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YEAR Nonresident WiLuivading Exemption Certificate ivr CALIFORNIA FORM <br />19 97 Real Estate Sales (For use by sellers of California real estate) 590-RE <br />File this form with your withholding agent or buyer. <br />Name <br />JOSEPH H. FRIEND, TRUSTEE , c/o J. Henry Corp. <br />Address (number and street) Daytime telephone number <br />5618 Geary Blvd., Suite 104 1 ( /S) 7-51-.?l' <br />City State ZJP code <br />San Francisco, CA 94121 <br />Complete the appropriate line: Individuals - Social security number <br />Corporations - California corporation number (issued by Secretary of State) or F.E.I.N. <br />Partnerships, Estates, Irrevocable Trusts and Tax -Exempt Entities - F.E.I.N. `�l6 2- <br />Limited Liability Company - Secretary of State file number <br />Note: Failure to provide your identification number will render this certificate void. <br />To <br />(withholding Agent or Buyer) <br />Certificate of Residency — Individuals: Under penalties of perjury, I hereby certify that I am a resident of California and that l reside <br />at the address shown above. See Side 2 for the definition of a resident. <br />Signature Date <br />Certificate of Principal Residence — Individuals: <br />located at <br />See Side 2 for the definition of a principal residence. <br />Signature <br />Under penalties of perjury, I hereby certify that the California real property <br />was my principal residence within the meaning of IRC Section 1034. <br />Date <br />Certificate of Residency of Deceased Person — Estates: Under penalties of perjury, I hereby certify as executor of the <br />above -named person's estate that the decedent was a California resident at the time of death. <br />Name of executor (type or print) <br />Signature Date <br />Corporations: Under penalties of perjury, I hereby certify that the above -named corporation has a permanent place of business in California at the <br />address shown above or is qualified to do business in California. See Side 2 for the definition of permanent place of business. <br />Name and Title (type or print) <br />Signature Date <br />Partnerships: Under penalties of perjury, I hereby certify that the above -named entity is a partnership and that the recorded title to the property is <br />in the name of the partnership. <br />Name and Title (type or print) <br />Signature Date <br />Limited Liability Companies (LLC): Under penalties of perjury, I hereby certify that the above named entity is an LLC and that the <br />recorded title to the property is in the name of the LLC. <br />Name and Title Itvoe or onntl <br />Signature Date <br />Tax -Exempt Entities and Nonprofit Organizations: Under penalties of perjury, I hereby certify that the above -named entity is <br />exempt from tax under California or federal law. <br />Name and Title (type or print) <br />Signature Date <br />Irrevocable Trusts: Under penalties of perjury, I hereby certify that at least one trustee of the above -named irrevocable trust is a California <br />resident. <br />Name and Title (type or print) Joseph - Friend, Trustee <br />Signature Date 7i3iA 1 <br />For Privacy Act Notice, see form FTS 1131 (individuals only). <br />Form 590-RE C2 (REV. 1994) Side 1 <br />