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TO: ESCROW HOLDER <br />801 Davis St. <br />San Leandro, CA 94577-0000 <br />(510) 614-2965 <br />SELLER'S AFFIDAVIT <br />(FEDERAL FIRPTA) <br />80jv4417-TF <br />14903 Catalina Street <br />San Leandro, CA 00000-0000 <br />Section 1445 of the Internal Revenue Code provides that a transferee (buyer) of a U.S. real <br />property interest must withhold tax if the transferor (seller) is a foreign person or entity. The <br />withholding rate is 10% of the selling price. <br />To inform the transferee (buyer) that withholding tax IS NOT required upon my disposition of a <br />U.S. real property interest, I, DELTA PROPERTIES <br />hereby certify the following: <br />1. 1 am not a nonresident alien for purposes U.S. income taxation; <br />2. My U.S. taxpayer identi ng number is °i� ��3 % 0.1 <br />; <br />. � <br />3. My home address Is 1200 CoycD/,o�f1�t. 200 /0*4101eo� G� <br />I understand that this certification may be disclosed to the Internal Revenue Service by the <br />transferee and that any false statement I have made here could be punished by fine, imprisonment, or <br />both. <br />Under penalty of perjury, I declare that I have examined this certification and to the best of my <br />knowledge and belief it is true, correct and complete. <br />DELTA PROPERTIES, a California General <br />Partnership <br />DATED <br />RECEIVED: <br />ESCROW HOLDER <br />1� <br />at <br />Ca!ifornia <br />19 <br />By: <br />NOTE: The Transferee must retain this affidavit until the end of the fifth taxable year following the <br />taxable year in which the transfer takes place. <br />Form P-FTAXS (05/90) <br />