California Form 593 - Real Estate Withholding Tax Statement - 2016

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TAXABLE YEAR

CALIFORNIA FORM

2016

593

Real Estate Withholding Tax Statement



AMENDED:

Part I Withholding Agent

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

Business name

First name

Initial Last name

Address (apt ./ste ., room, PO box, or PMB no .)

City (If you have a foreign address, see instructions .)

State

ZIP code

Part II Seller/Transferor (If a trust, see instructions for Part II.)

First name

Initial Last name

SSN or ITIN

- -

Spouse’s/RDP’s first name

Initial Last name

Spouse’s/RDP’s SSN or ITIN

- -

 FEIN

 CA Corp no .  CA SOS file no .

Business name (if applicable)

Address (apt ./ste ., room, PO box, or PMB no .)

City (If you have a foreign address, see instructions .)

State

ZIP code

Property address (If no street address, provide parcel number and county .)

Part III Escrow or Exchange Information

1. Escrow or Exchange Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Date of Transfer, Exchange Completion, Failed Exchange, or Installment Payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(mm/dd/yyyy)

3. Type of Transaction (Check One Only):



Conventional Sale/Transfer

Boot



Installment Sale Payment

Failed Exchange

4. Withholding Calculation (Check One Only):

Total Sales Price Method (Seller/Transferor signature not required below. See instructions.)



% (.0333) x Total Sales Price, Boot, or Installment Sale Payment

Optional Gain on Sale Election (Seller/Transferor signature required below. See instructions.)



Individual 12.3% x Gain on Sale

Bank and Financial Corp. 10.84% x Gain on Sale



Non-California Partnership 12.3% x Gain on Sale

S Corporation 13.8% x Gain on Sale



Corporation 8.84% x Gain on Sale

Financial S Corporation 15.8% x Gain on Sale



5. Amount Withheld from this Seller/Transferor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Seller/Transferor Signature – Signature is required only 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.

To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov and search for privacy notice. To request

this notice by mail, call 800.852.5711.

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. Except as to an installment sale, if the seller/transferor did not check any box in Part II or Part III of Form 593-C, Real Estate Withholding

Certificate, the withholding will be 3

% (.0333) of the total sales price or the optional gain on sale withholding amount from line 5 of Form 593. If the seller/transferor does not return the completed

Form 593 and Form 593-C by the close of escrow, the withholding will be 3

% (.0333) of the total sales price, unless the type of transaction is an installment sale. If the transaction is an installment

sale, the withholding will be 3

% (.0333) of the first installment payment.

Your signature

Spouse’s/RDP’s signature

Sign Here

Date

It is unlawful to forge

a spouse’s/RDP’s

Preparer’s name and Title/Escrow business name

Telephone Number