Property Tax Certification

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Description

Property Tax Certification document sample

Document Sample
scope of work template
							     F.I.R.P.T.A. NON-FOREIGN CERTIFICATION BY INDIVIDUAL
                           TRANSFEROR
1.    Section 1445 of the Internal Revenue Code provides that a transferee of a United
      States real property interest must withhold tax if the transferor is a foreign person.

2.    In order to inform the transferee that withholding of tax is not required upon the
      disposition by [name of transferor(s)] of the United States real property described
      as follows:

      the undersigned transferor certifies and declares by means of this certification, the
      following

      a.   I (we) am (are) not non-resident alien(s) for purposes of United States
           income taxation and,

      b.   My United States taxpayer identifying number (Social Security number) is

NAME                                             SOCIAL SECURITY NUMBER

________________________________                 ___________________________________

________________________________                 ___________________________________

      c.   My home address is           ________________________________

                                        ________________________________

      d.   There are no other persons who have an ownership interest in the above
           described property other than those persons set forth above in subparagraph b.

3.    The undersigned hereby further certifies and declares

      a.   I (we) understand that the purchaser of the above described property intends to
           rely on the foregoing representations in connection with the United States
           Foreign Investment in Real Property Tax Act. (94 Stat 2682 as amended)

      b.   I (we) understand this certification may be disclosed to the Internal Revenue
           Service by transferee and that any false statement contained in this certification
           may be punished by fine, imprisonment or both.

           Under penalties of perjury I (we) declare I (we) have examined carefully this
           certification and it is true, correct and complete.

Date:                                   ________________________________________

                                        ________________________________________

NYSBA PRACTICE FORMS 10/99              RET105

						
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