2023 BP Dune Palms LP Non Foreign AffidavitAFFIDAVIT OF NON -FOREIGN ENTITY
TO: LA QUINTA HOUSING AUTHORITY ("Buyer")
The Internal Revenue Code of 1954 ("Code") (26 U.S.C. Sections 1445, 7701) provides that a
transferee of a U.S. real property interest must withhold tax if the transferor is a foreign person.
To inform the transferee that withholding of tax is not required upon transfer of that certain U.S.
real property interest described on Exhibit "A" hereto, and incorporated herein by reference
("Property"), that the undersigned ("Seller") hereby certifies the following:
1. Seller is not a foreign corporation, foreign partnership, foreign trust or foreign estate (as
those terms are defined in the Internal Revenue Code and Income Tax Regulations); and
2. The U.S. taxpayer identification number for Seller is 88-4265692; and
3. The address for mailing purposes of Seller is: 1129 Industrial Ave, Ste. 205, Petaluma,
California 94954; and
4. Seller understands that this certification may be disclosed to the Internal Revenue Service
by Buyer and that any false statement contained herein could be punished by fine,
imprisonment, or both.
Under penalty of perjury, I declare that I have examined this Certification and to the best of my
knowledge and belief, it is true, correct, and complete, and I further declare that I have authority
to sign this document on behalf of Seller.
SELLER:
BP Dune Palms LP,
a California limited partnership
By: Blackpoint Properties, LLC,
a California limited liability company,
its General Partner
�-�eri, MInager
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A Notary Public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the truthfulness,
accuracy, or validity of that document.
State of California
County of a ,� 0 m a
On �1 c �c117Rr— 30 , arJ�,3 , before me,
c (insert name and title of the officer)
�,
Notary Public, personally appeared ���
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature 4 L_ Seal
r A. BEC&C
6 COMM. #2408137 M
NOTARY PUBLIC -CALIFORNIA
�I SONOMACOUN'rY - ®►
V My Comm. Expires Juno 16, 2026
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EXHIBIT "A"
LEGAL DESCRIPTION OF PROPERTY
The land referred to herein is situated in the State of California, County of Riverside, City of La Quinta
and described as follows:
Parcel 1 of Parcel Map 38668 in the City of La Quinta , County of Riverside, State of California, per map
recorded in Book 257 pages 35 throught 38 of Parcel Maps, records of Riverside County, California.
APN: Portion of 600-030-038
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