Form 1099-S - Proceeds From Real Estate Transactions

Form 1099-S - Proceeds From Real Estate Transactions - 2017 Page 2

VOID

CORRECTED

7575

FILER'S name, street address, city or town, state or province, country, ZIP

1 Date of closing

OMB No. 1545-0997

or foreign postal code, and telephone number

Proceeds From Real

2017

Estate Transactions

2 Gross proceeds

1099-S

Form

Copy A

FILER'S federal identification number

TRANSFEROR'S identification number

Address or legal description (including city, state, and ZIP code)

For

Internal Revenue

TRANSFEROR'S name

Service Center

File with Form 1096.

For Privacy Act

4 Check here if the transferor received or will receive

property or services as part of the consideration

and Paperwork

▶

Street address (including apt. no.)

Reduction Act

5 Check here if the transferor is a foreign person

Notice, see the

(nonresident alien, foreign partnership, foreign estate,

2017 General

City or town, state or province, country, and ZIP or foreign postal code

or foreign trust) .

▶

Instructions for

Certain

Account or escrow number (see instructions)

6 Buyer's part of real estate tax

Information

Returns.

1099-S

Form

Cat. No. 64292E

Department of the Treasury - Internal Revenue Service

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

Form 1099-S - Proceeds From Real Estate Transactions - 2017 Page 2

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