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Agmt20 HCP, Met Life, SCOA
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Agmt20 HCP, Met Life, SCOA
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Last modified
11/18/2025 5:12:45 PM
Creation date
2/1/2022 9:02:05 AM
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Template:
Agreement
Contractor Name
HCP, Met Life, SCOA
PROJECT NAME
Levee Financing and Improvement Agreement
Date
10/27/2020
Reso Ref
15900
Amendment
Yes
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ATTACHMENT 6 <br />CERTIFICATE OF NON -FOREIGN STATUS <br />Section 1445 of the Internal Revenue Code provides that a transferee of a U.S. real <br />property interest must withhold tax if the transferor is a foreign person. To inform the transferee <br />that withholding of tax is not required upon the disposition of a U.S. real property interest by <br />, a ("Seller"), the undersigned hereby certifies <br />the following on behalf of Seller: <br />1. Seller is not a foreign corporation, foreign partnership, foreign trust or foreign <br />estate (as those terms are defined in the Internal Revenue Code and Income Tax Regulations); <br />2. Seller's taxpayer identification number is ; and <br />Seller's office address is , California <br />Seller understands that this certification may be disclosed to the Internal Revenue Service <br />by the transferee and that any false statement contained herein could be punished by fine, <br />imprisonment, or both. <br />Under penalties of perjury Seller declares that Seller has examined this certificate and to <br />the best of Seller's knowledge and belief it is true, correct and complete, and Seller further <br />declares that Seller has authority to sign this document. <br />Dated: <br />SELLER: <br />a <br />By: <br />Its: <br />By: _ <br />Its: <br />By: <br />Name: <br />Title: <br />[signature must be notarized] <br />OAK #4819-4834-1908 v20 Attachment 6 to Exhibit C <br />
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