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FILER’S name, street address, city, state, and ZIP code OMB No. 1545-0997
Proceeds From Real
1991 Estate Transactions
FILER'S Federal identification number | TRANSFERGR’S identification number | 1 Date of closing 2 Gross proceeds
Copy C
$ For Filer
TRANSFEROR’S name 3 Address or legal description (including city, state, and ZIP code)
For Paperwork
Reduction Act
Notice and
Street address (including apt. no.) instructions for
completing this
form, see
City, state, and ZIP code Instructions for
Forms 1099,
‘Account number (optional) “ Check here if the transferor recewved or will receive property 1098, 5496. and
or services as part of the consideration. «> im
Form 1099-S Department of the Treasury - Internal Revenue Service

(J voip (J CORRECTED
FILER’S name, street address, city, state, and ZIP code OMB No. 1545-0997

Proceeds From Real

4991 Estate Transactions

FILER'S Federal identification number] TRANSFEROR’S identification number | 1 Date of closing 2 Gross proceeds
Copy C
TRANSFEROR’S name 3 Address or legal description (including city, state, and ZIP code) For Filer
For Paperwork
Reduction Act
Notice and
Street address (including apt. no.) instructions for
completing this
form, see
City, state, and ZIP code Instructions for
Forms 1099,
‘Account number (optional) Check here if the transferor received or will receive property 1098, 5498, and

or services as partof the consideration...» > LI

Form 1099-S Department of the Treasury - Internal Revenue Service

[J] VOID [_] CORRECTED
FILER'S name, street address, city, state, and ZIP code OMB No. 1545-0997

Proceeds From Real

1991 Estate Transactions

FILER'S Federal identification number | TRANSFEROR’S identification number | 1 Date of closing 2 Gross proceeds

Copy C

TRANSFEROR’S name 3 Address or legal description (including city, state, and ZIP code) For Filer

For Paperwork

Reduction Act

Notice and

Street address (including apt. no.) instructions for

completing this

form, see

City, state, and ZIP code Instructions for

Forms 1099,

‘Account number (optional) “ Check here if the transferor received or will receive property 1098, 5498, and
or services as partof the consideration... . . & LI

Form 1099-S Department of the Treasury - Internal Revenue Service


Instructions for Transferor

Generally, persons responsible for closing a real estate
transaction must report the real estate proceeds to the
Internal Revenue Service and must furnish this statement
to you. If the real estate transferred was your main home,
file Form 2119, Sale of Your Home, with your income tax
return even if you sold at a loss or you did not replace your
home. If the real estate transferred was not your main
home, report the transaction in the applicable parts of
Form 4797, Sales of Business Property, Form 6252,
Installment Sale Income, and/or Schedule D (Form 1040),
Capital Gains and Losses.

Box 1.—Shows the date of closing.

Instructions for Transferor

Generally, persons responsible for closing a real estate
transaction must report the real estate proceeds to the
Internal Revenue Service and must furnish this statement
to you. If the real estate transferred was your main home,
file Form 2119, Sale of Your Home, with your income tax
return even if you sold at a loss or you did not replace your
home. If the real estate transferred was not your main
home, report the transaction in the applicable parts of
Form 4797, Sales of Business Property, Form 6252,
Installment Sale Income, and/or Schedule D (Form 1040),
Capital Gains and Losses.

Box 1.—Shows the date of closing.

Instructions for Transferor

Generally, persons responsible for closing a real estate
transaction must report the real estate proceeds to the
Internal Revenue Service and must furnish this statement
to you. If the real estate transferred was your main home,
file Form 2119, Sale of Your Home, with your income tax
return even if you sold at a loss or you did not replace your
home. If the real estate transferred was not your main
home, report the transaction in the applicable parts of
Form 4797, Sales of Business Property, Form 6252,
Installment Sale Income, and/or Schedule D (Form 1040),
Capital Gains and Losses.

Box 1.—Shows the date of closing.

Box 2.—Shows the gross proceeds from a real estate
transaction. Gross proceeds include cash and notes
payable to you and notes assumed by the transferee
(buyer). It does not include the value of other property or
services you received or are to receive. See Box 4.

Box 3.—Shows the address of the property transferred or
a legal description of the property.

Box 4.—If marked, shows that you received or will receive
services or property (other than cash or notes) as part of
the consideration for the property transferred. The value of
any services or property (other than cash or notes) is not
included in Box 2

Box 2.—Shows the gross proceeds from a real estate
transaction. Gross proceeds include cash and notes
payable to you and notes assumed by the transferee
(buyer). It does not include the value of other property or
services you received or are to receive. See Box 4.

Box 3.—Shows the address of the property transferred or
a legal description of the property.

Box 4.—If marked, shows that you received or will receive
services or property (other than cash or notes) as part of
the consideration for the property transferred. The value of
any services or property (other than cash or notes) is not
included in Box 2.

Box 2.—Shows the gross proceeds from a real estate
transaction. Gross proceeds include cash and notes
payable to you and notes assumed by the transferee
(buyer). It does not include the value of other property or
services you received or are to receive. See Box 4.

Box 3.—Shows the address of the property transferred or
a legal description of the property.

Box 4.—If marked, shows that you received or will receive
services or property (other than cash or notes) as part of
the consideration for the property transferred. The value of
any services or property (other than cash or notes) is not
included in Box 2.


7575 Cvoip

‘Type or machine print FILER'S name, street address, city, state, and ZIP code

(1 CORRECTED
OMB No, 1545-0997

1991

Proceeds From Real
Estate Transactions

FILER'S Federal identification number | TRANSFEROR'S identification number

2 Gross proceeds

Copy A
For

1 Date of closing (MMDDYY)

‘Type or machine print TRANSFEROR’S name

Street address (including apt. no.)

City, state, and ZIP code

Internal Revenue
Service Center

File with Form 1096.

For Paperwork
Reduction Act Notice
and instructions for
completing this form,
see Instructions for

3 Address or legal description (including city, state, and ZIP code)

. - " Forms 1099,

‘Account number (optional) 4 Check here if the transferor received or will receive property 1098 8498 and
or services as part of the consideration. »O W.26.

Form 1099-S Department of the Treasury - Internal Revenue Service

Do NOT Cut or Separate Forms on This Page

7575 LC) voip

‘Type or machine print FILER’S name, street address, city, state, and ZIP code

(C] CORRECTED
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OMB No. 1545-0997

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1991 Estate Transactions

FILER’S Federal identification number | TRANSFEROR'S Wentification number | 1 Date of closing (MMDDYY) [2 Gross proceeds Copy A
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“Type or machine print TRANSFEROR’S name ‘3 Address or legal description (Including city, state, and ZIP code) |Internal Revenue
Service Center

File with Form 1096.

Street address (including apt. no.) For Paperwork
Reduction Act Notice

and instructions for

City, state, and ZIP code completing this form,
see Instructions for

‘Recount number (optional) @ Check here ifthe transferor received or wil receive property 1098 mg:
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Form 1099-S

2575 [voip

Department of the Treasury - Internal Revenue Service

Do NOT Cut or Separate Forms on This Page

(1) CORRECTED

‘Type or machine print FILER’S name, street address, city, state, and ZIP code

OMB No, 1545-0997

1991

Proceeds From Real
Estate Transactions

FILER'S Federal identification number | TRANSFEROR’S identification number

1 Date of closing(MMDDYY) | 2 Gross proceeds

$

CopyA
For

‘Type or machine print TRANSFEROR’S name

‘3 Address or legal description (including city, state, and ZIP code) |Internal Revenue
Service Center

File with Form 1096.

Street address (including apt. no.)

For Paperwork
Reduction Act Notice
and instructions for

City, state, and ZIP code

completing this form,
see Instructions for
Forms 1099,

‘Account number (optional)

4 Check here if the transferor received or will receive property

1098, 5498, and
or services as part of the consideration. »O W-2G.

Form 1099-S

Department of the Treasury - Internal Revenue Service




(-] CORRECTED (if checked)

FILER’S name, street address, city, state, and ZIP code

Yy

OMB No. 1545-0997

Proceeds From Real

1991 Estate Transactions
FILER’S Federal identification number TRANSFEROR'S identification number | 1 Date of closing 2 Gross proceeds Copy B
$ For Transferor

TRANSFEROR'S name

Street address (including apt. no.)

City, state, and ZIP code

‘3 Address or legal description

This 1s important tax
information and is being
furnished to the internal

Revenue Service. If you
are required to file a
return, a negligence
penalty or other sanction
may be imposed on you
if this item is required to
be reported and the IRS

‘Account number (optional)

4 Transferor received or will receive property or services as

part of the consideration (if checked)

determines that it has
not been reported.

»O

Form 1099-S

Department of the Treasury - Internal Revenue Service

(-] CORRECTED (if checked)

FILER'S name, street address, city, state, and ZIP code

OMB No. 1545-0997

Proceeds From Real

199 1 Estate Transactions
FILER'S Federal identification number TRANSFEROR'S identification number | 1 Date of closing 2 Gross proceeds Copy B
$ For Transferor

TRANSFEROR’S name

Street address (including apt. no.)

City, state, and ZIP code

3 Address or legal description

This is important tax
information and is being
furnished to the Internal

Revenue Service. If you
are required to file a
return, a negligence
penalty or other sanction
may be imposed on you
if this item is required to
be reported and the IRS

‘Account number (optional)

4 Transferor received or will receive property or services as

part of the consideration (it checked)

determines that it has
not been reported.

OO

Form 1099-S

Department of the Treasury - Internal Revenue Service

(1) CORRECTED (if checked)

FILER'S name, street address, city, state, and ZIP code OMB No. 1545-0997
Proceeds From Real
1991 Estate Transactions
FILER'S Federal identification number TRANSFEROR'S identification number | 1 Date of closing 2 Gross proceeds Copy B
$ For Transferor

TRANSFEROR'S name

Street address (including apt. no.)

City, state, and ZIP code

3 Address or legal description

This is important tax
information and is being
furnished to the Internal

Revenue Service. if you
are required to file a
return, a negligence
penalty or other sanction
may be imposed on you
if this item 1s required to
be reported and the IRS.

‘Account number (optional)

4 Transferor received or will receive property or services as,

part of the consideration (if checked)

determines that it has
not been reported.

Oo

Form 1099-S

Department of the Treasury - Internal Revenue Service