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2003 Mannino - Grant Deed DOC # 2003-507393first ril' w i6a.,, ! ILlt Gu6rpany RECORDING REQUESTED BY AND WHEN RECORDED RETURN TO: CITY OF LA QUINTA 78-495 Calle Tampico La Quinta, CA 92253 Attn: City Manager OOC a 2003-507asa 07/08/2003 08:00A Fee:NC Page 1 of 18 Doc T Tax Paid Recorded in Official Records County of Riverside Gary L. Orso Assessor, County Clerk & Recorder 1111111111111111111111111111111111111111111111111111111 (Exempt from Recordation Fee per Gov. Code § 6103)-- -- %`� �JY nn 3,�) T% ; 0�-13i.� GRANT DEED J•�.f• • 1 %� LLJJ FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, by and between DOMINIC A. MANNINO AND PATRICIA J. MANNINO, HUSBAND AND WIFE, JAY FRANK MANNINO, AS HIS SOLE AND SEPARATE PROPERTY, JODI ELIZABETH MANNINO, AS HER SOLE AND SEPARATE PROPERTY, JAN MARIE ,N SATTERFIELD, AS HER SOLE AND SEPARATE PROPERTY, PHILLIP N. BINDER, TRUSTEE OF THE CHRISTOPHER J. MANNING TRUST U/I/D MARCH 5, 1986, PHILLIP N. BINDER, TRUSTEE OF THE JASON MICHAEL MANNING TRUST U/I/D MARCH 5, 1986, PHILLIP N. BINDER, TRUSTEE OF THE LINDSAY RAE SATTERFIELD TRUST, �-- PHILLIP N. BINDER, TRUSTEE OF THE EMILY ROSE SATTERFIELD TRUST, PHILLIP N. BINDER, TRUSTEE OF THE HAILEE ANN SATTERFIELD TRUST AS THEIR INTERESTS APPEAR OF RECORD (jointly, severally, and collectively, the "Grantor"), hereby grants to the CITY OF LA QUINTA, a California municipal corporation ("Grantee"), `QO that certain real property ("Property") located in the City of La Quinta, County of Riverside, State of California, legally described and depicted in Attachment No. 1, which is attached hereto, and incorporated herein by this reference, subject to all matters of record. [end — signature page follows] 882/015610-0064 1 377076.03 a03/11/03 "Seller" DOMINIC A. MANNINO AND PATRICIA J. NN O, HUSBAND AND WIFE, / By Dominic A. Mannino / BIe cud✓ c % i�%`-� /Patricia J. MKhnino JAY FRANK MANNINO, AS HIS SOLE AND SEPARATE PROPERTY, Jay Frank Mannino JODI ELIZABETH MANNINO, AS HER SOLE AND SEPARATE PROPERTY, . - By Jodi Elizabeth Mannino JAN MARIE SATTERFIELD, AS HER SOLE AND SEPARATE PROPERTY, By Jan Marie Satterfield PHILLIP N. BINDER, TRUSTEE OF THE CHRISTOPHER J. MANNING TRUST U/I/D March 5, 1986 r BY Phillip N. Binder low PHILLIP N. BINDER, TRUSTEE OF THE JASON MICHAEL MANNING TRUST U/I/D March 5, 1986 By ✓�,� Phillip N. Binder [signatures continued on next page] 882/015610-0064 377076.03 a03/11/03 2 2003-507393 03/31/03 MON 11:24 FAX 760 322 5121 TUVERSON & HILLYARP PS B OOS "Seller" DOMINIC A. MANNINO AND PATRICIA J. (MANN—NO% HUSBAND AND WIFE, By Dominic A. Mannino Patricia J. Mannino JAY FRANK MANNINO, AS HIS SOLE AND SEPARATE PROPERTY, By ank Manni o JODI ELIZABETH MANNINO, AS HER SOLE AND SEPARATE PROPERTY, By Jodi Elizabeth Mannino JAN MARIE SATTERFIELD, AS HER SOLE AND SEPARATE PROPERTY, Div Jan Marie Satterfield PHILLIP N. BINDER, TRUSTEE OF THE CHRISTOPHER J. MANNING TRUST UIUID March 5, 1986 By _ Phillip N. Binder PHILLIP N BINDER, TRUSTEE Of THE JASON MICHAEL MANNING TRUST U/I/D March 5, 1986 By _ Phillip N. Binder [signatures continued on next page] 952M1161MON 7 377076 03 o43n I m3 IIIIII N F1l16e,/ F0f,Fly 1F108 WE IIIIIIIIIIIIII WEIIIIIIIII III11111 "Seller" DOMINIC A. MANNINO AND PATRICIA J. (MWN—N—O, HUSBAND AND WIFE, By � Dominic A. Mannino Byte Patricia J. Mitrinino JAY FRANK MANNINO, AS HIS SOLE AND SEPARATE PROPERTY, By. Jay Frank Mannino JODI ELIZABETH MANNINO, AS HER SOLE AND SEPARATE PROPERTY, B `1�,Ov►� Y Jo Elizabeth NAnnino JAN-MARIE SATTERFIELD, AS HER SOLE AND SEPARATE PROPERTY, By Jan Marie Satterfield PHILLIP N. BINDER, TRUSTEE OF THE CHRISTOPHER J. MANNING TRUST U/I/D March 5, 1986 By Phillip N. Binder PHILLIP N. BINDER, TRUSTEE OF THE JASON MICHAEL MANNING TRUST U/I/D March 5, 1986 By Phillip N. Binder [signatures continued on next page] 882/015610-0064 377076.03 a03/11/03 2 I�IIIIINIIIIdIIIIIti�hININInIIN�III�NIYI • aPo'�P�:' � 4 882/015610-0064 377076.03 a03/11/03 "Seller" DOMINIC A. MANNINO AND PATRICIA J. ANN O, HUSBAND AND WIFE, By Dominic A. Mannino B �[�e.c r r!�✓ L r %j✓terra-� atricia J. M nnino JAY FRANK MANNINO, AS HIS SOLE AND SEPARATE PROPERTY, By Jay Frank Mannino JODI ELIZABETH MANNINO, AS HER SOLE AND SEPARATE PROPERTY, By Jodi Elizabeth Mannino JAN MARIE SATTERFIELD, AS HER SOLE AND SEPARATE PROPERTY, Bye'.,, Marie Satterfield PHILLIP N. BINDER, TRUSTEE OF THE CHRISTOPHER J. MANNING TRUST U/I/D March 5, 1986 By Phillip N. Binder PHILLIP N. BINDER, TRUSTEE OF THE JASON MICHAEL MANNING TRUST U/I/D March 5, 1986 By Phillip N. Binder [signatures continued on next page] 2 IIIImi n �.�<,�m "Seller" DOMINIC A. MANNINO AND PATRICIA J. ANN O, HUSBAND AND WIFE, By Dominic A�Mann�inoa���� B Patricia J. M nnino JAY FRANK MANNINO, AS HIS SOLE AND SEPARATE PROPERTY, By Jay Frank Mannino JODI ELIZABETH MANNINO, AS HER SOLE AND SEPARATE PROPERTY, By Jodi Elizabeth Mannino JAN MARIE SATTERFIELD, AS HER SOLE AND SEPARATE PROPERTY, By Jan Marie Satterfield PHILLIP N. BINDER, TRUSTEE OF THE CHRISTOPHER J. MANNING TRUST U/I/D March 5, 1986 By Phillip N. Binder PHILLIP N. BINDER, TRUSTEE OF THE JASON MICHAEL MANNING TRUST U/I/D March 5, 1986 By Phillip N. Binder [signatures continued on next page] 882/015610-0064 2 377076.03 a03/11/03 mumuouuuiHimimiuiumuumuuum „200°=@�3w PHILLIP N. BINDER, TRUSTEE OF THE LINDSAY RAE SATTERFIELD TRUST Phillip N. Binder PHILLIP N. BINDER, TRUSTEE OF THE EMILY ROSE SATTERFIELD TRUST By ✓i' Phillip N. Binder PHILLIP N. BINDER, TRUSTEE OF THE HAILEE ANN SATTERFIELD TRUST By Phillip N. Binder ATTEST: June Greek, Cit erk APPROVED AS TO FORM: RUTAN & TUCKER, LLP By: L_` Z\ M katherine Jenson, ity Attorney "Buyer" CITY OF LA QUINTA, a California municipal Corp/� City Manager 882/015610-0064 377076.03 a03/11/03 -3- II�I�NININmINIIIINIIIInIIUIII�IAINh � w;b�;w'%. GRANTEE'S ACCEPTANCE This is to certify that the interest in real property conveyed by the attached Grant Deed from Dominic A. Mannino, et at. ("Grantors"), to the CITY OF LA QUINTA, a California municipal corporation ("City"), is hereby accepted by the undersigned officer or agent on behalf of the City pursuant to authority conferred by Resolution 2002-86 of the City Council of the City adopted on June 18, 2002, and the Grantee consents to recordation thereof by its duly authorized officer. Dated: J�X�e 301;D3 Thomas P. Genovese Title: City Manager, City of La Quinta Attest: Phyllis Manley Title: Deputy City Clerk, City of La Quinta IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ^'„ FQ F0108 F,ef; 119/015610-0064 412693.01 AM03 STATE OF CAL.IFORNIA ) ) ss COUNTY OF RTVFRSTDE ) On March ac.) 2003 , before me, �/. M— (S, ��� ND�/ IIII, personally appeared DOMINIC A. MANNINO p sonall ow (or 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 capa.city(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. Witness my hand and official seal. V. M. GALLEGOS V COMM. #1400534 V NOTARY PUBLIC - CALIFORNIA RIVERSIDE COUNTY MYCOMM. EXPIRES FEB.13, 2007 [SEAL] STATE OF CALIFORNIA ) ss COUNTY OF RIVERSIDE ) V C Notary Public On March ,�(, 2003 , before me, Vu-, b �0� A /6� + , personally appeared PATRICIA J. MANNINO �1 so e (or 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. Witness my hand and official seal. V. M. GALLEGOS V COMM. #1400534 NOTARY PUBLIC - CALIFORNIA n NotaryPublic Y0RIVERSIDE COUNTY MCOMM. EXPIRES FEB.13, 2007 SEAL 892/015610-0064 377076.03 a03/11/03 _4 IIIIIIIII IIII IIIIII III IIIII IIIIII IIIIII III IIIII IIII IIII fd?r2f� '0 ©�of 8J�7F1fi 03/31/03 MON 11:25 FAX 760 322 5121 TUVERSON & HILLYARD PS Z 008 STATE OF CALIFORNIA ) ss COUNTY OF i y Ay ) On ,Z;1 k '. , before me, 2c)) ,,o, m , flay,-. _ (' �� o'fd personally appeared :--a�4 Ft e ill ",c,c� personally known to me { - to be the person(s) whose nam*) is/tee subscribed to the within instrument and acknowledged to me that he/sh LUwy executed the same in his/4iek4eii- authorized capacity(+ee), and that by his/herAheir signatureN on the instrument the person) or the entity upon behalf of which the personN acted, executed the instrument. Witness my hand and official seal. n.e.�w,:►.�w.s,�..�.ad..as�+e..s�,a �ree.x a,�-a r,•.� [SEAL] STATE OF CALIFORNIA ) ss COUNTY OF ) On personally appeared 2),' Y Q_ _ z�' Notary Public 4 V before me, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) 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 persons) or the entity upon behalf of which the person(s) acted, cxecuted the instrument. Witness my hand and official seal. Notary Public [SEAL] HU71015451 n.nn(A 377a76. 03 anti j I M3 -5- iiiuumu .re���of n�.R Under the provisions of Government Code 27361.7 I certify under the penalty of perjury that the notary seal on the document to which this statement is attached reads as follows: Name of Notary: Jefge%ooj A4 " L✓.ty d4 — eOp4f14A9 Commission #: 12701/040 Place of Execution: Date Commission Expires: Date: Signature: STATE OF CALIFORNIA ) ss COUNTY OF _'�-� ) On /L(4Wz ti A 2ct' _T -�%4" , before me, personally appeared �D/��� personally known to me (or proved to me on the basis of satisfactory evidence) to be the l�/ pe son( .whose name( is/are subscyibed o the within instrument and acknowledged to me that She/ fl y executed the same in hV//her/their authorized capacity(ieA, and that by hK/her/tlir signatureKon the instrument the person(lyfor the entity upon behalf of which the person(/ acted, executed the instrument. Wjtus ply h nil anti -fJ, ' I sr;,aI r KRISTOFER KOEBLITZK COMM. # 1222057 NOTARY FUPLIC-CALIFORNIA VENTURA COUNTY A ` oA COMM. EXP. MAY 28, 2003 Notary Public [SEAL] STATE OF CALIFORNIA ) ss COUNTY OF ) On personally appeared before me, personally known to me (or 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. Witness my hand and official seal. Notary Public [SEAL] 882/015610-0064 377076.03 a03/11/03 -7- i�uiinuiiuuiun�uini�uunuiuunini � �12 �e;,:� �i d ✓� STATE OF QALW,F3R i� ) ss COUNTY OR... — r Jv. `. �- �<� lrY...` ) On before n personally appeared IL jy�; fir' '7 personally kndwn to me (or 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. Witness my hand and official seal. [SEAL] STATE OF CALIFORNIA COUNTY OF On personally appeared ;1.. - *OTAq Notary Public • 9j� .,.8 L ••.P�, OF COLO My Commission E)#ms 04I101Z004 ss 6355 Wand Rd Anda, CO 9f1004 before me, personally known to me (or 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. Witness my hand and official seal. Notary Public [SEAL] 882/015610-0064 377076.03 a03/11/03 IN � 13 �'P,�:@p STATE OF CALIFORN ) COUNTY ss ) On 11 personally appeared (or proved to me on the basis of satisfactory evidence) to be the person(s4 whose name(a) is/af* subscribed to the within instrument and acknowledged to me that he/s4e44tey executed the same in his/koFA4eix authorized capacityO, and that by his/ker-,44@ir signature(4) on the instrument the person(.&4 or the entity upon behalf of which the person(-R) acted, executed the instrument. [SEAL] Witness my hand and official seal. SUSAN AGIERT Ca vnb$bn # 12WO NotaF► t%Jbrjc - calltnrnt0 los Coiu,tt, N+rcznt,. � �zaaw r 882/015610-0064 377076.03 a03/11/03 0 WE�mE�ut�wu�wun o<e�,;a9;,M Under the provisions of Government Code 27361.7, I certify under penalty of perjury that the notary seal on the document to which this statement is attach o'd reads as follows: Name of notary: Commission #: Place of execution: Date commission expires: � e, -V- A-. A 1 -es J I�- - C) Date: Sibnature: 111111111111111111111111111111111111111111111111111111 � 15 ���P.�:.P ATTACHMENT NO. 1 LEGAL DESCRIPTION OF PROPERTY The land referred to is situated in the State of California, County of Riverside, City of La Quinta, and is described as follows: [SEE FOLLOWING PAGES] 882/015610-0064 Attachment 1 to Grant Deed 377076.03 a03/11/03 1111111111111111111111111111111111111111111111111111 � �amAnvm ATTACHMENT "1" EXHIBIT "A" A PORT70N OF THE WEST ONE HALF OF THE EAST ONE HALF OF THE NORTHWEST ONE QUARTER OF SECTION 29, TOWNSHIP 5 SOUTH, RANGE 7 EAST, SAN BERNARDINO MERIDIAN, AS SHOWN ON DEED RECORDED MARCH 13, 1999 AS INSTRUMENT NO. 75451. O.R., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE WESTERLY LINE OF THE SAID WEST ONE HALF WITH THE NORTHERLY LINE OF THE RIGHT Of WAY OF HIGHWAY 11 I (55-FOOT HALF WIDTH) AS SHOWN IN DEED RECORDED DECEMBER 11, 1967 AS INSTRUMENT NO 109641, THENCE NORTH W13'25" WEST 200.03 FEET ALONG SAID WESTERLY LINE, ALSO BEING THE EASTERLY LINE OF PARCEL MAP NO. 29351. P.M.H. 197/33-36, RECORDS OF RIVERSIDE COUNTY, CALIFORNIA, THENCE SOUTH 82'13'54- EAST 82.26 FEET; THENCE SOUTH 00'13'25" EAST 85.73 FEET TO THE BEGINNING OF A TANGENT CURVE CONCAVE WESTERLY AND HAVING A RADIUS OF 544.00 FEET, A LINE RADIAL TO SAID CURVE AT SAID POINT BEARS SOUTH 89-46'35" WEST; THENCE SOtTTKERLY ALONG THE ARC OF SAID CURVE AN ARC DfSTANCE OF 75.37 FEET TI-tROUGH A C13NTPAL ANGLE OF 07°56' 17", A LINE RADIAL TO SAID CURVE AT SAID POINT BEARS SOUTH 82017'08" EAST; THENCE SOUTH 37'17'08" EAST 32.53 FEET; THENCE SOUTH 07042'52" WEST 15.00 FEET TO A POINT ON THE NORTHERLY RIGHT OF WAY LINE OF HIGHWAY 111; THENCE NORTH 82*17'08" WEST 94.69 FEET ALONG SAID RIGHT OF WAY LINE, TO THE POINT OF BEGINNING. SAID DESCRIBED PARCEL CONTAINS 16,469 SQUARE FEET, MORE OR LESS. FOR GRAPHICAL PURPOSES SEE EXHIBIT 'B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF, SUBJECT T LL RIGHTS, RIGHTS -OF -WAY AND EASEMENTS OF RECORD, IF ANY. Prep der the au Date: 2 00 3 ea alumbo, Expires 06/30/04 THE KEI TH COMPANIES, INC. 73-733 Fred Waring Drive, Suite I00 Palm Descrt, CA 92260 (760) 346-98" 367139.01a02/03/03 I IIIIII IIIIII IIIIII III IIIII IIIIII IIIIII III IIIIII III IIII 07 �001 �3 &8:p OR 119/015610-0064 ^ _ 367139.01 a02/03/03 _2 AtiER�C �1 .y 1 First American Title Insurance Company NATIONAL COMMERCIAL SERVICES 3281 E. GUASTI RD., #490 • ONTARIO, CALIFORNIA 91761 • (909) 510-6200 • FAX (909) 510-6201 Escrow No. 71148LK Reference: REF: Mannino Property La Quinta, CA BUYER: City of La Quinta Consideration: Total Consideration Deposits: Deposit By: City of La Quinta Title Charges: Record Site Agreement Escrow Fees: Escrow Fee 1/2 Check Herewith Totals Buyer CLOSING STATEMENT Closing Date: July 9, 2003 Page 1 /lk - - DEBITS - - - - CREDITS - - SAVE FOR INCOME TAX PURPOSES 162,937.50 163,588.50 37.00 476.00 138.00 163,588.50 $ 163,588.50 AM E RI C, � N \\� 4 First American Title Insurance Company NATIONAL COMMERCIAL SERVICES 3281 E. GUASTI RD., #490 • ONTARIO, CALIFORNIA 91761 • (909) 510-6200 • FAX (909) 510-6201 Escrow No. 71148LK Reference: REF: Mannino Property La Quinta, CA BUYER: City of La Quinta Consideration: Total Consideration Deposits: Deposit By: City of La Quinta Title Charges: Record Site Agreement Escrow Fees: Escrow Fee 1/2 Check Herewith Totals Bu er CLOSING STATEMENT Closing Date: July 8, 2003 Page 1 /lk - - DEBITS - - - - CREDITS - - SAVE FOR INCOME TAX PURPOSES 162,937.50 163,588.50 37.00 476.00 138.00 163,588.50 $ 163,588.50 03/31/03 MON 11:25 FAX 760 322 5121 TUVERSON & HILLYARD PS Z 0oe EXHIBIT "I)" AFFIDAVIT OF NON -FOREIGN ENTITY TO: CITY OF LA QUINTA ("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 in Exhihit "A" to the Agreement for Purchase and Sale and Escrow Instructions dated 2003, and incorporated herein by reference ("Property"), that the undersigned ("Seller") hereby certifies the following: Seller is not a foreign corporation, foreign partnership, foreign gust 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 see below ; and The address for mailing purposes of Seller is: see below and 4. Seller understands that this certification may be disclosed to the Intemal Revenue Service by Buyer and that any false statement contained herein could be punished by fine, Imprisonment, or both. Under penalties 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" DOMINIC A. MANNINO AND PATRICIA J. MA O, HUSBAND AND WIFE, 71320 N. Thunderbird Terrace By AF Rancho Mirage, CA 92270 Dominic A. Mannino I.D. 568-26-3144 71320 N. Thunderbird Terrace B Rancho Mirage, CA 92270 � atriciaJ.; annino I.D. # 573-30-8598 JAY FRANK MANNINO, AS HIS SOLE AND SEPARATE PROPERTY, P.O. Box 168 B Mountain Center, CA 92561 y Ja ank M nnino I . D . # 567-86-8951 [signatures con inued on next page] „82101561 "064 377076 03 303/11101 YEAR Real Estate Withholding Exemption Certificate and 2003 Waiver Request for Non -Individual Sellers Seller's Information CALIFORNIA FORM 593-W Name r"1/«, �. ���� T�us�ee a�e�� 20s�}f,% iQw ❑ CA corp. no. EIN ❑ SOS file no. ❑ Social securityno. IS ! — I I I r71 Lf I aIL Address /5a�3 e1V_t1 01 6L✓D —4-' 6 OQ Private Mailbox no. Note: If you do not furnish your tax 10 number this certificate is void. I I I I City, State, ZIP Code �����ii`r ���✓ O S VU Da ytytime number O/S%O %�— /3a Ownership percentage r G/ I Q (t7 Property address (if no street address, provide parcel number and county) Read the following and check the appropriate box. See line -by-line instructions, Part I — Withholding Exemption Certificate. YES O 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? ............................. ❑ 2. Is the seller a corporation that is either qualified through the California Secretary of State or has a permanant place of business in California? ................ ❑ ............................................................................... 3. Is the seller a partnership with recorded title to the property in the name of the partnership? (If yes, the partnership must still file a California tax return to report the sale and withhold on foreign and domestic nonresident partners as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ................. ❑ 4. Is the seller (recorded title holder) a limited liability company (LLC) that is classified as a partnership and is not a disregarded single member LLC for federal and California income tax purposes? (If yes, the LLC must still file a California tax return to report the sale and withhold on foreign and domestic nonresident members as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ........................... ❑ ❑ 5. Is the seller a tax-exempt entity under either California or federal law? ......................................................... ❑ ❑ 6. Is the seller an irrevocable trust with at least one trustee who is a California resident? (If yes, the trust must still file a California tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 7. Is the seller an estate where the decedent was a California resident at the time of death? (If yes, the estate must still file a California fiduciary tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 8. Is the seller a bank or a bank acting as a fiduciary for a trust?................................................................ ❑ ❑ 9. Is the seller an insurance company, Individual Retirement Account (IRA), or qualified pension/profit sharing plan? ...................... ❑ ❑ Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income or franchise tax return to report this sale. Seller's ni Seller's si If you answered "YES" to any of the above questions, STOP HERE. You are exempt from the real estate withholding requirements. Provide this form to your escrow company or the buyer (withholding agent). If you answered "NO" to all of the above questions, you are subject to the real estate withholding requirements. The required withholding is 3 1/3 percent of the total sales price. Do you expect your tax liability from the sale of this property to be substantially less than that amount? If so, would you like to request a reduced amount of withholding? ❑ Yes. Complete the Withholding Waiver Request (Part II) and send it to the Franchise Tax Board. ❑ No. STOP HERE. Your escrow officer will withhold 3 1/3 percent of the total sales price and send it to us on your behalf. Obtain the seller's copy of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you have a requirement to withhold, complete Form 597, Real Estate Withholding Tax Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to the Form 597 Instructions. For Privacy Act Notice, get form FTB 1131 I S93WO3103 F— Form 593-W C2 (NEW 12-2002) Side 1 YEAR Real Estate Withholding Exemption Certificate and 2003 Waiver Request for Non -Individual Sellers Seller's Information CALIFORNIA FORM 593-W Name Al-/3J,�06�' ;Mfew C'l2i5iv Ie2 ✓,Tws ❑ CA corp. no. FEIN ❑ SOS file no. ❑ Social securi no. 9 L571— 16 I9 ! `71 D 1916 11 Add r ss 1933 11'�vAom 6t �� # 600 Private Mailbox no. Note: I1 you do not furnish your tax ID number this certificate is void. �— City, State, ZIP Code n/t �� S-A e2� 1 Vr i�\ i CA- /, �� % �� Daytime number %/� 7�y 1 . -,3 r Ownership or- percentage rB U1 Property address (if no street address, provide parcel number and courrty) 6119 — O,� o — O o, v` I,✓ e2 S t'1)C Read the following and check the appropriate box. See line -by-line instructions, Part I — Withholding Exemption Certificate. YES NO 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? � ❑ 2. Is the seller a corporation that is either qualified through the California Secretary of State or has a permanant place of business in California?............................................................................................... ❑ ❑ 3. Is the seller a partnership with recorded title to the property in the name of the partnership? (If yes, the partnership must still file a California tax return to report the sale and withhold on foreign and domestic nonresident partners as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ................. ❑ ❑ 4. Is the seller (recorded title holder) a limited liability company (LLC) that is classified as a partnership and is not a disregarded single member LLC for federal and California income tax purposes? (If yes, the LLC must still file a California tax return to report the sale and withhold on foreign and domestic nonresident members as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ........................... ❑ ❑ 5. Is the seller a tax-exempt entity under either California or federal law? ......................................................... ❑ ❑ 6. Is the seller an irrevocable trust with at least one trustee who is a California resident? (If yes, the trust must still file a California tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 7. Is the seller an estate where the decedent was a California resident at the time of death? (If yes, the estate must still file a California fiduciary tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 8. Is the seller a bank or a bank acting as a fiduciary for a trust?................................................................ ❑ ❑ 9. Is the seller an insurance company, Individual Retirement Account (IRA), or qualified pension/profit sharing plan? ...................... ❑ ❑ Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income or franchise tax return to report this sale. Seller's name and title (type or pri t)L�` Ltr�� Seller's signature Date: /a e 3 If you answered "YES" to any of the above questions, STOP HERE. You are exempt from the real estate withholding requirements. Provide this form to your escrow company or the buyer (withholding agent). If you answered "NO" to all of the above questions, you are subject to the real estate withholding requirements. The required withholding is 3 1/3 percent of the total sales price. Do you expect your tax liability from the sale of this property to be substantially less than that amount? If so, would you like to request a reduced amount of withholding? ❑ Yes. Complete the Withholding Waiver Request (Part II) and send it to the Franchise Tax Board. ❑ No. STOP HERE. Your escrow officer will withhold 3 1/3 percent of the total sales price and send it to us on your behalf. Obtain the seller's copy of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you have a requirement to withhold, complete Form 597, Real Estate Withholding Tax Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to the Form 597 Instructions. For Privacy Act Notice, get form FTB 1131 _1 S93WO3103 r— Form 593-W C2 (NEW 12-2002) Side 1 YEAR Real Estate Withholding Exemption Certificate and wwww Von • w _ _ ■ f _ \■ _ _ ■ _ _2. • ■ _ ■ A _ ■■ - - - Seller's Information CALIFORNIA FORM Na/me /� t Al2t / A46 I.,16 ,5L �!.(S!'ee_ 07 I-leti1450 J/f!% yXff%E _ AN.)ir✓U ❑ CA corp. no. EIN ❑ SOS file no. ❑ Social securityno. I q l _�) —Va 12 17 115- 1 Address ✓ 1533 ll �� �'�✓J boo Private Mailbox no. n Note: you not furnish your tax ID numberr this certificate is void. City,,, State, ZIP Code [/' J t " . �kS 4jzllT I r v13 Daytime number ,Vi_ / l�g 5 Ownership (fi percentage?, 61�� 1 Property address (if no street address, p ovide parcel number and county) 6,� Ob �I ✓C'2S ;D F_ Cvt<,v i Read the following and check the appropriate box. See line -by-line instructions, Part I — Withholding Exemption Certificate. YES NO 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? ......................... ❑ 2. Is the seller a corporation that is either qualified through the California Secretary of State or has a permanant place of business in California?............................................................................................... ❑ ❑ 3. Is the seller a partnership with recorded title to the property in the name of the partnership? (If yes, the partnership must still file a California tax return to report the sale and withhold on foreign and domestic nonresident partners as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ................. ❑ ❑ 4. Is the seller (recorded title holder) a limited liability company (LLC) that is classified as a partnership and is not a disregarded single member LLC for federal and California income tax purposes? (If yes, the LLC must still file a California tax return to report the sale and withhold on foreign and domestic nonresident members as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ........................... ❑ ❑ 5. Is the seller a tax-exempt entity under either California or federal law? ......................................................... ❑ ❑ 6. Is the seller an irrevocable trust with at least one trustee who is a California resident? (If yes, the trust must still file a California tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 7. Is the seller an estate where the decedent was a California resident at the time of death? (If yes, the estate must still file a California fiduciary tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ B. Is the seller a bank or a bank acting as a fiduciary for a trust?................................................................ ❑ ❑ 9. Is the seller an insurance company, Individual Retirement Account (IRA), or qualified pension/profit sharing plan? ...................... ❑ ❑ Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income or franchise tax return to report this sale. Seller's name and title (type or rint) Y Seller's signature 117 Date: 6 �6 3 If you answered "YES" to any of the above questions, STOP HERE. You are exempt from the real estate withholding requirements. Provide this form to your escrow company or the buyer (withholding agent). If you answered "NO" to all of the above questions, you are subject to the real estate withholding requirements. The required withholding is 3 1/3 percent of the total sales price. Do you expect your tax liability from the sale of this property to be substantially less than that amount? If so, would you like to request a reduced amount of withholding? ❑ Yes. Complete the Withholding Waiver Request (Part II) and send it to the Franchise Tax Board. ❑ No. STOP HERE. Your escrow officer will withhold 31/3 percent of the total sales price and send it to us on your behalf. Obtain the seller's copy of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you have a requirement to withhold, complete Form 597, Real Estate Withholding Tax Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to the Form 597 Instructions. For Privacy Act Notice, get form FTB 1131. -1 593WO3103 F_ Form 593-W C2 (NEW 12-2002) Side 1 YEAR Real Estate Withholdia.ng Exemption Certificate and Seller's Information CALIFORNIA FORM Name ❑ CA cor . no. FEIN ❑ SOS file no. ❑ Social security no. Address T ) 1� ��uS Jle/✓ ((, a# QL 1%D �j 00 Private Mailbox n o. Note: If you do not furnish your tax ID number this certificate is void. I I City, State, ZIP Code /, --��/ h tQ 41 l/ �0 eejnumber Daytime 2 o �O ) 7e / —1J 3 Ownership Percentage i d (9 Property address (if no street address, provide parcel number and county �DlU I ✓e/L5'/�0a^ Read the following and check the appropriate box. See line -by-line instructions, Part I — Withholding Exemption Certificate. YES NO 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? ❑ ............................. 2. Is the seller a corporation that is either qualified through the California Secretary of State or has a permanant place of business in California?............................................................................................... ❑ ❑ 3. Is the seller a partnership with recorded title to the property in the name of the partnership? (If yes, the partnership must still file a California tax return to report the sale and withhold on foreign and domestic nonresident partners as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ................. ❑ ❑ 4. Is the seller (recorded title holder) a limited liability company (LLC) that is classified as a partnership and is not a disregarded single member LLC for federal and California income tax purposes? (If yes, the LLC must still file a California tax return to report the sale and withhold on foreign and domestic nonresident members as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ........................... ❑ ❑ 5. Is the seller a tax-exempt entity under either California or federal law? ......................................................... ❑ ❑ 6. Is the seller an irrevocable trust with at least one trustee who is a California resident? (If yes, the trust must still file a California tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 7. Is the seller an estate where the decedent was a California resident at the time of death? (If yes, the estate must still file a California fiduciary tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 8. Is the seller a bank or a bank acting as a fiduciary for a trust? ............................ .................................... ❑ ❑ 9. Is the seller an insurance company, Individual Retirement Account (IRA), or qualified pension/profit sharing plan? ...................... ❑ ❑ Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income or franchise tax return to report this sale. �! Seller's name and title (type or prin) /`7S`4-9- /� /' I %e/� �cJf�r1 Seller's signature Date: 6 % /6 If you answered "YES" to any of the above questions, STOP HERE. You are exempt from the real estate withholding requirements. Provide this form to your escrow company or the buyer (withholding agent). If you answered "NO" to all of the above questions, you are subject to the real estate withholding requirements. The required withholding is 3 1/3 percent of the total sales price. Do you expect your tax liability from the sale of this property to be substantially less than that amount? If so, would you like to request a reduced amount of withholding? ❑ Yes. Complete the Withholding Waiver Request (Part II) and send it to the Franchise Tax Board. ❑ No. STOP HERE. Your escrow officer will withhold 3 1/3 percent of the total sales price and send it to us on your behalf. Obtain the seller's copy of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you have a requirement to withhold, complete Form 597, Real Estate Withholding Tar Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to the Form 597 Instructions. For Privacy Act Notice, get form FTB 1131. —1 593WO3103 F_ Form 593-W C2 (NEW 12-2002) Side 1 YEAR Real Estate Withholding Exemption Certificate and 2003 Waiver Request for Non -Individual Sellers Seller's Information CALIFORNII FORM 593-W Name ❑ CA corp. no. WEIN ❑ SOS file no. ❑ Social security no. 6JAJJ&/L 7/lufTPe- Wye /�A icee AVAJ 5�71offle/d 7us 13 a 1- ! Ia !� la 6 l3 Address �j Private Mailbox no. S� 33 iZn/fU2 &AID -:�/ ��� 1 ( Note: you not furnish your tax ID number this certificate is void. City, State/ZIP Code /nDaytime number Ownership q v / � / , 7 4/ ',7 Percentagegr OQQ � , Property address (if no street address, proVide parcel number and county) / (1 /dr% /✓e/LS/iJ �lJILnJT� Read the following and check the appropriate box. See line -by-line instructions, Part I — Withholding Exemption Certificate. YES NO 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? ............................. .K ❑ 2. Is the seller a corporation that is either qualified through the California Secretary of State or has a permanant place of businessin California?...................................................................... ......................... ❑ ❑ 3. Is the seller a partnership with recorded title to the property in the name of the partnership? (If yes, the partnership must still file a California tax return to report the sale and withhold on foreign and domestic nonresident partners as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ................. ❑ ❑ 4. Is the seller (recorded title holder) a limited liability company (LLC) that is classified as a partnership and is not a disregarded single member LLC for federal and California income tax purposes? (If yes, the LLC must still file a California tax return to report the sale and withhold on foreign and domestic nonresident members as required. Get FTB Pub. 1017, Nonresident Withholding Partnership Guidelines, for withholding information.) ........................... ❑ ❑ 5. Is the seller a tax-exempt entity under either California or federal law? ......................................................... ❑ ❑ 6. Is the seller an irrevocable trust with at least one trustee who is a California resident? (If yes, the trust must still file a California tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 7. Is the seller an estate where the decedent was a California resident at the time of death? (If yes, the estate must still file a California fiduciary tax return to report the sale and withhold when distributing California source taxable income to nonresident beneficiaries as required. Get FTB Pub. 1023, Nonresident Withholding Independent Contractor, Rent & Royalty Guidelines, for withholding information.) ............ ❑ ❑ 8. Is the seller a bank or a bank acting as a fiduciary for a trust?................................................................ ❑ ❑ 9. Is the seller an insurance company, Individual Retirement Account (IRA), or qualified pension/profit sharing plan? ...................... ❑ ❑ Under penalties of perjury. I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income or franchise tax return to report this sale. Seller's name and title (type or print)/ Seller's signature Date: If you answered "YES" to any of the above questions, STOP HERE. You are exempt from the real estate withholding requirements. Provide this form to your escrow company or the buyer (withholding agent). If you answered "NO" to all of the above questions, you are subject to the real estate withholding requirements. The required withholding is 3 1/3 percent of the total sales price. Do you expect your tax liability from the sale of this property to be substantially less than that amount? If so, would you like to request a reduced amount of withholding? ❑ Yes. Complete the Withholding Waiver Request (Part 11) and send it to the Franchise Tax Board. ❑ No. STOP HERE. Your escrow officer will withhold 3 1/3 percent of the total sales price and send it to us on your behalf. Obtain the seller's copy of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you have a requirement to withhold, complete Form 597, Real Estate Withholding Tax Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to the Form 597 Instructions. For Privacy Act Notice, get form FTB 1131. 593W03103 r— Form 593-W C2 (NEW 12-2002) Side 1 06/30/03 MON 16:31 FAX 760 322 5121 TUVERSON & HILI.YARD PS Q1002 01/19/2003 11:3:d 1'Lklltl/trtsbb/'Z r-HI ICiNUM r•rHr•nYlrlr.J r�V��Z1U�C os.-m'o3 THU 14:21 F&I 760 322 $121 TUVERS01� & HILLYARD PS YEAR Real Estate Withholding Certificate 2003 for Individual Sellers 593•C Ilhaiud141 so-43.., it AQa,e►a �.\�7a0 t.�) - Fee Inurrcr,ons • irpt yr Fdo'l r� \ , 7QbJ V INV Property ■aerats. (f ee ct.a.: aadra■d, PICNIC P, xal■: It rov 6e nal IwnarLydut IM to numotr this tsRilleale It told. ^ � ^ ��� p,rcimr nur+b■r p•r■irWgw nYt.DAr.ntlgad Mrf Owner■hlp Plead lho filloWlAd and cheek the sppropttatr BOX. (Sec 1111a-py•sine injltocuuna.t YES NO Part Il — Corttlltalrtlgi which fully asemot the sale Up" withyot0inp: 1, Is Iha Qjjl %alesuiiSP 91 1h•5 propely, Setafir dpplylrg your p+rcenti;e 01 ownership, 3100,00:1 of IH97 .......... • 2. Dali the ploparty "A are seilina qu101{ is your Qr nc pa res19L-az Wallin the rftarthing of Inlernol Revenur• ❑ Code 11RG) 3ccliun 12117 ... 3, Will you have A 1P.0 tot C3lllmnia inteRle tag purposes on this silt.? (You rnh.xt cornois:c Farm F-93-1, Rea, E51111 Mt-fwlmaD . C,impufaricr of C.7in or Laos, and have a lass on Una 20 to ir•6wor •YEi "attach Form 593.1 to 90% form it you anSWeted 'YES."] , ♦. U the real properly ceing compulsorily or Inro IatLw A.)mg aC and do you Intend 19 acautre Properly Thal is SIMlla► Or nlstod its ❑ spfyl.e or we H ordet to be i6grble lo! nonrtrognllion of pain for Cvlurnia Irivr" taa 2urposes Under IRC sirlion ]ua37 Pan 11a — CartilipEliohs wklah Moir 94plivtiy arfully stamp) the Fate tiont withholding or roan defer WllApoldlnp: 6. Will trio trant!er pi Vlas Chillbrn'g real properly quality ya E ■ikt-klnd exchange wlt.'lin the meaning or IRC 3dcttorr 1031 as a m yIMCar.nlis rxrr1nee? ........... • . . . . .. . . . ... . .. .... F� fenrew Ofhrsr — iI lilt! 6sNrr ar•sweird'YES.' II!ttse is 31111 a wilhnD dine regUirem%r.I on ?ny proceeds the seller reeel-3 11DRt the ese100 5, will the uanslef at Mis f;ataamka reel Propany qua8ly as a Ilke-kind oxchange within the manning bf IRG 5artlon 103t as a ttcitltw ,U pa IDt M1ICh all praeeeQa tronr JAE 'ale :trust be Irvilferrad difectly to in intarmcAiary or dCeommoda4ar7 , . • 11 . • , ...... I • • d Eserbw otrlcer qnd 9allitr— We m4ulre the iniermedisry or accamnwdalcr to wilhaoio Isom ally rasa not cash coui+alen! i;txvi) received by the se.e.'. "lne stir MnOa dons nor iakE place, or it tht eKsnanCe does rat ah alIY to, nonrecoQniban ,resirncnl, Ina inlet medlary or Accommadaior rri= withhold 3111 perc■m of the tolal sates price of M4 MAI 11116N y so 7. Will Iha tril-hsts, of Iha: Calefornia loaf propony be an iASt■nmenr eels Mal y^u wili repots es suer•, for CahforniA SiK pUrPosOJ end has the buyer a;reed to Withhold or. act, payment inet0id or ,40noiain9 Isla lull rmeunf at the :lms of irandlbr7 • • • . • • - • - i� Eaorow 0lliolrr — 11 that refler arsWersd "YES." you may retur7 the wanhaiding emvuni to 31h ptreert o1 Iht down gay:nertt only If the huger nee carnpittad and signed Form 593-,, Rea' E-11ate WirPWCitV 16541104-1 Sal+ Agra aw'lk You •r.,us1211ac," TOM 51"1 to Korn; 547, Alai Estill MM.hCljrrlp Tat Slitemenl, when you $ea¢ The withholding 10 the Franshie■ 'fag baud. Pori IV — seller's sionttuff Urteer peeallles of Darlury. i he i wi'I pronptty inform trta with ,low? this salt. Seller's na-1a (type or print) Spouse's name iif soy certify thtt ens inlarmalioti piavidad &' 01;n Is, to the stsl bt my knowiedpa, flue and cura90.:1 COPRi, t?n" rang olifirhp sycnl. I undir'itand that romltlylirq Ihis form does not eF+rr'tpt ru Iron nlmy a r:elltor7,ao lheornb toot rotvm IQ Setter's signe:urt az Sbbuc.x signature (it applla.ti Seller; it yt+u anah*sled 'NO" to all Ins r0ove quesGans, yotr *tie sutiect to :re real estate Withholding rcqu.remants. Your c%rrow BMW will W!thhold and hltoloir+l lax °late rent tram "Id ascroa onficar to attach tot. 4tnd the yvithholding to ua on your bohalL Gat your copes; of Form 547. Real Esfare WtY your incame UK ielurn when you Ilk and claim tht amount wllhn' ' to with lne Willthtildinp Agen': !I yroj arc roCuired to witlihdld, rompleta Fcrrn 557, Rdsl Estalf W1111hold'ng 4F 5t;lrmaRf, end send One Sony us Withnolding payment and give two eop23 to the SElltr, Raltr 10 W'1,hhCld;'1y Agent 1115truc'.100 and Ina Irslrucricns 10 farm 5e7. F•or Privacy ^at Natk.e, 9*11ar..+ FTb 101. �� 593CO3�03 1 �'--- Form 593-C C2 (NEYy 12.20U) YEAR Real Estate Withholding Certificate 2003 for Individual Sellers CALIFORNIA FORM 593-C Part I Seller's Information Return tnts Corm to your escrow com an . Name (including s e, If applicable - see instructions - type or print) / / zA Social securitynumber S ouse's social security no. if applicable) Address r Private Mailbox no. Nola: 11 you do not furnish your tax 10 number this certificate is void. I I I City, State, ZIP Code Daytime number Property address (if no street address, provide parcel number and county) Ownership percentage Read the following and check the appropriate box. (See line -by-line instructions.) Part It — Certifications which fully exempt the sale from withholding: YES NO 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? ........................... 2. Does the property you are selling quality as your principal residence within the meaning of Internal Revenue Code(IRC)Section 121? ............................................................... ❑ 3. Will you have a 1M for California income tax purposes on this sale? (You must complete Form 593-L, Real Estate Withholding — Computation of Gain or Loss, and have a loss on line 20 to answer "YES." Attach Form 593-L to this form if you answered "YES.-) ...... ❑ 4. Is the real property being compulsorily or involuntarily converted and do you intend to acquire property that is similar or related in service or use in order to be eligible for nonrecognition of gain for California income tax purposes under IRC Section 1033? ............ ❑ .® Part III — Certifications which may partially or fully exempt the sale from withholding or may deter withholding: 5. Will the transfer of this California real property quality as a like -kind exchange within the meaning of IRC Section 1031 as a simultaneous exchanoe?............................................................................................. ❑ IR Escrow Officer— If the seller answered "YES," there is still a withholding requirement on any proceeds the seller receives from the escrow. 6. Will the transfer of this California real property qualify as a like -kind exchange within the meaning of IRC Section 1031 as a deterred exchan a for which all proceeds from the sale must be transferred directly to an intermediary or accommodator? ..................... ❑ Escrow Officer and Seller — We require the intermediary or accommodator to withhold from any cash or cash equivalent (boot) received by the seller. If the exchange does not take place, or if the exchange does not qualify for nonrecognition treatment, the intermediary or accommodator must withhold 3'/3 percent of the total sales price of the real property sold. 7. Will the transfer of this California real property be an installment sale that you will report as such for California tax purposes and M1 has the buyer agreed to withhold on each payment instead of withholding the full amount at the time of transfer? ..................... ❑ 4d, Escrow Officer — If the seller answered "YES," you may reduce the withholding amount to 3% percent of the down payment only if the buyer has completed and signed Form 593-I, Real Estate Withholding Installment Sale Agreement. You must attach Form 593-1 to Form 597, Real Estate Withholding Tax Statement, when you send the withholding to the Franchise Tax Board, Part IV — Seller's Signature Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income tax return to report this sale. Seller's name (type or print) Spouse's name (if on title) Seller's signature > Date: Spouse's signs u e (if pplic ble) Date: Seller: It you answered "NO" to all the above questions, you are subject to the real estate withholding requirements. Your escrow officer will withhold and send the withholding to us on your behalf. Get your copies of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you are required to withhold, complete Form 597, Real Estate Withholding Tax Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to Withholding Agent Instructions and the instructions for Form 597. For Privacy Act Notice, get form FTB 1131. —1 593CO3103 I - Form 593-C C2 (NEW 12-2002) YEAR Real Estate Withholding Certificate 2003 for Individual Sellers CALIFORNIA FORM 593-C o ir_. _ RPtttrn this form to vour escrow comoanv. VaFL W01161 a InlWilla lIV" Name (including spouse, if applicable - see instructions - type or print) oil E. YYl�nr1i no N �J 0.+'�c�ro - Social security number sl s S ouse's social security no, if applicable) Address n -+o /� O` (` ��5� (1 `�-I vi l�1 j�t'�/ Private Mailbox no. Nola: n you r not furnish your tax ID number this certificate is void. I I I I City, State, 21 , V Pax i� CA , 5 13 �O D�yt5- numbp9� — 0-3 ( �JG/ Propertyaddress(if no street address, provide parcel number and county) Ownership percentage (?. Read the following and check the appropriate box. (See line -by-line instructions.) Part II — Certifications which fully exempt the sale from withholding: YES NO 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? ........................... ❑ 2. Does the property you are selling qualify as your principal residence within the meaning of Internal Revenue Code (IRC) Section121?............................................................................................ ❑ Q� 3. Will you have a 1g-u for California income tax purposes on this sale? (You must complete Form 593-L, Real Estate Withholding — Computation of Gain or Loss, and have a loss on line 20 to answer "YES." Attach Form 593-L to this form if you answered "YES.") ...... ❑ a 4. Is the real property being compulsorily or involuntarily converted and do you intend to acquire property that is similar or related in service or use in order to be eligible for nonrecognition of gain for California income tax purposes under IRC Section 1033? ............ ❑ ❑� Part III — Certifications which may partially or fully exempt the sale from withholding or may defer withholding: 5. Will the transfer of this California real property qualify as a like -kind exchange within the meaning of IRC Section 1031 as a simultaneous exchanae?.....................................................................................I....... ❑ D Escrow Officer — If the seller answered "YES," there is still a withholding requirement on any proceeds the seller receives from the escrow. 6. Will the transfer of this California real property qualify as a like -kind exchange within the meaning of IRC Section 1031 as a deferred exchange for which all proceeds from the sale must be transferred directly to an intermediary or accommodator? ..................... ❑ Escrow Officer and Seller — We require the intermediary or accommodator to withhold from any cash or cash equivalent (boot) received by the seller. If the exchange does not take place, or if the exchange does not qualify for nonrecognition treatment, the intermediary or accommodator must withhold 3'/3 percent of the total sales price of the real property sold. 7. Will the transfer of this California real property be an installment sale that you will report as such for California tax purposes and has the buyer agreed to withhold on each payment instead of withholding the full amount at the time of transfer? ..................... ❑ Escrow Officer — If the seller answered "YES," you may reduce the withholding amount to 31/3 percent of the down payment only if the buyer has completed and signed Form 593-I, Real Estate Withholding Installment Sale Agreement. You must attach Form 593-1 to Form 597, Real Estate Withholding Tax Statement, when you send the withholding to the Franchise Tax Board. Part IV — Seller's Signature Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change, I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income tax return to report this sale. ocii Seller's name (type or print) Spouse's name (if on title) Seller's signature r Date: 03 Spouse's signature (if applicable) Date: Seller: If you answered "NO" to all the above questions, you are subject to the real estate withholding requirements. Your escrow officer will withhold and send the withholding to us on your behalf. Get your copies of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you are required to withhold, complete Form 597, Real Estate Withholding Tax Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to Withholding Agent Instructions and the instructions for Form 597. For Privacy Act Notice, get form FTB 1131 -, 593CO3103 �_ Form 593-C C2 (NEW 12-2002) YEAR Real Estate Withholding Certificate 2003 for Individual Sellers CALIFORNIA FORM 593•C Part I Seller's Information Return this form to your escrow company. Name (including spouse, if applicable - see instructions - type or print) MAPQ6 660JUJOL-00tJ Social security number sl .9 9 Spouse's social security no. if applicable 1I I Address 32, 1 L� � j Private Mailbox no. Nola: n you not furnish your tad ID this certificate Is void.. numberr this I I i I City, State, ZIP Code Daytime number Properly address (if no street address, provide parcel number and county) Ownership percentage Read the following and check the appropriate box. (See line -by-line instructions.) Part 11 — Certifications which fully exempt the sale from withholding: YES NO 1. Is the total sales price of this property, before applying your percentage of ownership, $100,000 or less? ........................... 2. Does the property you are selling qualify as your principal residence within the meaning of Internal Revenue Code (IRC) Section 121?............................................................................................ ❑ 3. Will you have a 1M for California income tax purposes on this sale? (You must complete Form 593-L, Real Estate Withholding — Computation of Gain or Loss, and have a loss on line 20 to answer "YES." Attach Form 593-L to this form if you answered "YES.") ...... ❑ 4. Is the real property being compulsorily or involuntarily converted and do you intend to acquire property that is similar or related in service or use in order to be eligible for nonrecognition of gain for California income tax purposes under IRC Section 1033? ............ Part III — Certifications which may partially or fully exempt the sale from withholding or may defer withholding: 5. Will the transfer of this California real property qualify as a like -kind exchange within the meaning of IRC Section 1031 as a M. simultaneous exchance?............................................................................................. Escrow Officer— If the seller answered "YES," there is still a withholding requirement on any proceeds the seller receives from the escrow. 6. Will the transfer of this California real property quality as a like -kind exchange within the meaning of IRC Section 1031 as a deferred_ exchanae for which all proceeds from the sale must be transferred directly to an intermediary or accommodator? ..................... Escrow Officer and Seller — We require the intermediary or accommodator to withhold from any cash or cash equivalent (boot) received by the seller. If the exchange does not take place, or if the exchange does not qualify for nonrecognition treatment, the intermediary or accommodator must withhold 31/3 percent of the total sales price of the real property sold. 7. Will the transfer of this California real property be an installment sale that you will report as such for California tax purposes and has the buyer agreed to withhold on each payment instead of withholding the full amount at the time of transfer? ..................... ❑ 9- Escrow Officer — If the seller answered "YES," you may reduce the withholding amount to 31h, percent of the down payment only if the buyer has completed and signed Form 593-I, Real Estate Withholding Installment Sale Agreement. You must attach Form 593-1 to Form 597, Real Estate Withholding Tax Statement, when you send the withholding to the Franchise Tax Board. Part IV — Seller's Signature Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. If conditions change. I will promptly inform the withholding agent. I understand that completing this form does not exempt me from filing a California income tax return to report this sale. Seller's name (type or print) T rj Sft IeLb Win) "J,5,J /4 1,J0 Spouse's name (it on title) Seller's signature Spouse's signature (if applicable) Date: 6 — Date: Seller: It you answered "NO" to all the above questions, you are subject to the real estate withholding requirements. Your escrow officer will withhold and send the withholding to us on your behalf. Get your copies of Form 597, Real Estate Withholding Tax Statement, from the escrow officer to attach to your California income tax return when you file and claim the amount withheld. Withholding Agent: If you are required to withhold, complete Form 597, Real Estate Withholding Tax Statement, and send one copy to us with the withholding payment and give two copies to the seller. Refer to Withholding Agent Instructions and the instructions for Form 597. For Privacy Act Notice, get form FTB 1131 —� 593CO3103 I — Form 593-C C2 (NEW 12-2002)