Affidavit Regarding Status under Section 1445, Internal Revenue Code

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Affidavit Regarding Status under Section 1445, Internal Revenue Code Powered By Docstoc
					Affidavit Regarding Status under Section 1445, Internal Revenue Code STATE OF FLORIDA) COUNTY OF _______________________) BEFORE ME this day personally appeared _______________________________, who after first being duly sworn deposes and says: 1. That the purpose of this affidavit is to inform the buyer and closing agents of my status under Section 1445 of the Internal Revenue Code of 1954 regarding property described as: 2. That the undersigned, as seller of the property is not a foreign person , foreign corporation, foreign trust or foreign estate as defined in the Internal Revenue Code and the Income Tax Regulations. 3. That the undersigned is not a non-resident alien for U. S. income tax purposes. 4. That the taxparyer identification number (or employer identification number) of the undersigned is: ________________________. 5. That the address of the undersigned is: _______________________________ _______________________________

6. The the undersigned understands that this affidavit may be disclosed to the Internal Revenue Service and that any false statement herein may be punishable by fine or imprisonment or both. 7. That the undersigned, under penalty of perjury, declares that he/she has read this addidavit, that it is true and correct to the best of his/her knowledge and belief and that the undersigned has fiull authority to sign. FURTHER AFFIANT SAYETH NOT. Sworn to and subscribed before me this ____ day of __________________, ________. ___________________________________________ Notary Public My Commission expires:


				
Johnny  Geary Johnny Geary
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