Form De 2220r - Release Of Buyer Request Form - California Edd - 2017

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RELEASE OF BUYER REQUEST FORM
Pursuant to Section 1732 of the California Unemployment Insurance Code (CUIC), I hereby request a
Certificate of Release of Buyer, DE 2220, be issued for the Employment Development Department (EDD)
account number ______________________.
(Seller Account Number)
(Note: A DE 2220 is not necessary if the seller is not an employer as defined under Sections 675 and 676 of the CUIC.)
Buyer Information (Refer to the Instructions for additional information and requirements.)
The Buyer Has/Had Employees:
If Yes, Indicate EDD Account Number.
Will the Buyer Employ Any of the
Seller’s Employees?
Yes
No
Yes
No
Name(s):
DBA:
Physical Business Address:
Mailing Address:
City, State, ZIP Code:
City, State, ZIP Code:
Home Phone Number:
Business/Cell Phone Number:
Fax Number:
(
)
(
)
(
)
Federal Employer Identification Number (FEIN):
Secretary of State Entity Number: Liquor License Number(s):
Seller Information (Refer to the Instructions for additional information and requirements.)
The Seller Has/Had
If Yes, Indicate EDD Account
Will the Seller Make a Request to
Does the Seller Have More
Employees:
Number:
Cease This EDD Account Number?
Than One Business Location:
Yes
No
Yes
No
Yes
No (If Yes, See *
Below.)
Name(s):
DBA:
Physical Business Address:
Home Address:
City, State, ZIP Code:
City, State, ZIP Code:
Home Phone Number:
Business/Cell Phone Number:
Fax Number:
(
)
(
)
(
)
Federal Employer Identification Number (FEIN): Secretary of State Entity Number:
Liquor License Number (s):
Forwarding Address, if Different From Home Address:
* Other Business Locations Not Included in This Sale:
Escrow Company/Agent
Escrow Company:
Escrow Agent:
Escrow Number:
Phone Number:
Fax Number:
Email:
(
)
(
)
Address:
City, State, ZIP Code:
Purchase Price:
Estimated Closing/Acquisition Date:
$
Entire Business Sold
Partial Business Sold
Special Instructions:
Signature:
Title:
Date Submitted:
DE 2220R Rev. 7 (6-17) (INTERNET)
Page 1 of 3
CU

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