Fillable Form Nr-Af2 - Affidavit Of Seller'S Gain

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Form NR-AF2

LABAMA

EPARTMENT OF

EVENUE

6/13

& C

NDIVIDUAL

ORPORATE

IVISION

ITHHOLDING

ECTION

P.O. Box 327480 • Montgomery, AL 36132-7480

Affidavit of Seller’s Gain

SELLER’S NAME (AND SPOUSE’S NAME, IF JOINTLY OWNED)

SELLER’S IDENTIFICATION NUMBER (SSN OR FEIN)

SPOUSE’S IDENTIFICATION NUMBER (IF JOINTLY OWNED)

STREET ADDRESS

CITY

STATE

ZIP

INSTRUCTIONS

A nonresident seller is required to execute this form and present it to the buyer when the seller wishes to establish the gain to be recognized

from a sale of real property. Withholding is imposed on gain by the Alabama Department of Revenue under Section 40-18-86, Code of Alabama

1975. In order to be subject to withholding only upon the gain recognized, the seller must submit this affidavit to the buyer. The buyer may rely

on the seller’s affidavit unless the buyer knows or should know, based on the buyer’s knowledge at the time of closing, that statements made on

the affidavit are false. The buyer has no duty to investigate the statements made on a seller’s affidavit.

“Net proceeds” means the amount of money and other consideration received by the seller after deducting mortgage or other secured debt, ad

valorem taxes, sales commissions, title premiums, survey expense, costs for environmental and other reports, and all other closing costs and

expenses.

The seller is to complete this document by calculating the gain in the below schedule. The seller should retain a copy of the documentation of

the cost basis, depreciation, and selling expenses claimed. That documentation should only be provided to the Department when requested.

However, this form, Form NR-AF2, along with Form WNR, Form WNR-V, and any remittance must be mailed to the Alabama Department of

Revenue, Individual and Corporate Tax Division, P.O. Box 327480, Montgomery, AL 36132-7480. The buyer should retain a copy of these

documents.

*For privacy and confidentiality purposes, the SSN or FEIN of the seller and of the buyer may be omitted or deleted from copies of all

documents exchanged between the parties involved. However, all documents required to be submitted to the Alabama Department of

Revenue must contain the complete SSN or FEIN information on the original copy mailed to the Department.

1. Sales Price . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Cost Basis Including Improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. Adjusted Cost Basis (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. Selling Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6. Net Taxable Gain (Loss) (line 1 minus lines 4 and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7. Amount of Net Proceeds Received by Seller From The Transaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Under penalties of perjury, I swear that the above information is to the best of my knowledge and belief, true, correct, and complete.

SELLER’S SIGNATURE (AND TITLE, IF APPLICABLE)

DATE

SPOUSE’S SIGNATURE (AND TITLE, IF APPLICABLE)

DATE

Sworn to and subscribed before me this

______day of _______________________, _______

____________________________________________ Notary Public

My commission expires ________________________