Fill and Sign the Ca Section Form

NON-FOREIGN AFFIDAVIT UNDER INTERNAL REVENUE CODE SECTION 1445(b)(2) I/WE, ______________________________________________________________________, the "Seller(s)", being first duly sworn, state under penalties of perjury: 1. That I/WE am/are the Transferor(s) of the property located at _______________________ ___________________________________________ , in the City of ____________________________, County of _________________, State of California, and described as follows: District ___________ Section ___________ Block ___________, Township ______, Range ________ or Parcel Number ___________________________________ 2. That my/our United States taxpayer identification number is/are: Seller: _____________________________ Tax ID: _________________________ Address: ___________________________________________________________ City ________________ State_______ Zip__________ Seller: _____________________________ Tax ID: _________________________ Address: ___________________________________________________________ City ________________ State_______ Zip_________ Seller: _____________________________ Tax ID: _________________________ Address: ___________________________________________________________ City ________________ State_______ Zip_________ Seller: _____________________________ Tax ID: _________________________ Address: ___________________________________________________________ City ________________ State_______ Zip__________ 3. That I/WE am/are not a "foreign person" as that term is defined in Section 1445(f) of the Internal Revenue Code. This affidavit is given to ___________________________________________________, the "transferee(s) or Buyer(s)" of the property described in paragraph 1 above for the purpose of establishing and documenting the non-foreign affidavit exemption to the withholding requirement of Section 1445 of the Internal Revenue Code. ___________________________________________________ _______________________________________________ Seller Date Seller Date ___________________________________________________ _______________________________________________ Seller Date Seller Date State of California County of On before me, (here insert name and title of the officer), 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 (Seal)