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Form 8288 - U.s. Withholding Tax Return For Dispositions By Foreign Persons Of U.s. Real Property Interests

U.S. Withholding Tax Return for

8288

Form

Dispositions by Foreign Persons of

OMB No. 1545-0902

(Rev. August 2000)

U.S. Real Property Interests

Department of the Treasury

Internal Revenue Service

Complete Part I or Part II. Also complete and attach Copies A and B of Form(s) 8288-A.

(Attach additional sheets if you need more space.)

Part I

To Be Completed by the Buyer or Other Transferee Required To Withhold Under Section 1445(a)

Name of buyer or other transferee responsible for withholding (see page 4)

Identifying number

Street address (apt. or suite no., or rural route. Do not use a P.O. box.)

City or town, state, and ZIP code

Phone number (optional)

(

)

Description and location of property acquired

Date of transfer

Number of Forms 8288-A attached

Amount realized on the transfer

Check applicable box.

Amount withheld

Withholding is at 10%

Withholding is of a reduced amount

To Be Completed by a Corporation, Partnership, Trust, or Estate Subject to the Provisions of

Part II

Section 1445(e)

Name of corporation, partnership, or fiduciary responsible for withholding (see instructions)

Identifying number

Street address (apt. or suite no., or rural route. Do not use a P.O. box.)

City or town, state, and ZIP code

Phone number (optional)

(

)

Description of U.S. real property interest transferred or distributed

Date of transfer

Number of Forms 8288-A attached

Check all applicable boxes.

Total amount withheld

Withholding is at 10% or 35%

Withholding is of a reduced amount

Large trust election to withhold at distribution

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge

and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Sign

Here

Signature of withholding agent, partner, fiduciary, or corporate officer

Title (if applicable)

Date

Preparer’s social security number

Preparer’s

Paid

Check if self-

signature

employed

Preparer’s