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<br />YEAR <br />2006 <br /> <br />Real Estate Withholding Certificate <br /> <br />CAUFORNIA FORM <br />593-C <br /> <br />Part 1 Seller's Information <br />Name (including spouse, if jointly owned - see instructions - type or print) <br />Richard E. Gardella <br /> <br /> <br />Address (number and street) '-:;( 0''"';).. \" <br />";'J I <1 u ..-C<..d -'C)....d.. ~ ~ i () ;:) <br /> <br />City, State, ZIP COde-:Re..d~ccd. ~ L0+ C; '/-6 ~ .3- <br /> <br />Property address (if no street address, provide parce number and county) <br />777 Bradford Street Redwood Ci CA <br />Read the following and check the appropriate box. (See line-by-Iine notes in the instructions.) <br /> <br />Part II - Certification which fully exempt the sale from withholding: <br />1. Does the property qualify as the seller's (or decedent's, if being sold by the decedent's estate)orincioal residence within the <br />meaning of Internal Revenue Code (IRe) Section 121? <br /> <br />2. Did the seller (or decedent, if being sold by the decedent's estate) last use the property as the seller's (decedent's) principal residence <br />within the meaning of IRC Section 121 without regard to the two-year time period? ...................... <br />3. Will the sellers have a loss or zero aain for California income tax purposes on this sale? (To check "YES", you must complete Form <br />593-L, Real Estate Withholding - Computation of Estimated Gain or Loss, and have a loss or zero gain on line <br /> <br />16.) ............................. <br />4. Is the property being compulsorily or involuntarily converted and does the seller intend to acquire property that is similar or related in <br />~~~i~:~~0~s~0~3~ualify for nonrecognition of gain for cal'~;~ ~~;o(~; texZ~~S~SI ~ind~/{v t-:.//~ /" ' <br />f . t ff.~!...... {.fIif-.,.~.f;...<I.:::.. ....... ............. <br />5. Will the transfer qualify for nonrecoanition treatment under IRC Section 351 (transfer to a corporation controlled by the transferor) <br />Or IRC Section 721 (contribution to a partnership in exchange for a partnership interest)? ,..................................................... <br />6. Is the seller a corporation (or an LLC classified as a corporation for federal and California income tax purposes) that is either qualified <br />through the California Secretary of State or has a permanent place of Business in California?,..................................................... <br />7. Is the seller a partnership (or an LLC that is classified as a partnership for federal and California income tax purposes and is not a <br />disregarded single member LLC) with recorded title to the property in the name of the partnership or LLC? <br />(If yes, the partnership or LLC must withhold on nonresident partners or members as required) ............................................... <br />8. Is the seller a tax-exempt entity under either California or federal law? ,..................................................... <br />9. Is the seller an insurance company, individual retirement account, qualified penSion/profit sharing plan, or charitable remainder of <br />trust? <br /> <br />Part III - Certifications which may partially or fully exempt the sale from withholding: <br />Escrow Officer: See instructions for amounts to withhold. <br />10. Will the transfer qualify as a simultaneous like-kind exchanae within the meaning of IC Section 1031? ...................................... <br />11. Will the transfer qualify as a deferred like-kind exchanae within the meaning of IRC Section 1031? ...................................." <br /> <br />12. Will the transfer of this property be an installment sale that you will report as such for California tax purposes and has the buyer <br />agreed to withhold on each principal payment instead of withholding the full amount at the ti ransfer? <br /> <br />Part IV - Seller's Signature <br />Under penalties of perjury, I hereby certify that the information proyided above is, to the <br />Will promptly inform the withholding agent. I understand that completing this frr <br />return to report this sale. <br /> <br />Seller's name (type or print) Richard E. Gardella Seller's signa I t _4/-1'4- <br /> <br />Spouse's Name Spouse's sig re <br /> <br />Private Mailbox no. <br /> <br />Note: If you do not furnish your tax ID <br />number this certificate is void. <br /> <br />Ownership percentage <br />50% <br /> <br /> <br />YES NO <br />D []] <br />D []] <br />D []] <br />~ ~ <br />D []] <br />D []] <br />D ~ <br />D []] <br />0 []] <br />D ~ <br />D ~ <br />D ~ <br /> <br />Seller: <br /> <br />If you checked "YES" to any question in Part II, you are exe ",pt from real estate withholding. <br />If you checked "YES" to any question in Part III, you may qualify for a partial or complete withholding exemption. <br />If you checked "NO" to all of the questions in Part II and Part III, the withholding will be 3 1/3 percent of the total sales price. <br />If you are withheld upon, the withholding agent should give you two copies of Form 593-B, Real Estate Withholding Tax Statement. Attach <br />one copy to the lower front of your California income tax return and keep the other copy for your records. <br /> <br />For Privacy Act Notice, get form FTB 1131. (Individual only) <br /> <br />593C05103 <br /> <br />Form 593-C C2 2005 <br /> <br />We hereby cert!fy thM to be a true and <br />correct copy of ilK; <n,L1a/. <br />FIRST AMERICANfi,J: INSURANCE <br />COMPANY <br />By ~4~..,",_ <br />