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SELLER'S CERTIFICATION UNDER <br />FOREIGN INVESTMENT IN REAL PROPERTY TAX ACT ("FIRPTA") <br />(26 U.S.C. 1445) <br />File No: 3213416-A February 26, 2009 <br />THIS SECTION FOR INDIVIDUAL TRANSFEROR: <br />Section 1445 of the Internal Revenue Code provides that a transferee (buyer) of a U.S. real property interest must <br />withhold tax if the transferor (seller) is a foreign person. To inform the transferee (buyer) that withholding of tax is not <br />required upon my disposition of a U.S. real property interest, I, hereby certify the <br />following: <br />1. I am not a nonresident alien for purposes of U.S. income taxation; <br />2. My U.S. taxpayer identification number (Social Security Number) is ; <br />3. My home address is <br />I understand that this certification may be disclosed to the Internal Revenue Service by the transferee and that any <br />false statement I have made here could be punished by fine, imprisonment, or both. <br />Under penalties of perjury I declare that I have examined this certification and to the best of my knowledge and belief <br />it is true, correct, and complete. <br />Date Signature <br />Typed or Printed Name <br />THIS SECTION FOR ENTITY TRANSFEROR: <br />Section 1445 of the Internal Revenue Code provides that a transferee of a U.S. real property interest must withhold <br />tax if the transferor is a foreign person. For U.S. tax purposes (including Section 1445), the owner of a disregarded entity <br />(which has legal title to a U.S. real property interest under local law) will be the transferor of the property and not the <br />disregarded entity. T,Q Inf an th transfe"ree�Rth withholding of tax is not required upon the disposition of a U.S. real <br />�1'tt(1�Y✓t l property interest by 1=� C►�V 010dkj [name of transferor] ("Transferor"), the undersigned <br />hereby certifies the following on behalf of Transfe r: <br />1. Transferor is not a foreign corporation, foreign partnership, foreign trust, or foreign estate (as those <br />terms are defined in the Internal Revenue Code and Income Tax Regulations); <br />2. Transferor is not a disregarded entity as defined in Section 1.14 2(b)( )( ii)• (t _ <br />3. Transferor's U.S. employer identifi ationumber is <br />4. Trnansferror's office address is- i'v � (�, �i V-ltLWL VY0,I. <br />Transferor understands that this certification may be disclosed to the Internal Revenue Service by transferee and that <br />any false statement contained herein could be punished by fine, imprisonment, or both. <br />Under penalties of perjury I declare that I have examined this certification and to the best of my knowledge and belief <br />it is true, , and complete, an I further declare that I have authority to sign this document on behalf of Transferor. <br />r <br />come <br />09 <br />Date <br />Signature <br />%cmo , `Df iDV—10rY11� l 1A Y11, <br />Typed or Printed Name <br />U.S.—California _FIRPTA Seller Affidavit-Open/Draw_Rev.(7/12/04) Page 1 of 1 Pages <br />