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Form Dr 1083 - Information With Respect To A Conveyance Of A Colorado Real Property Interest 2006 Page 2

AFFIRMATION OF COLORADO RESIDENCY

I (we) hereby affirm that I am (we are) the transferor(s) or the fiduciary of the transferor of the property

described on this Form 1083 and that as of the date of closing I am (we are) or the estate or the trust is a

resident of the State of Colorado.

Signed under the penalty of perjury:

Signature of transferor or fiduciary

Date

Spouse's signature if applicable

Date

AFFIRMATION OF PERMANENT PLACE OF BUSINESS

I hereby affirm that the transferor of the property described on this Form 1083 is a corporation which

maintains a permanent place of business in Colorado.

Signed under the penalty of perjury:

Signature of corporate officer

Date

AFFIRMATION OF SALE BY PARTNERSHIP

I hereby affirm that the transfer of property described on this Form 1083 was sold by an organization defined

as a partnership under section 761(a) of the Internal Revenue Code and required to file an annual federal

partnership return of income under section 6031(a) of the Internal Revenue Code.

Signed under the penalty of perjury:

Signature of general partner

Date

AFFIRMATION OF PRINCIPAL RESIDENCE

I (we) hereby affirm that I am (we are) the transferor(s) of the property described on this Form 1083 and

immediately prior to the transfer it was my (our) principal residence which could qualify for the exclusion of

gain provision of section 121 of the Internal Revenue Code.

Signed under the penalty of perjury:

Signature of transferor

Date

Spouse's signature if applicable

Date

AFFIRMATION OF NO REASONABLY ESTIMATED TAX TO BE DUE

I (we) hereby affirm that I am (we are) the transferor(s) or an officer of the corporate-transferor or a fiduciary

of the estate or trust-transferor of the property described on the front side of this form, and I (we) further

affirm that there will be no Colorado income tax reasonably estimated to be due on the part of the

transferor(s) as the result of any gain realized on the transfer.

Please understand before you sign this affirmation that nonresidents of Colorado are subject to

Colorado tax on gains from the sale of Colorado real estate to the extent such gains are included in

federal taxable income.

Signed under the penalty of perjury:

Signature of transferor, officer, or fiduciary

Date

Spouse's signature if applicable

Date

Form Dr 1083 - Information With Respect To A Conveyance Of A Colorado Real Property Interest 2006 Page 2

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