Fillable Form 3549-Rr - Reservation Request For New Home Credit

2010

Reservation Request for New Home Credit

3549-RR Side 2

Part V Qualified Buyer’s Information

Escrow Number: _____________________________

Buyer’s Qualifications

To qualify, you must meet ALL of the following:

• I have entered into an enforceable purchase agreement on or after May 1, 2010, and on or before December 31, 2010, to purchase a single family

residence in which I intend to live for a minimum of two years as my principal residence.

• I am purchasing a principal residence which is eligible for the CA homeowner’s exemption under R&TC Section 218.

• I have not received the 2009 New Home Credit under R&TC Section 17059.

• I am 18 years old or older as of the date of purchase.

• I am not related to the seller within the meaning of IRC Section 267.

• I do not qualify as a dependent of any other taxpayer for the taxable year of the purchase.

TYPE or PRINT CLEARLY

Buyer 1.

(Married/RDP couples are considered to be one buyer. If married/RDP, enter the combined percentage in the Buyer’s Ownership Percentage field.)

MI Last .name

First .name

SSN .or .ITIN

- -

Spouse’s/RDP’s .first .name .(if .applicable)

MI Spouse’s/RDP’s .last .name

Spouse’s/RDP’s .SSN .or .ITIN

- -

Mailing .address .(where .you .want .FTB .to .send .your .reservation)

City

State

ZIP .Code

Buyer’s .Ownership .Percentage

Buyer’s .Individual .Credit

Telephone .number

( ._______ .) ._______ .– ._______________

$ . ___ .___ ., .___ .___ .___

______ ._____ ._____ . • ._____ ._____%

. • .

Perjury Statement: Under penalties of perjury, I declare, to the best of my knowledge and belief, the information on this application is true, correct,

and complete, and I meet all of the qualifications.

Buyer’s .signature

Date

Spouse’s/RDP’s .signature .(if .applicable)

Date

Buyer 2.

(Do not include buyers who will not live in the home, do not qualify for the credit, or are on title for incidental purposes and will not have an ownership interest.)

MI Last .name

First .name

SSN .or .ITIN

- -

MI Spouse’s/RDP’s .last .name

Spouse’s/RDP’s .first .name .(if .applicable)

Spouse’s/RDP’s .SSN .or .ITIN

- -

Mailing .address .(where .you .want .FTB .to .send .your .reservation)

City

State

ZIP .Code

Buyer’s .Ownership .Percentage

Buyer’s .Individual .Credit

Telephone .number

( ._______ .) ._______ .– ._______________

$ . ___ .___ ., .___ .___ .___

______ ._____ ._____ .• ._____ ._____%

. • .

Perjury Statement: Under penalties of perjury, I declare, to the best of my knowledge and belief, the information on this application is true, correct,

and complete, and I meet all of the qualifications.

Buyer’s .signature

Date

Spouse’s/RDP’s .signature .(if .applicable)

Date

Important

• Submitting this reservation request does not guarantee the credit. Form FTB 3549-A, Application for New Home/First-Time Buyer Credit, must still

be completed and faxed to FTB along with the properly executed final settlement statement within two weeks after escrow closes.

• If you submit this reservation request and the purchase is cancelled, you must notify FTB. See Section A of the instructions.

Side 2 FTB 3549-RR

(NEW 2010)

8242103