani2ation 12. Pwvwship x rxubi-m'trnber, LLC The partnership 13 A broker or r+.s]i:,1sr:d nominee The broker or nominee 14Act wr�h the Oepwtrntntn1 The public entity j grid ?Iffe ri the ria•'rre 7f 3 nublic entity fsurh as a stale or kc:9 t L:Pmm. ne m school diatnm orwi, nl that receives agrocultural prWem vmnnents 15, Grantor VW1 fitrq Farm 1C41 or The trust under the Optional Filing Method 2. rpauiring Form 1099 fxe RagUlh:lors ceclion 1.571.4(bV-Mi ))' ' List first and Circle the name of the person whose number you furnish. ff only one parson on a joint account has an SSN, that person's number must be furnished. Circle the minors name and Furnish the minor's SSN. -You must show yqur individual name on line 1. and enter your business or 09A name. if any, on tine 2. You may use either your Wlor EIN (if you have one), but the IF-9 encourages yo�,s to use your SSN. ' List first and circle the mine of the trust. estate. or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the aecaunt bile.) 'Note: The grantor must also provide a Form W-9 to the trustee of the trust. "For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: If nti name is circled when more than one dame is Iisted, the number vrill be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs :when sumeonF uses your Personal information. such as your name. SSN. er ether identifying mforination without your permission to c*rraWFt fraud or other crimes, An identity thief may use your SSN to get a job er may fide a tat return using your SSN to receive a refiind- To reduce your risk: • Protect your SSN. • F3lsure your employer is protecting your SSN, and Be careful when choosing a tax return preparer. 9 your tax records are affected by identity theft and you receive a notice from tf-.e IRS. respond right Wmay to the name and phone number pdffted on the IRS notice or letter - If your tax records are not ctxtently affected by identity theft but you think you are 3t risk due to a lost or stater purse or wallet. questionable credit card activity. or a questionable credit report, contact the IRS Identity Theft Fiolline at am-9o3-_f9O or submit Form 14039. For more information, see Pub..5027, Identity Theft Information for Taxpayers.