Clvoiw

( corrRECTED

FILER'S name, street address, city, state, and ZIP code Wy OMB No. 1545-0997
y 1990 Proceeds From Real
Y Estate Transactions
Statement for
Recipients of
FILER'S Federal identification number TRANSFEROR'S identification number | 1 Date of closing 2 Gross proceeds
Copy C
$ For Filer
TRANSFEROR’S name 3 Address or legal description
For Paperwork
Reduction Act
Notice and

Street address

City, state, and ZIP code

instructions for
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
W.2G,
or services as part of the consideration. > im

Form 1099-S

Clvoip

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

Department of the Treasury - Internal Revenue Service

(CORRECTED

OMB No. 1545-0997

)
/ 1990

Proceeds From Real

Street address

City, state, and ZIP code

Estate Transactions

Statement for

Recipients of

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 For Filer
For Paperwork
Reduction Act
Notice and

instructions for
completing this
form, see
Instructions for
Forms 1099,

"Account number (optional)

4 Check here if the transferor re

1098, 5498, and
W:-2G.

or services as part of the consideration

Form 1099-S

Civoio

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

Department of the Treasury - internal Revenue Service

(CO) CORRECTED

7] OMB No, 1545-0997

1990

Proceeds From Real

Street address

City, state, and ZIP code

Estate Transactions
Statement for
MMMM Recipients of
FILER'S Federal identification number | TRANSFEROR’S Identification number | 1 Date of closing 2 Gross proceeds Copy C
‘opy
TRANSFEROR'S name 3 Address or legal description For Filer
For Paperwork
Reduction Act
Notice and

instructions for
completing this
form, see
Instructions for
Forms 1099,

‘Account number (optional)

1098, 5498, and
W-2G.

“4 Check here if the transferor received or will receive property

OO

or services as part of the consideration _.

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). This does not include the value of other property or
services you received or are to receive.

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

Box 4.— if you received or will receive property (other than
cash) or services as part of the consideration for the
property transferred, this box should be checked. The value

of any property (other than cash) or services is not included
in Box 2.

*0.8. GPO: 1989-245-237

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). This does not include the value of other property or
services you received or are to receive.

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

Box 4.— if you received or will receive property (other than
cash) or services as part of the consideration for the
property transferred, this box should be checked. The value
of any property (other than cash) or services is not included
in Box 2.

U.S. GPO: 1989-245-237

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). This does not include the value of other property or
services you received or are to receive.

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

Box 4.— if you received or will receive property (other than
cash) or services as part of the consideration for the
property transferred, this box should be checked. The value

of any property (other than cash) or services is not included
in Box 2.

*U.8. GPO: 1989-245-237


2525 [] voip

(J CORRECTED

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

OMB No, 1545-0997

1990

Proceeds From Real

Estate Transactions
Statement for
Recipients of
FILER’S Federal identification number | TRANSFEROR’S identification number | 1 Date of closing(MMDDYY) | 2 Gross proceeds Copy A
For Internal
Type or machine print TRANSFEROR’S name 3 Address or legal description Revenue

Street address

City, state, and ZIP code

‘Account number (optional)

4 Check here if the transferor received or will receive property

or services as part of the consideration.» >

Service Center
For Paperwork
Reduction Act
Notice and
Instructions for
completing this
form, see
Instructions for
Forms 1099,
1098, 5498, and
W-2G.

Form 1099-S

Department of the Treasury - internal Revenue Service

Do NOT Cut or Separate Forms on This Page

3596 Ci voip

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

(J CORRECTED

Y fff

_

OMB No. 1545-0997

Wy _ 1990 Proceeds From Real
YY Yj 7 Estate Transactions
7

YY Statement for

aL Recipients of
FILER’S Federal identification number | TRANSFEROR’S identification number | 1 Date of closing(MMODDYY) [2 Gross proceeds Copy A
For Internal
Type or machine print TRANSFEROR'S name 3 Address or legal description Revenue
Service Center
For Paperwork
Reduction Act
Street address Notice and
instructions. for
completing this,
City, state, and ZIP code P tome see
Instructions for
"Account number (optional) 4 Check here ifthe transferor recewed or will recewve property 1098 ae
or services as part of the consideration... W-2G.

Form 1099-S

Do NOT Cut or Sey

2575 C1 voip

(_] CORRECTED

Department of the Treasury - Internal Revenue Service

jparate Forms on This Page

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

OMB No. 1545-0997

1990

Proceeds From Real

Type or machine print TRANSFEROR’S name

'3 Address or legal description

Street address

City, state, and ZIP code

Account number (optional)

‘4 Check here if the transferor received or will receive property

orservices as part of the consideration). ss

Estate Transactions
Statement for
Recipients of
FILER’S Federal identification number | TRANSFEROR’S identification number | 1 Date of closing(MMODYY) | 2 Gross proceeds CopyA
For Internal
Revenue

Service Center
For Paperwork
Reduction Act
Notice and
instructions for
completing this
form, see
Instructions for
Forms 1099,
1098, 5498, and
W-2G.

Form 1099-S

Department of the Treasury - Internal Revenue Service




(J CORRECTED (if checked)

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

OMB No. 1545-0997

1990

Proceeds From Real

Estate Transactions
Statement for
Recipients of
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

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

‘Account number (optional) ‘4 Check here if the transferor received or will receive property reported and the IRS
determines that it has
or services as part of the consideration > LI] not been reported.

Form 1099-S

Department of the Treasury Internal Revenue Service

(J CORRECTED (if checked)

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

OMB No. 1545-0997

1990

Statement for
Recipients of

Proceeds From Real
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

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 filea
return, a negligence
penalty or other
sanction may be
imposed on you if this
item 1s required to be

‘Account number (optional)

4 Check here if the transferor received or will receive property

or services as part of theconsideration, . ss

reported and the IRS
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

Yy

yy

OMB No. 1545-0997

990

Statement for
Recipients of

Proceeds From Real
Estate Transactions

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

1 Date of closing

2 Gross proceeds
$ For Transferor

Copy B

TRANSFEROR'S name

Street address

City, state, and ZIP code

3 Address or legal description

This ts 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

Account number (optional)

reported and the IRS

4 Check here if the transferor received or will receive property

or services as part of the consideration _. Oo

determines that it has
not been reported

Form 1099-S

Department of the Treasury Internal Revenue Service