RecDoc2022-081041 1231 Warren St. #105

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EXHIBIT G Form of Written Certification of Purchase and Sale in Conformance with Occupancy, Refinancing, and Resale Restriction Agreement with Option to Purchase To: City of Redwood City ("City-) From: Address of Home: Date: - [name of current owner(s)/seller] ("Seller(s)") and [name of purchaser(s)] ("Purchaser(s)") ("Home") By signature below, [insert name or names of Seller] and , [insert name or names of Purchaser] hereby certify to the City under penalty of perjury as follows: I . We, as Seller and Purchaser of the Home, which is subject to an Occupancy, Refinancing, and Resale Restriction Agreement with Option to Purchase entered into between the Seller and the City (the "Resale Restriction Agreement'), have provided the City with the sales contract for the sale of the Home from Seller to Purchaser, and related documents that provide (a) the sales price of the Home; b) the price to be paid by the Purchaser for the Seller's personal property, if any, (c) for the services of the Seller, if any, (d) escrow costs and charges, (c) Realtor broker fees and any other resale costs, charges credits, allowances or other consideration, if any, and these documents have been reviewed and approved by the City (the "Purchase and Sale Documents"). A true and correct copy of the Purchase and Sale Documents are attached to this Certification as Attachment No. 1. 2. The Home will be sold and escrow on such sale will be closed in accordance with the terms of the Purchase and Sale Documents. 3. Purchaser or any other party has not paid and will not pay to the Seller, and the Seller has not received and will not receive from Purchaser or any other party, money or other consideration, including personal property, in addition to what is set forth in the Purchase and Sale Documents. 4. Seller and Purchaser acknowledge and agree that in the event that a Transfer, as defined in the Resale Restriction Agreement, is made in violation of the terms of the Resale Restriction Agreement, or false or misleading statements are made in any documents or certification submitted to the City, the City shall have the right to foreclose on the Home or file an action in law or in equity as may be appropriate. S. Seller and Purchaser acknowledge and agree that in any event, any costs, liabilities or obligations incurred by Seller and Purchaser for the return of any moneys paid or received in violation of the Resale Restriction Agreement or for any of the Seller's and/or Purchaser's costs and legal expenses, shall be borne by Seller and/or Purchaser and they shall hold the City and its REV: 06-30-22 SK ATTY/AGR.2022.166/Hugo Alberto Zarco Vargas & Andrea Vergara Cardenas (Page 38 of 40)