Release Of Buyer Request Form - Great Pacific Escrow
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2RELEASE 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. (See Page 2 for specific instructions)
BUYER INFORMATION
:
YES
NO
THE BUYER HAS/HAD EMPLOYEES
IF YES, INDICATE EDD ACCOUNT NUMBER:
NAME:
DBA:
ADDRESS:
PHONE #:
FAX #:
SELLER INFORMATION
THE SELLER HAS/HAD EMPLOYEES:
YES
NO
IF YES, INDICATE EDD ACCOUNT NUMBER:
NOTE:
A CERTIFICATE OF RELEASE OF BUYER IS NOT NECESSARY IF THE SELLER IS NOT AN
EMPLOYER AS DEFINED UNDER SECTIONS 675 AND 676 OF THE CUIC.
NAME:
DBA:
BUSINESS
ADDRESS:
DOES THE SELLER HAVE MORE THAN ONE BUSINESS LOCATION? YES
NO
PHONE #:
FAX #:
FEIN:
LIQUOR LICENSE #:
FORWARDING
(if applicable)
ADDRESS:
ESCROW COMPANY/AGENT
ESCROW #:
(if applicable)
NAME:
ESCROW OFFICER/AGENT:
ADDRESS:
PHONE #:
FAX #:
OTHER REQUIRED INFORMATION
PURCHASE PRICE: $_______________ ESTIMATED CLOSING/ACQUISITION DATE:
SPECIAL INSTRUCTIONS:
SIGNATURE:
TITLE:
DATE SIGNED:
DE 2220R Rev. 1 (6-00) (INTERNET)
Page 1 of 2
CU
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