Fill Out a Valid California 3528 A Template

2009

Application for New Home Credit

3528-A

Part I Seller’s Certiication (Important: Use this form only with the sale of a home that has never been occupied)

PRINT CLEARLY

Seller’s Name

FEIN or CA Corp no.

Secretary of State (SOS) ile number

SSN or ITIN

-

-

Address (including suite, room, PO Box, or PMB no.)

City

State

ZIP Code

-

If No, skip line 5 and see line 6 instructions

. . . . . . . . . . . . .

m฀Yes m No

5.

Enter 5% (.05) of the Total Purchase Price (line 3) or $10,000, whichever is less. This is the total credit amount

I฀5

00

Do not complete Line 6 or Line 7 if you checked Yes to Line 4.

6

Enter the Qualified Purchase Price. See instructions

I฀6

00

7

Enter 5% (.05) of the Qualified Purchase Price (line 6) or $10,000, whichever is less. This is the total credit amount . . .

I฀7

00

Part III Qualiied Buyer’s Information

Escrow Number: __________________________

Perjury Statement

Buyer 1.

PRINT CLEARLY

Buyer’s First Name

Initial

Buyer’s Last Name

Buyer’s SSN or ITIN

* Buyer’s Ownership Percent

Buyer’s Individual Credit

-

-

______ _____ _____ • _____ _____%

$

.00

Spouse’s/RDP’s First Name (if applicable)

Initial

Spouse’s/RDP’s Last Name

Spouse’s/RDP’s SSN or ITIN

-

Buyer’s Telephone Number

-

( __________ ) __________ – _______________________

Mailing Address

City

State

Zip Code

-

Buyer’s Signature

Date

Spouse/s/RDP’s Signature (if applicable)

Date

Buyer 2.

Buyer’s First Name

Initial

Buyer’s Last Name

Buyer’s SSN or ITIN

* Buyer’s Ownership Percent

Buyer’s Individual Credit

-

-

______ _____ _____ • _____ _____%

$

.00

Spouse’s/RDP’s First Name (if applicable)

Initial

Spouse’s/RDP’s Last Name

Spouse’s/RDP’s SSN or ITIN

-

Buyer’s Telephone Number

-

( __________ ) __________ – _______________________

Buyer’s First Name

Initial

Buyer’s Last Name

Buyer’s SSN or ITIN

* Buyer’s Ownership Percent

Buyer’s Individual Credit

-

-

______ _____ _____ • _____ _____%

$

.00

Spouse’s/RDP’s First Name (if applicable)

Initial

Spouse’s/RDP’s Last Name

Spouse’s/RDP’s SSN or ITIN

-

Buyer’s Telephone Number

-

( __________ ) __________ – _______________________

General Information

The FTB may request documentation to

residence is made, on a timely filed original

A

Purpose

ensure the parties have complied with the

return. If the available credit exceeds the

requirements of the credit under Revenue and

current year net tax, the unused credit may not

Use form FTB 3528-A, Application for New

Taxation Code (R&TC) Section 17059.

be carried over to the following year.

Home Credit, if you are a seller of a new home

The credit must be apportioned equally for

F Filing Form FTB 3528-A

which has never been occupied and are selling

two married taxpayers filing separate tax

The escrow person will FAX a copy of the form

to any individual who purchases the residence

returns, even if their ownership percentage

on or after March 1, 2009, and before March 1,

is not equal. For two or more taxpayers who

FTB 3528-A to the FTB and send one copy to

2010. The seller must first complete Part I of

are not married, the credit shall be allocated

the buyer within one week after the close of

form FTB 3528-A, certifying that the home

among the taxpayers who will occupy the

escrow. If a seller has several buyers, send

has never been occupied, and provide a copy

home as their principal residence using their

only one application per FAX.

to the buyer or escrow person. The buyer will

percentage of ownership in the property. The

Do not mail the form.

complete the rest of form FTB 3528-A. The

total amount of the credits allocated to all of

FTB’s FAX Number is 916.845.9754

escrow person will FAX the completed form

these taxpayers shall not exceed ten thousand

The FAX number will be disconnected once the

FTB 3528-A to the Franchise Tax Board (FTB)

dollars ($10,000).

$100,000,000 total allocation amount has been

within one week of the close of escrow, at

C

Definitions

reached. Do not use any other FAX number.

916.845.9754, and provide a copy to the buyer.

The copy received from the seller or escrow

A “qualified principal residence” means a

Applications sent to any other FTB FAX number

will not be be processed.

person does not constitute an allocation of

single-family residence, whether detached or

We will post a notice on our website at

the credit to the Buyer; instead the Buyer will

attached, that has never been occupied and

receive confirmation from the FTB certifying

is purchased to be the principal residence of

ftb.ca.gov when the credit has been fully

the allocation of tax credit. The Buyer cannot

the taxpayer for a minimum of two years and

allocated.

claim this credit unless they receive an

is eligible for the property tax homeowner’s

For more information, contact Withholding

allocation of the credit from the FTB.

exemption.

Services and Compliance at:

Upon receipt of form FTB 3528-A, the FTB will

• Types of residence: Any of the following can

888.792.4900

allocate the credit on a first-come first-served

qualify if it is your principal residence and

916.845.4900 (not toll-free)

basis. The total amount of credit that may

is subject to property tax, whether real or

be allocated by the FTB must not exceed one

personal property: a single family residence,

Specific Instructions

hundred million dollars ($100,000,000).

a condominium, a unit in a cooperative

Part I – Seller’s Certification

Registered Domestic Partner – For purposes

project, a houseboat, a manufactured home,

or a mobile home.

Enter the name, address, and identification

of California income tax, references to a

• Owner-built property: A home constructed

spouse, a husband, or a wife also refer to a

number of the seller. If the seller is an

California Registered Domestic Partner (RDP),

by an owner-taxpayer is not eligible for the

individual, enter the SSN or ITIN. If the seller

unless otherwise specified.

New Home Credit because the home has not

is a corporation or partnership, enter the FEIN

Round Cents to Dollars – Round cents to the

been “purchased.”

or CA Corporation number. If the seller is a

“One week” means a 7 calendar day period. We

Limited Liability Company (LLC), enter the

nearest whole dollar. For example, round $50.50

Secretary of State (SOS) file number. Include

up to $51 or round $25.49 down to $25.

will count the day after escrow closes as the

the Private Mail Box (PMB) in the address

first full day.

B

Qualifications

field. Write “PMB” first, then the box number.

Example: Escrow closes March 1, 2009. We

California allows a credit against net tax equal

Example: 111 Main Street PMB 123.

will accept an application filed March 1, 2009

Enter the address of the property sold,

to the lesser of 5% (.05) of the purchase

through March 8, 2009.

price of the qualified principal residence or ten

A “qualified buyer” is an individual who

including parcel number and county.

thousand dollars ($10,000).

Complete the Seller’s Certification, sign and date.

purchases a single-family residence, whether

The credit shall be:

detached or attached, and intends to live in the

Part II – Escrow Information

•

Allocated for the purchase of only one

qualified principal residence for a minimum of

Line 1 – Escrow Number

qualified principal residence with respect to

two years.

Enter the escrow number for the property

any taxpayer.

“Total purchase price” is the price before

purchased, if any.

• Claimed only on a timely filed return,

reduction of ownership percentage.

Line 2 – Date Escrow Closed

including returns filed on extension.

“Qualified purchase price” is the price after

•

Applied in equal amounts over the three

Enter the date escrow closed. Complete the

reduction of the non-qualifed buyers ownership

successive taxable years beginning with

escrow information including the escrow

percentage.

the taxable year in which the purchase of

company name, contact person, and telephone

“Purchase date” is the date escrow closes.

the qualified principal residence is made

number.

(maximum of $3,333 per year.)

D

Limitations

Line 3 – Total Purchase Price

The credit will not be allocated:

The credit cannot reduce regular tax below

Enter the total purchase price of the property.

If there is more than one buyer, this amount is

•

If the residence has been previously

the tentative minimum tax (TMT). This credit

the total paid by all buyers.

occupied.

cannot be carried over.

Line 4

• If the taxpayer does not intend to take

This credit is nonrefundable.

occupancy of the principal residence for at

Check whether all of the buyers will be living

least two years immediately following the

E

Claiming the Credit

in the home as their principal residence.

purchase.

The credit is applied against the net tax in equal

Disregard any buyers on title for incidental

• If the application is not received within one

purposes who do not have an ownership

amounts (1/3 each year) over three successive

week after the close of escrow.

interest. Check the applicable box. If Yes, go to

taxable years, beginning with the taxable year

in which the purchase of the qualified principal

line 5. If No, go to line 6 of the instructions.

Buyer’s First Name

Initial Buyer’s Last Name

H

U

S

B

A

N

D

X B

U

Y

E

R

Buyer’s SSN or ITIN

- 4

- 6

* Buyer’s Ownership Percent

Buyer’s Individual Credit

1

2

3

5

7

8

9

______ 5_____

0_____

• 0 0 %_____ _____

$

4

5

0

0

.00

Spouse’s/RDP’s First Name (if applicable)

Initial

Spouse’s/RDP’s Last Name

W

I

F

E

X

B

U

Y

E

R

Spouse’s/RDP’s SSN or ITIN

Buyer’s Telephone Number

1

2

3

- 4

5

- 6

7

8

9

( 5 5 5 ) 5 5 5

- 5 5 5 5

Mailing Address

1

2

3

4

B

U

Y

E

R

W

A

Y