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Part I – Buyer/Transferee

Part IV – Buyer’s/Transferee’s

Additional Information

Acknowledgement to Withhold

Enter the buyer’s/transferee’s name as it

For additional information or to speak to

is shown on the escrow instructions. Each

a representative regarding this form, call

By signing Part IV, you acknowledge that you

buyer/transferee is required to withhold on

the Withholding Services and Compliance

will:

individual payments and must complete

telephone service at:

• Withhold on the principal portion of each

a separate Form 593-

. However, if the

888.792.4900, or

installment payment.

buyers/transferees are spouses/RDPs and both

916.845.4900

• Authorize the REEP to withhold the required

of them will be on the promissory note, then

FAX 916.845.9512

amount only on the first installment

include both names, social security numbers

Or write to:

payment.

(SSNs) or individual taxpayer identification

• Withhold 3

% (.0333) of the total

WITHHOLDING SERVICES

numbers (ITINs), and signatures on one form.

sales price or the Optional Gain on Sale

AND COMPLIANCE

If the buyer/transferee is a business, enter the

withholding percentage, as specified by

FRANCHISE TAX BOARD

business name in the business name field.

the seller/transferor on Form 593, on

PO BOX 942867

The buyer’s/transferee’s identification number

the principal portion of all subsequent

SACRAMENTO CA 94267-0651

(SSN, ITIN, federal employer identification

installment payments.

You can download, view, and print California

number (FEIN), CA corporation (CA Corp no.),

• Give one copy of Form 593 to the

tax forms and publications at ftb.ca.gov.

or CA Secretary of State (CA SOS) file number

seller/transferor by the 20th day of

is required on each form to be valid.

Or to get forms by mail write to:

the month following the month of the

installment payments.

TAX FORMS REQUEST UNIT

Part II – Seller/Transferor

• Send each withholding payment, with

FRANCHISE TAX BOARD

Enter the seller’s/transferor’s name as it is

Form 593-V, and the completed Form 593

PO BOX 307

shown on the escrow instructions. Use a

to the FTB by the 20th day of the month

RANCHO CORDOVA CA 95741-0307

separate Form 593-

for each seller/transferor

following the month of the installment

Internet and Telephone Assistance

included on the promissory note. However, if

payment.

Website:

ftb.ca.gov

the sellers or transferors are spouses/RDPs

• Inform the FTB within 60 days if the terms

Telephone: 800.852.5711 from within the

and both of them will be on the promissory

of the installment sale, promissory note, or

United States

note, then include both of their names

payment schedule change. See Additional

916.845.6500 from outside the

and SSNs or ITINs on one form. If the

Information for contact information.

United States

seller/transferor is a business, enter the

• Be subject to penalties if you do not:

TTY/TDD:

800.822.6268 for persons with

business name in the business name field.

– Withhold on the principal portion of

hearing or speech impairments

each installment payment.

The seller’s/transferor’s identification number

– Send the withholding along with

Asistencia Por Internet y Teléfono

(SSN, ITIN, FEIN, CA Corp no., or CA SOS file

Form 593 to the FTB by the due date.

no.) is required on each form.

Sitio web:

ftb.ca.gov

– Send one copy of Form 593 to the

Teléfono:

800.852.5711 dentro de los

If the seller/transferor is electing the

seller/transferor by the due date.

Estados Unidos

Optional Gain on Sale withholding amount,

Real Estate Escrow Person

916.845.6500 fuera de los

ask the seller/transferor to provide you the

Estados Unidos

installment withholding percentage that the

(REEP) Instructions

TTY/TDD:

800.822.6268 para personas con

seller/transferor calculated in the instructions

discapacidades auditivas o del

Make a copy of this form for your records. Mail

for the Form 593. Include this installment

habla

the completed original Form 593-

, a copy of

withholding percentage in the appropriate

the promissory note, the seller’s/transferor’s

box and use this percentage as part of the

Form 593, and Form 593-V, with the required

calculation for withholding on the principal

withholding amount on the first installment

portion of each installment payment.

payment to the FTB at the address shown in

Enter the address (or parcel number and

Buyer/Transferee Instructions. Get Form 593

county) of the California real property sold or

instructions for more information.

transferred.

Part III – Installment

Agreement Terms

Promissory Note – Enter the terms of the

promissory note and include the principal

amount, installment amount, interest rate,

and the number of months of the repayment

period.

Attach Form 593-

and a copy of the signed

promissory note to Form 593.

Page 2 Form 593-

Instructions 2015

California Form 593-I Draft - Real Estate Withholding Installment Sale Acknowledgement - 2016 Page 4

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