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Real Estate Withholding Installment Sale                                                                                 CALIFORNIA  FORM
           YEAR


                               Acknowledgement                                                                                                             593-I
       2009
                              (This form can only be completed by the buyer. This is not a remittance document.)
Part I – Buyer’s Information                                                                       Return this form to your real estate escrow person.
  Name                                                                                                                  SSN or ITIN
                                                                                                                                       -            -
  Spouse’s/RDP’s Name (if jointly purchased)                                                                            Spouse’s/RDP’s SSN or ITIN (if jointly purchased)
                                                                                                                                       -            -
                                                                                                                          FEIN      CA Corp no.
  Address (including apt./suite, room, PO Box, or PMB no.) 


  City                                                                          State  ZIP Code                         Daytime telephone number
                                                                                                                                                   -
                                                                                                        -
                                                                                                                         (       )
  Property address (if no street address, provide parcel number and county)




Part II – Seller’s Information 
  Name                                                                                                                   SSN or ITIN
                                                                                                                                       -            -
  Spouse’s/RDP’s Name (if jointly purchased)                                                                             Spouse’s/RDP’s SSN or ITIN (if jointly owned)
                                                                                                                                       -            -
                                                                                                                           FEIN      CA Corp no.
  Address (including apt./suite, room, PO Box, or PMB no.) 


  City                                                                          State  ZIP Code                         Installment Withholding Percent     Apply this percent 

                                                                                                        -                                                   to all installment 
                                                                                                                        ____ ____ . ____ ____%              payments.

Part III – Installment Acknowledgement
Attach to Form 593-I, Real Estate Withholding Installment Sale Acknowledgement, a copy of the signed promissory note. If the seller has elected and
certified the Optional Gain on Sale withholding amount, also attach an executed copy of seller’s certification of Form 593, Real Estate Withholding Tax
Statement, to Form 593-I.
Part IV – Buyer’s Acknowledgement to Withhold (Read the “Buyer” information below before you sign.)
 I acknowledge that I am required to withhold on the principal portion of each installment payment to the seller for the above shown California real
 property either at the rate of 3 1/3% of the total sales price or the Optional Gain on Sale withholding percentage, as specified by the seller on Form 593,
 Real Estate Withholding Tax Statement, of the principal portion of each installment payment. I will complete Form 593 for the principal portion of each
 installment payment and send one copy of each to the Franchise Tax Board along with the withholding payment, and give one copy of Form 593 to the
 seller. I will send each withholding payment to the Franchise Tax Board by the 20th day of the month following the month of the installment payment.
 If the terms of the installment sale, promissory note, or payment schedule change, I will promptly inform the Franchise Tax Board. I understand that
 the Franchise Tax Board may review relevant escrow documents to ensure withholding compliance. I also understand that I am subject to withholding
 penalties if I do not withhold on the principal portion of each installment payment and do not send the withholding along with Form 593 to the
 Franchise Tax Board by the due date, or if I do not send one copy of Form 593 to the seller by the due date.
    Buyer’s name (if the buyer is not an individual, buyer’s agent’s name and title) (type or print) __________________________________________________________________
    Buyer’s signature _____________________________________________________________________________Date: ______________________
                              Buyer’s spouse’s/RDP’s name (if on title) _______________________________________________________________________
    It is unlawful to forge
    a spouse’s/RDP’s
                              Buyer’s spouse’s/RDP’s signature (if applicable) _______________________________________ Date: _____________________
    signature.


Buyer:          Make sure you copy both sides so you will have the instructions for withholding on subsequent payments. Give the original, along with copies
                of the promissory note and seller’s certified Form 593, to your real estate escrow person who should mail them to the Franchise Tax Board.
                Your real estate escrow person will withhold on the principal portion of the first installment payment. You must withhold on the principal
                portion of all subsequent installment payments (including payoff or balloon payments). Complete Form 593, and mail the documents and
                payment to the Franchise Tax Board for the principal portion of each installment payment.

Real Estate Escrow Person: Make a copy of this Form for your records. Send the original Form 593-I, a copy of the promissory note, and seller’s
                           certified Form 593 to the Franchise Tax Board with the required amount of the first installment payment.




                                                                                                                                                  Form 593-I C2 2008
                                                                              7141093
For Privacy Notice, get form FTB 1131.
Instructions for Form 593-I
Real Estate Withholding Installment Sale Acknowledgment
What’s New                                               Specific Instructions                                 • Promptly inform the FTB if the terms of the
                                                                                                                   installment sale, promissory note, or payment
For taxable years beginning on or after January
                                                         Buyer Instructions                                        schedule change.
1, 2009, the buyer is required to withhold on the
                                                         Complete all four parts of Form 593-I.                Make sure you copy both sides so you will have
principal portion of each installment payment if
                                                                                                               the instructions for withholding on subsequent
                                                         Part I – Buyer’s Information
the sale of California real property is structured as
                                                                                                               payments. Give the original, with a copy of the
an installment sale.                                     Enter your name as it is shown on the escrow          promissory note, and a completed Form 593, to
                                                         instructions. Each buyer is required to withhold on
General Information                                                                                            your real estate escrow person. When you make
                                                         individual payments and must complete a separate      subsequent installment payments, withhold either
                                                         Form 593-I. However, if you are purchasing the
Registered Domestic Partners (RDP) – RDPs                                                                      3 1/3% of the total sales price, or Optional Gain
                                                         property with your spouse/RDP and both of you
under California law must file their California                                                                on Sale withholding percentage, as specified by
                                                         will be on the promissory note, then include both
income tax return using either the married/RDP                                                                 the seller on Form 593, on the principal portion
                                                         of your names, social security numbers (SSNs) or
filing jointly or married/RDP filing separately                                                                of each installment payment. You must complete
                                                         individual taxpayer identification numbers (ITINs),
filing status. RDPs have the same legal benefits,                                                              Form 593 for each withholding payment.
                                                         and signatures on one form. The buyer’s taxpayer
protections, and responsibilities as married                                                                   However, you do not need to obtain the seller’s
                                                         identification numbers, SSN or ITIN, is required on
couples unless otherwise specified.                                                                            signature on each subsequent Form 593. When
                                                         each form to be valid.                                you send the withholding on the final installment
If you entered into a same sex legal union in
                                                         Part II – Seller’s Information                        payment, write “Final Installment Payment” on the
another state, other than a marriage, and that
                                                                                                               bottom of Form 593.
union has been determined to be substantially            Enter the seller’s name as it is shown on the
equivalent to a California registered domestic                                                                 We update our forms annually, so make certain
                                                         escrow instructions. Use a separate Form 593-I
partnership, you are required to file a California                                                             you use the most current form. For more
                                                         for each seller included on the promissory note.
income tax return using either the married/RDP                                                                 information on withholding on installment
                                                         However, if the sellers are spouses/RDPs and
filing jointly or married/RDP filing separately filing                                                         payments, see the instructions for Form 593
                                                         both of them will be on the promissory note, then
status. For more information on what states have                                                               or call Withholding Services and Compliance
                                                         include both of their names and social security
legal unions that are considered substantially                                                                 at 888.792.4900 (toll free) or 916.845.4900
                                                         numbers or individual taxpayer identification
equivalent, go to our website at ftb.ca.gov and                                                                (not toll-free).
                                                         numbers on one form. The seller’s taxpayer
search for RDP.                                          identification number, SSN or ITIN, is required
                                                                                                               Real Estate Escrow Person
For purposes of California income tax, references        on each form to be valid. If the seller is electing
                                                                                                               Instructions
to a spouse, a husband, or a wife also refer to          the Optional Gain on Sale withholding amount,
a California registered domestic partner (RDP),          ask the seller to provide you the installment         Make a copy of this form for your records.
unless otherwise specified. When we use the              withholding percentage that the seller calculated     Send the completed Form 593-I, a copy of
initials RDP they refer to both a California             in the instructions for the Form 593. Include         the promissory note, and the seller’s certified
registered domestic “partner” and a California           this installment withholding percentage in the        Form 593 with the required withholding amount on
registered domestic “partnership,” as applicable.        appropriate box and use this percentage as part       the first installment payment to the FTB. Refer to
For more information on RDPs, get FTB Pub. 737,          of the calculation for withholding on the principal   the Form 593 instructions for more information.
Tax Information for Registered Domestic                  portion of each installment payment.
                                                                                                               Interest and Penalties
Partners.
                                                         Part III – Installment                                Interest will be assessed on late withholding
Purpose                                                             Acknowledgment                             payments and is computed from the due date to
When California real estate is sold on an                                                                      the date paid. If the real estate escrow person
                                                         Attach a copy of the signed promissory note to
installment basis, the buyer is required to                                                                    does not notify the buyer of the withholding
                                                         Form 593-I, and the seller’s signed certification
withhold on the principal portion of each                                                                      requirements in writing, the penalty is the greater
                                                         of Form 593.
installment payment, an amount based on either                                                                 of $500 or 10% of the required withholding. If
                                                         Part IV – Buyer’s Agreement to
3 1/3% of the total sales price, or the Optional                                                               the buyer (after notification) or other withholding
Gain on Sale withholding amount from Form 593,                                                                 agent does not withhold, the penalty is the greater
                                                                   Withhold
Real Estate Withholding Tax Statement, line 5,                                                                 of $500 or 10% of the required withholding. If
                                                         By signing Part IV, you acknowledge that you will:
which is certified by the seller.                                                                              the buyer or other withholding agent does not
                                                         • Withhold on the principal portion of each           furnish complete and correct copies of Form 593
If you are the buyer you must withhold on the
                                                            installment payment.                               to the seller by the due date, the penalty is $50
principal portion of each installment payment,
                                                         • Authorize the real estate escrow person to          per Form 593. If the failure is due to an intentional
complete Form 593-I, Real Estate Withholding
                                                            withhold the required amount only on the first     disregard of the requirement, the penalty is
Installment Acknowledgement, and have your
                                                            installment payment.                               the greater of $100 or 10% of the required
real estate escrow person send the completed
                                                         • Withhold 3 1/3% or the Optional Gain on Sale        withholding. If the buyer or other withholding
Form 593-I, a copy of the promissory note, and
                                                            withholding percentage, as specified by the        agent does not furnish complete and correct
seller’s certified Form 593 to the Franchise Tax
                                                            seller on Form 593, on the principal portion of    copies of Form 593 to the FTB by the due date
Board (FTB) with the withholding on the principal
                                                            all subsequent installment payments.               but does file them within 30 days of the due date,
portion of the first installment payment.
                                                         • Give one copy of Form 593 to the seller by the      the penalty is $15 per Form 593. If Form 593 is
                                                            20th day of the month following the month of       filed more than 30 days after the due date, the
                                                            the installment payments.                          penalty is $50 per Form 593. If the failure is due
                                                         • Send each withholding payment, along with           to an intentional disregard of the requirement,
                                                            the completed Form 593 (you do not need to         the penalty is the greater of $100 or 10% of the
                                                            obtain seller’s signature on each subsequent       required withholding.
                                                            and completed Form 593), to the FTB by the
                                                            20th day of the month following the month
                                                            of the installment payment (see Interest and
                                                            Penalties, on this page, for more information).




                                                                                                      Form 593-I Instructions 2008 (REV 01-09) Page
Additional Information
To get a withholding form or publication, or to
speak to a representative, contact our Withholding
Services and Compliance’s automated telephone
service at:
    888.792.4000, or
    916.845.4900 (not toll-free)
    FAX 916.845.9512
Or write to:
    WITHHOLDING SERVICES
    AND COMPLIANCE
    FRANCHISE TAX BOARD
    PO BOX 942867
    SACRAMENTO CA 94267-0651
For more information on requirements to file a
California tax return or to get forms, call:
From within the United States . . . . 800.852.5711
From outside the United States . . . 916.845.6500
                                       (not toll-free)
You can download, view, and print California tax
forms and publications from our website at
ftb.ca.gov.
OR to get forms by mail write to:
    TAX FORMS REQUEST UNIT
    FRANCHISE TAX BOARD
    PO BOX 307
    RANCHO CORDOVA CA 95741-0307
Assistance for Persons with Disabilities
We comply with the Americans with Disabilities Act.
Persons with hearing or speech impairments, call:
TTY/TDD . . . . . . . . . . . . . . . . . . . . 800.822.6268
Asistencia Telefonica y en el Internet
Dentro de los Estados Unidos,
   llame al . . . . . . . . . . . . . . . . . . . 800.852.5711
Fuera de los Estados Unidos,
   llame al . . . . . . . . . . . . . . . . . . 916.845.6500
                                                 (cargos aplican)
Sitio web: ftb.ca.gov
Asistencia para Personas Discapacitadas
Nosotros estamos en conformidad con el Acta
de Americanos Discapacitados. Personas con
problemas auditivos o dificultad con el habla
pueden llamar al: TTY/TDD 800.822.6268




Page          Form 593-I Instructions 2008

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ftb.ca.gov forms 09_593i

  • 1. Real Estate Withholding Installment Sale CALIFORNIA  FORM YEAR Acknowledgement 593-I 2009 (This form can only be completed by the buyer. This is not a remittance document.) Part I – Buyer’s Information Return this form to your real estate escrow person.   Name  SSN or ITIN - -   Spouse’s/RDP’s Name (if jointly purchased)  Spouse’s/RDP’s SSN or ITIN (if jointly purchased) - -   FEIN      CA Corp no.   Address (including apt./suite, room, PO Box, or PMB no.)    City  State  ZIP Code  Daytime telephone number - -     (       )   Property address (if no street address, provide parcel number and county) Part II – Seller’s Information    Name   SSN or ITIN - -   Spouse’s/RDP’s Name (if jointly purchased)  Spouse’s/RDP’s SSN or ITIN (if jointly owned) - -   FEIN      CA Corp no.   Address (including apt./suite, room, PO Box, or PMB no.)    City  State  ZIP Code  Installment Withholding Percent Apply this percent  - to all installment        ____ ____ . ____ ____%  payments. Part III – Installment Acknowledgement Attach to Form 593-I, Real Estate Withholding Installment Sale Acknowledgement, a copy of the signed promissory note. If the seller has elected and certified the Optional Gain on Sale withholding amount, also attach an executed copy of seller’s certification of Form 593, Real Estate Withholding Tax Statement, to Form 593-I. Part IV – Buyer’s Acknowledgement to Withhold (Read the “Buyer” information below before you sign.) I acknowledge that I am required to withhold on the principal portion of each installment payment to the seller for the above shown California real property either at the rate of 3 1/3% of the total sales price or the Optional Gain on Sale withholding percentage, as specified by the seller on Form 593, Real Estate Withholding Tax Statement, of the principal portion of each installment payment. I will complete Form 593 for the principal portion of each installment payment and send one copy of each to the Franchise Tax Board along with the withholding payment, and give one copy of Form 593 to the seller. I will send each withholding payment to the Franchise Tax Board by the 20th day of the month following the month of the installment payment. If the terms of the installment sale, promissory note, or payment schedule change, I will promptly inform the Franchise Tax Board. I understand that the Franchise Tax Board may review relevant escrow documents to ensure withholding compliance. I also understand that I am subject to withholding penalties if I do not withhold on the principal portion of each installment payment and do not send the withholding along with Form 593 to the Franchise Tax Board by the due date, or if I do not send one copy of Form 593 to the seller by the due date. Buyer’s name (if the buyer is not an individual, buyer’s agent’s name and title) (type or print) __________________________________________________________________ Buyer’s signature _____________________________________________________________________________Date: ______________________ Buyer’s spouse’s/RDP’s name (if on title) _______________________________________________________________________ It is unlawful to forge a spouse’s/RDP’s Buyer’s spouse’s/RDP’s signature (if applicable) _______________________________________ Date: _____________________ signature. Buyer: Make sure you copy both sides so you will have the instructions for withholding on subsequent payments. Give the original, along with copies of the promissory note and seller’s certified Form 593, to your real estate escrow person who should mail them to the Franchise Tax Board. Your real estate escrow person will withhold on the principal portion of the first installment payment. You must withhold on the principal portion of all subsequent installment payments (including payoff or balloon payments). Complete Form 593, and mail the documents and payment to the Franchise Tax Board for the principal portion of each installment payment. Real Estate Escrow Person: Make a copy of this Form for your records. Send the original Form 593-I, a copy of the promissory note, and seller’s certified Form 593 to the Franchise Tax Board with the required amount of the first installment payment. Form 593-I C2 2008 7141093 For Privacy Notice, get form FTB 1131.
  • 2. Instructions for Form 593-I Real Estate Withholding Installment Sale Acknowledgment What’s New Specific Instructions • Promptly inform the FTB if the terms of the installment sale, promissory note, or payment For taxable years beginning on or after January Buyer Instructions schedule change. 1, 2009, the buyer is required to withhold on the Complete all four parts of Form 593-I. Make sure you copy both sides so you will have principal portion of each installment payment if the instructions for withholding on subsequent Part I – Buyer’s Information the sale of California real property is structured as payments. Give the original, with a copy of the an installment sale. Enter your name as it is shown on the escrow promissory note, and a completed Form 593, to instructions. Each buyer is required to withhold on General Information your real estate escrow person. When you make individual payments and must complete a separate subsequent installment payments, withhold either Form 593-I. However, if you are purchasing the Registered Domestic Partners (RDP) – RDPs 3 1/3% of the total sales price, or Optional Gain property with your spouse/RDP and both of you under California law must file their California on Sale withholding percentage, as specified by will be on the promissory note, then include both income tax return using either the married/RDP the seller on Form 593, on the principal portion of your names, social security numbers (SSNs) or filing jointly or married/RDP filing separately of each installment payment. You must complete individual taxpayer identification numbers (ITINs), filing status. RDPs have the same legal benefits, Form 593 for each withholding payment. and signatures on one form. The buyer’s taxpayer protections, and responsibilities as married However, you do not need to obtain the seller’s identification numbers, SSN or ITIN, is required on couples unless otherwise specified. signature on each subsequent Form 593. When each form to be valid. you send the withholding on the final installment If you entered into a same sex legal union in Part II – Seller’s Information payment, write “Final Installment Payment” on the another state, other than a marriage, and that bottom of Form 593. union has been determined to be substantially Enter the seller’s name as it is shown on the equivalent to a California registered domestic We update our forms annually, so make certain escrow instructions. Use a separate Form 593-I partnership, you are required to file a California you use the most current form. For more for each seller included on the promissory note. income tax return using either the married/RDP information on withholding on installment However, if the sellers are spouses/RDPs and filing jointly or married/RDP filing separately filing payments, see the instructions for Form 593 both of them will be on the promissory note, then status. For more information on what states have or call Withholding Services and Compliance include both of their names and social security legal unions that are considered substantially at 888.792.4900 (toll free) or 916.845.4900 numbers or individual taxpayer identification equivalent, go to our website at ftb.ca.gov and (not toll-free). numbers on one form. The seller’s taxpayer search for RDP. identification number, SSN or ITIN, is required Real Estate Escrow Person For purposes of California income tax, references on each form to be valid. If the seller is electing Instructions to a spouse, a husband, or a wife also refer to the Optional Gain on Sale withholding amount, a California registered domestic partner (RDP), ask the seller to provide you the installment Make a copy of this form for your records. unless otherwise specified. When we use the withholding percentage that the seller calculated Send the completed Form 593-I, a copy of initials RDP they refer to both a California in the instructions for the Form 593. Include the promissory note, and the seller’s certified registered domestic “partner” and a California this installment withholding percentage in the Form 593 with the required withholding amount on registered domestic “partnership,” as applicable. appropriate box and use this percentage as part the first installment payment to the FTB. Refer to For more information on RDPs, get FTB Pub. 737, of the calculation for withholding on the principal the Form 593 instructions for more information. Tax Information for Registered Domestic portion of each installment payment. Interest and Penalties Partners. Part III – Installment Interest will be assessed on late withholding Purpose Acknowledgment payments and is computed from the due date to When California real estate is sold on an the date paid. If the real estate escrow person Attach a copy of the signed promissory note to installment basis, the buyer is required to does not notify the buyer of the withholding Form 593-I, and the seller’s signed certification withhold on the principal portion of each requirements in writing, the penalty is the greater of Form 593. installment payment, an amount based on either of $500 or 10% of the required withholding. If Part IV – Buyer’s Agreement to 3 1/3% of the total sales price, or the Optional the buyer (after notification) or other withholding Gain on Sale withholding amount from Form 593, agent does not withhold, the penalty is the greater Withhold Real Estate Withholding Tax Statement, line 5, of $500 or 10% of the required withholding. If By signing Part IV, you acknowledge that you will: which is certified by the seller. the buyer or other withholding agent does not • Withhold on the principal portion of each furnish complete and correct copies of Form 593 If you are the buyer you must withhold on the installment payment. to the seller by the due date, the penalty is $50 principal portion of each installment payment, • Authorize the real estate escrow person to per Form 593. If the failure is due to an intentional complete Form 593-I, Real Estate Withholding withhold the required amount only on the first disregard of the requirement, the penalty is Installment Acknowledgement, and have your installment payment. the greater of $100 or 10% of the required real estate escrow person send the completed • Withhold 3 1/3% or the Optional Gain on Sale withholding. If the buyer or other withholding Form 593-I, a copy of the promissory note, and withholding percentage, as specified by the agent does not furnish complete and correct seller’s certified Form 593 to the Franchise Tax seller on Form 593, on the principal portion of copies of Form 593 to the FTB by the due date Board (FTB) with the withholding on the principal all subsequent installment payments. but does file them within 30 days of the due date, portion of the first installment payment. • Give one copy of Form 593 to the seller by the the penalty is $15 per Form 593. If Form 593 is 20th day of the month following the month of filed more than 30 days after the due date, the the installment payments. penalty is $50 per Form 593. If the failure is due • Send each withholding payment, along with to an intentional disregard of the requirement, the completed Form 593 (you do not need to the penalty is the greater of $100 or 10% of the obtain seller’s signature on each subsequent required withholding. and completed Form 593), to the FTB by the 20th day of the month following the month of the installment payment (see Interest and Penalties, on this page, for more information). Form 593-I Instructions 2008 (REV 01-09) Page
  • 3. Additional Information To get a withholding form or publication, or to speak to a representative, contact our Withholding Services and Compliance’s automated telephone service at: 888.792.4000, or 916.845.4900 (not toll-free) FAX 916.845.9512 Or write to: WITHHOLDING SERVICES AND COMPLIANCE FRANCHISE TAX BOARD PO BOX 942867 SACRAMENTO CA 94267-0651 For more information on requirements to file a California tax return or to get forms, call: From within the United States . . . . 800.852.5711 From outside the United States . . . 916.845.6500 (not toll-free) You can download, view, and print California tax forms and publications from our website at ftb.ca.gov. OR to get forms by mail write to: TAX FORMS REQUEST UNIT FRANCHISE TAX BOARD PO BOX 307 RANCHO CORDOVA CA 95741-0307 Assistance for Persons with Disabilities We comply with the Americans with Disabilities Act. Persons with hearing or speech impairments, call: TTY/TDD . . . . . . . . . . . . . . . . . . . . 800.822.6268 Asistencia Telefonica y en el Internet Dentro de los Estados Unidos, llame al . . . . . . . . . . . . . . . . . . . 800.852.5711 Fuera de los Estados Unidos, llame al . . . . . . . . . . . . . . . . . . 916.845.6500 (cargos aplican) Sitio web: ftb.ca.gov Asistencia para Personas Discapacitadas Nosotros estamos en conformidad con el Acta de Americanos Discapacitados. Personas con problemas auditivos o dificultad con el habla pueden llamar al: TTY/TDD 800.822.6268 Page Form 593-I Instructions 2008