CERTIFICATE OF NON-FOREIGN STATUS BY AN INDIVIDUAL 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: 1. Seller is not a foreign person (as that term is defined in the Internal Revenue Code and Income Tax Regulations); and 2. Seller's U.S. tax identification number is _____ 3. Seller's address is: ________ __________________________________________ ; and ; and 4. The real estate being transferred to the transferee is all that certain property described issued by in Commitment for Title Insurance No. . 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/we declare that I/we have examined this certification and to the best of my/our knowledge and belief, it is true, correct and complete. Seller: ________________________________________ ________________________________________ Date: File Number: American LegalNet, Inc. www.FormsWorkflow.com