Step 1: Write second polynomial below the first one. Making sure like terms are lined up.
$$ \begin{array}{lrrrr} & 9x^3 & 5x^2 & -x & -9 \\ \color{red}{ - } & & x^2 & -9x & 4 \\ \hline \end{array} $$Step 2: Change ALL the signs in the second row.
$$ \begin{array}{lrrrr} & 9x^3 & 5x^2 & -x & -9 \\ \color{red}{ - } & & -x^2 & 9x & -4 \\ \hline \end{array} $$Step 3: Combine like terms (add each column):
$$ \begin{array}{lrrrr} & 9x^3 & 5x^2 & -x & -9 \\ \color{red}{ - } & & -x^2 & 9x & -4 \\ \hline & 9x^3 & 6x^2 & -10x & -5 \end{array} $$