Form 14134 - Certificate Of Subordination Of Federal Tax Lien Page 7
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10. Copy of Federal Tax Lien(s)
(Complete if applicant and taxpayer differ)
Attached
No
OR list the lien number(s) found near the top right corner on the lien document(s)
(if known)
11. Copy of the proposed loan agreement
(if available)
Attached
No
AND
Describe how subordination is in the best interests of the United States:
12. Copy of a current title report
(required for subordination)
Attached
No
OR
List encumbrances with seniority over the Federal Tax Lien. Include name and address of the holder; description of
the encumbrance, e.g., mortgage, state lien, etc.; date of agreement; original loan amount and interest rate; amount
due at time of application; and family relationship, if applicable. Include any home equity line of credit (HELOCs)
advances beginning the 46th day after the NFTL was filed, through the date you submit your application, and include
expected advances through the date the certificate will be issued.
:
(Attach additional sheets as needed)
13. Copy of proposed closing statement
Attached
No
(aka HUD-1)
OR
Itemize all proposed costs, commissions, and expenses of any transfer or sale associated with property
(Attach
additional sheets as needed):
14. Additional information that may have a bearing on this request,
Yes
Yes
Yes
No
No
No
such as pending litigation, explanations of unusual situations, etc.,
is attached for consideration
15. Declaration
Under penalties of perjury, I declare that I have examined this application, including any accompanying schedules,
exhibits, affidavits, and statements and to the best of my knowledge and belief it is true, correct and complete.
Signature/Title
Date
Signature/Title
Date
14134
Catalog Number 54726H
Form
(Rev. 06-2010)
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