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SOUTHERN CALIFORNIA EDISON COMPANY 49
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SOUTHERN CALIFORNIA EDISON COMPANY 49
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Last modified
6/19/2014 3:45:45 PM
Creation date
7/12/2013 9:57:35 AM
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Contracts
Company Name
SOUTHERN CALIFORNIA EDISON COMPANY
Contract #
A-2013-016
Agency
PUBLIC WORKS
Council Approval Date
1/22/2013
Expiration Date
4/23/2013
Destruction Year
2018
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YEAR Withholding Exemption Certificate CALIFORNIA FORM <br />(This form can only be used to certify exemption from nonresident withholding under California Revenue <br />2011 <br />and Taxation Code (R &TC) Section 18662. Do not use this form for exemption from wage withholding.) 590 <br />File this form with your withholding agent. (Please type or print) <br />Withholding agent's name <br />Payee's name Payee's Cr SSN or ITIN <br />SOS file no. �_ CA corp. no. G FEIN <br />Address (number and street, PO Box, or PMB no.) Apt. nod Ste. no. <br />City State ZIP Code <br />Read the following carefully and check the box that applies to the payee. <br />I certify that for the reasons checked below, the payee named on this form is exempt from the California income tax withholding <br />requirement on payment(s) made to the entity or individual. <br />❑ Individuals — Certification of Residency: <br />I am a resident of California and I reside at the address shown above. If I become a nonresident at any time, I will promptly <br />notify the withholding agent. See instructions for General Information D, Who is a Resident, for the definition of a resident. <br />❑ Corporations: <br />The above -named corporation has a permanent place of business in California at the address shown above or is qualified <br />through the California Secretary of State (SOS) to do business in California. The corporation will file a California tax return <br />and withhold on payments of California source income to nonresidents when required. If this corporation ceases to have <br />a permanent place of business in California or ceases to do any of the above, I will promptly notify the withholding agent. <br />See instructions for General Information F, What is a Permanent Place of Business, for the definition of permanent place of <br />business. <br />❑ Partnerships or limited liability companies (LLC): <br />The above -named partnership or LLC has a permanent place of business in California at the address shown above or is <br />registered with the California SOS, and is subject to the laws of California. The partnership or LLC will file a California tax <br />return and will withhold on foreign and domestic nonresident partners or members when required. If the partnership or <br />LLC ceases to do any of the above, I will promptly inform the withholding agent. For withholding purposes, a limited liability <br />partnership (LLP) is treated like any other partnership. <br />❑ Tax - Exempt Entities: <br />The above -named entity is exempt from tax under California Revenue and Taxation Code (R &TC) Section 23701 <br />(insert letter) or Internal Revenue Code Section 501(c) (insert number). The tax- exempt entity will withhold on payments <br />of California source income to nonresidents when required. If this entity ceases to be exempt from tax, I will promptly notify the <br />withholding agent. Individuals cannot be tax- exempt entities. <br />❑ Insurance Companies, Individual Retirement Arrangements (IRAs), or Qualified Pension/Profit Sharing Plans: <br />The above -named entity is an insurance company, IRA, or a federally qualified pension or profit- sharing plan. <br />❑ California Trusts: <br />At least one trustee and one noncontingent beneficiary of the above -named trust is a California resident. The trust will file a <br />California fiduciary tax return and will withhold on foreign and domestic nonresident beneficiaries when required. If the trustee <br />becomes a nonresident at any time, I will promptly notify the withholding agent. <br />❑ Estates — Certification of Residency of Deceased Person: <br />I am the executor of the above -named person's estate. The decedent was a California resident at the time of death. The estate <br />will file a California fiduciary tax return and will withhold on foreign and domestic nonresident beneficiaries when required. <br />❑ Nonmilitary Spouse of a Military Servicemember: <br />I am a nonmilitary spouse of a military servicemember and I meet the Military Spouse Residency Relief Act (MSRRA) <br />requirements. See instructions for General Information E, MSRRA. <br />CERTIFICATE: Please complete and sign below. <br />Under penalties of perjury, I hereby certify that the information provided in this document is, to the best of my knowledge, true and <br />correct. If conditions change, I will promptly notify the withholding agent. <br />Payee's name and title (type or print) Daytime telephone no. <br />Payee's signature ► Date <br />Form 590 cz 201 <br />For Privacy Notice, get form FTB 1131. —� 7061113 �— <br />
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