California Form 593 - Real Estate Withholding Tax Statement - 2012

TAXABLE YEAR

CALIFORNIA FORM

2012

593

Real Estate Withholding Tax Statement

I

m

AMENDED:

Part I Withholding Agent

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

Business name

First name 

Initial Last name

Address (suite, room, PO Box, or PMB no .)

City

State

ZIP Code

-

Seller or Transferor

First name

Initial Last name

SSN or ITIN

- -

Spouse’s/RDP’s first name

Initial Last name

Spouse’s/RDP’s SSN or ITIN

- -

m FEIN   m CA Corp no .

m SOS file 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, Failed Exchange, or Installment Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

I

M  M   D D    Y    Y  

3. Type of Transaction (Check One Only):

m

m

m

m

A

  Conventional Sale or Transfer    B

  Installment Sale Payment

C

Boot

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 9.3% x Gain on Sale

E

  Bank and Financial Corp. 10.84% x Gain on Sale

m

m

C

Non-California Partnership 9.3% x Gain on Sale

F

  S Corporation 10.8% x Gain on Sale

m

m

D

  Corporation 8.84% x Gain on Sale

G

  Financial S Corporation 12.8% 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% (.0333) of the total sales price or first installment payment.

Your signature

Spouse’s/RDP’s signature

 

X

X

It is unlawful to forge

___________________________________________

____________________________________ Date _____________________

a spouse’s/RDP’s

Seller’s email address (optional)

signature.

______________________________________________________________________________________________________________

Preparer’s name and Title/Escrow business name

Telephone Number

 

 

 

(

)

Form 593

2011

7111123

C2

For Privacy Notice, get form FTB 1131.