New York > Statewide > Real Estate > Title > Affidavits

Certificate Of Non Foreign Status (FIRPTA) - New York

Certificate Of Non Foreign Status (FIRPTA) Form. This is a New York form and can be used in Affidavits Title Real Estate Statewide .
 Fillable pdf Last Modified 1/23/2007
Get this form for FREE as a print-only pdf

CERTIFICATE OF NON FOREIGN STATUS Section 1445 of the Internal Revenue Code provides that a transferee (buyer) of a U.S. real property interest must withhold tax if the transferor (seller) is a foreign person. To inform _______________________________________________________________ (the "Transferee") that withholding of tax is not required upon the disposition of a U.S. real property interest by (the "Transferor"), the undersigned hereby certifies the following on behalf of the Transferor: 1. That the Transferor is the owner of the following described property, to wit: Block: Premises: Lot: County: 2. The Transferor is not a non-resident alien for purposes of the U.S. income taxation (as such term is defined in the Internal Revenue Code and Income Tax Regulations). 3. The Transferor's U.S. taxpayer identification number (Social Security Number) is 4. The Transferor's address is ________________________________________________________________________ 5. The Transferor understands that this certification be disclosed to the Internal Revenue Service by the Transferee and that any false statement contained herein could be punished by fine, imprisonment or both. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS CERTIFICATION AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE, AND I FURTHER DECLARE THAT I HAVE AUTHORITY TO SIGN THIS DOCUMENT ON BEHALF OF THE TRANSFEROR. DATED: BY: BY: BY: BY: American LegalNet, Inc.
Link/Embed this Document

Popular Searches

  1. deposition subpoena
  2. bill of costs
  3. stipulation of discontinuance
  4. Request for entry of default
  5. Preliminary Change of Ownership Report
  6. Decree of Dissolution of Marriage
  7. proof of service of summons
  8. Notice and Acknowledgment of Receipt
  10. Petition to Expunge

Bookmark and Share