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Rush Lake Property Owners Association P.O. Box 78 Pinckney, Michigan 48169 734-878-0340 rushlakepoa@yahoo.com Tax Forms The accountant for the Association requires us to have on file the attached forms. The form on the letterhead is to prevent the Association from being held liable for any injuries or employment taxes resulting from our contract with your company. The Internal Revenue Service Form W-9 is a request for taxpayer identification and certification. There is also a detailed instruction sheet for this form. The highlighted areas need to be completed. This form is not filed with the government but kept in our files in case the Internal Revenue Service ever questions our accounts. The form is our proof as to whether or not it was necessary for us to file a 1099 for the payments we made to you. It also certifies to us that you are not subject to backup withholding. Please complete the attached forms and have them signed by the appropriate person. Our accountant has informed us without these completed forms for our records, we will be required to file a 1099 for payments made. Those same payments could also be subject to backup withholding. If you have any questions, please call 734-878-0340. Rush Lake Property Owners Association P.O. Box 78 Pinckney, Michigan 48169 734-878-0340 rushlakepoa@yahoo.com Date ______________________________ This agreement entered into this date between RUSH LAKE PROPERTY OWNERS ASSOCIATION, (hereinafter called the Association), and ______________________________________________ for the performance of __________________________________________________ as directed by the parties herein agreed is an agreement by the parties that such services so provided, shall be those performed by the contract of the parties and that such parties shall in no way enter any employment contract for the performance of such services. It is further agreed that the Association shall not withhold, payover, remit, or be concurrently liable for any employment taxes that would arise out of any employer/employee relationship. Further, the Association may at its option, carry Workers Compensation Insurance covering the signatories of this agreement for the express purpose of indemnifying the Association against any liability for injury to the signatories of this contract. The parties to this agreement shall each use their own separate employees, materials, tools and equipment, knowledge and practices as is customary in the industry to complete said performance required under this agreement, and further, said subcontractor shall periodically submit billings to the Association as work progresses. Whereby setting our hand to this agreement, we the parties agree to the foregoing terms and conditions herein contained. For: The Association ________________________________________ President _________________________________ _____________________________________ Contractor Name Contractor Signature _________________________________ _____________________________________ Address E.I.N. _________________________________ City, State, Zip Code

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