CERTIFICATE OF NON-FOREIGN STATUS BY CORPORATION, PARTNERSHIP, TRUST OR ESTATE To: Seller: Section 1445 of the Internal Revenue Code provides that a transferee of a U.S. real property interest must withhold tax if the transferor is a foreign person. To inform the transferee that withholding of tax is not required upon the disposition of a U.S. real property by Seller, the undersigned hereby certifies the following on behalf of the Seller. 1. Seller is not a foreign corporation, foreign partnership, foreign trust, or foreign estate (as those terms are defined in the Internal Revenue Code and Income Tax Regulations); Seller's U.S. employer identification number is Seller's office address is: ; and 2. 3. 4. The real estate being transferred to the transferee is all that certain property described in the Commitment for Title Insurance No. __________ issued by _______________________________________________________. Seller understands that this certification may be disclosed to the Internal Revenue Service by the transferee and that any false statement contained herein could be punished by fine, imprisonment, or both. Under penalties of perjury I declare that I have examined this certification and to the best of my knowledge and belief, it is true, correct and complete, and I further declare that I have authority to sign this document on behalf of the Seller. Seller: By: ___________________________________________ Title: Date: File Number: American LegalNet, Inc. www.FormsWorkflow.com