California Form 593 - Real Estate Withholding Tax Statement Template - 2017

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TAXABLE YEAR

CALIFORNIA FORM

Real Estate Withholding Tax Statement

2017

593



AMENDED:

Part I Withholding Agent Information

 SSN or ITIN  FEIN  CA Corp no.  CA SOS file no.

Business name

First name

Initial Last name

Address (apt./ste., room, PO box, or PMB no.)

City (If you have a foreign address, see instructions.)

State

ZIP code

Part II Seller/Transferor Information (If a trust, see instructions for Part II.)

First name

Initial Last name

SSN or ITIN

- -

Spouse’s/RDP’s first name

Initial Last name

Spouse’s/RDP’s SSN or ITIN

- -

 FEIN

 CA Corp no.  CA SOS file no.

Business name (if applicable)

Address (apt./ste., room, PO box, or PMB no.)

City (If you have a foreign address, see instructions.)

State

ZIP code

Property address (If no street address, provide parcel number and county.)

Part III Escrow or Exchange Information

1. Escrow or Exchange Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Date of Transfer, Exchange Completion, Failed Exchange, or Installment Payment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(mm/dd/yyyy)

3. Type of Transaction (Check One Only):



Conventional Sale/Transfer

Boot



Installment Sale Payment

Failed Exchange

4. Withholding Calculation (Check One Only):

Total Sales Price Method (Seller/Transferor signature not required below. See instructions.)



% (.0333) x Total Sales Price, Boot, or Installment Sale Payment

Optional Gain on Sale Election (Seller/Transferor signature required below. See instructions.)



Individual 12.3% x Gain on Sale

Bank and Financial Corp. 10.84% x Gain on Sale



Non-California Partnership 12.3% x Gain on Sale

S Corporation 13.8% x Gain on Sale



Corporation 8.84% x Gain on Sale

Financial S Corporation 15.8% x Gain on Sale



5. Amount Withheld from this Seller/Transferor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Seller/Transferor Signature – Signature is required only when the Optional Gain on Sale is elected above.

Title and escrow persons, and exchange accommodators are not authorized to provide legal or accounting advice for purposes of determining withholding

amounts. Transferors are strongly encouraged to consult with a competent tax professional for this purpose.

To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov and search for

privacy notice. To request this notice by mail, call 800.852.5711.

Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,

correct, and complete. Declaration of preparer (other than remitter) is based on all information of which preparer has any knowledge.

Spouse's/RDP's signature

Your signature

Sign Here

Date

It is unlawful to forge

a spouse’s/RDP’s

signature.

Preparer’s name and Title/Escrow business name

Telephone Number

(

)