Laserfiche WebLink
Rainier Title, LLC - Everett <br /> 2722 Colby Avenue, Suite 125 <br /> Everett, WA 98201 <br /> (425)252-1222 (P) <br /> RAIN I E RTITLE (425)329-2197 (F) <br /> teamlovgreen@rainiertitle.com <br /> Seller's Certification of Non Foreign Status <br /> Section 1445 of the Internal Revenue Code provides that a transferee (buyer) of a U.S. real property interest must withhold <br /> tax if the transferor(seller) is a foreign person. For U.S. tax purposes (including §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. To inform the transferee that withholding of tax is not required upon the transfer of the U.S. real <br /> property interest City of Everett ("transferor"), the undersigned hereby certified the following (if transferor is an entity, on <br /> behalf of the transferor): <br /> A. INDIVIDUAL TRANSFEROR(S) <br /> 1. I am not a nonresident alien for purposes of United States income taxation, <br /> 2. My U.S. taxpayer identification number(social security number) is <br /> 3. My home address is: Real Property Manager, 3200 Cedar Street. <br /> B. CORPORATION, PARTNERSHIP, TRUST, OR ESTATE TRANSFEROR(S) <br /> 1. Transferor is not a foreign corporation, foreign partnership, foreign trust, or foreign estate(as those terms are <br /> defined in the U.S. Internal Revenue Code and Treasury Department Regulations); <br /> 2. Transferor is not a disregarded entity as defined in §1.1445-2(b)(2)(iii); <br /> 3. Transferor's U.S. taxpayer identification number is <br /> 4. Transferor's office address is <br /> C. The transferor understands that this certificate may be disclosed to the Internal Revenue Service, that any false <br /> statement contained in this certificate may be punished by fine or imprisonment or both, that transferee is relying on <br /> this certificate in determining whether withholding is required, and that transferee may face liabilities if any statement in <br /> this certificate is false. <br /> D. Transferor hereby indemnifies transferee from any liability or cost which transferee may incur as a result of (1) the <br /> Seller's failure to pay any U.S. Federal income tax which such transferor is required to pay under applicable U.S. law, <br /> or(2) any false or misleading statement contained in this certification. <br /> Under penalties of perjury I declare that I have examined this certification and to the best of my knowledge and belief it is <br /> true, correct and complete (and, for an entity transferor, I further declare that I have the authority to sign this document on <br /> behalf of transferor. <br /> Date: [ �Z Z�_ Office cfthe City Attcrrey <br /> APPROVED ASTO FORM <br /> David C.Hall,CityAttarnev <br /> C . o Ev- ='-• - lam' Mayor <br /> Escrow Number: 774818RT <br /> Notice to Transferor and Transferee—In the case of multiple transferors,Certification should be obtained from each. <br /> Revised 1/1/04 <br />