TAXABLE YEAR
CALIFORNIA FORM
2010
593
Real Estate Withholding Tax Statement
I
m
AMENDED:
Part I Withholding Agent
m SSN or ITIN m FEIN m CA Corp no .
Business name
First name
Initial Last name
Address (suite, room, PO Box, or PMB no .)
City
State ZIP Code
-
Seller or Transferor
m SSN or ITIN
First name
Initial Last name
- -
m Spouse’s/RDP’s SSN or ITIN
Spouse’s/RDP’s first name
Initial Last name
- -
m FEIN m CA Corp no .
Business name (if applicable)
-
Address (apt ./suite, room, PO Box, or PMB no .)
City
State
ZIP Code
Property address (if no street address, provide parcel number and county)
Part II Escrow or Exchange Information
I
1. Escrow or Exchange Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
I
2. Date of Transfer, Exchange Completion, Exchange Failure, or Installment Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
I
M M D D Y Y
3. Type of Transaction (Check One Only):
m
m
A
Conventional Sale or Transfer
C
Boot
m
m
B
Installment Sale Payment
D
Failed Exchange
I
4. Withholding Calculation (Check One Only):
Total Sales Price Method
m
A
3 1/3 % (.0333) x Total Sales Price (See instructions. Signature not required below)
Optional Gain on Sale Election (Signature required below)
m
m
B
Individual 9.55% x Gain on Sale
E
Bank and Financial Corp. 10.84% x Gain on Sale
m
m
C
Non-California Partnership 9.55% x Gain on Sale
F
S Corporation 11.05% x Gain on Sale
m
m
D
Corporation 8.84% x Gain on Sale
G
Financial S Corporation 13.05% x Gain on Sale
I
.
00
,
,
5. Amount Withheld from this Seller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Mail completed Form 593 and payment, along with Form 593-V,
Payment Voucher for Real Estate Withholding, to:
If paying by EFT mail Form 593 to:
FRANCHISE TAX BOARD
FRANCHISE TAX BOARD
PO BOX 942867
PO BOX 942867
SACRAMENTO CA 94267-0651
SACRAMENTO CA 94267-8888
Part III Perjury Statement – Signature is required 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.
Under penalties of perjury, I hereby certify that the information provided above is, to the best of my knowledge, true and correct. I understand that the Franchise
Tax Board may review relevant escrow documents to ensure withholding compliance. I understand that if this form is not signed, the withholding amount will be
3 1/3% of the total sales price.
Seller’s signature ________________________________________________________ Date ______________________
It is unlawful to forge
a spouse’s/RDP’s
Spouse’s/RDP’s signature _________________________________________________ Date ______________________
signature.
Preparer’s name and Title/Escrow business name
Telephone Number
(
)
Form 593
2009
7111103
For Privacy Notice, get form FTB 1131.
C2