Form 1099-S - Proceeds From Real Estate Transactions - 2014 Page 2

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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
2014
Estate Transactions
2 Gross proceeds
1099-S
$
Form
Copy A
FILER'S federal identification number
TRANSFEROR'S identification number
3
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
and Paperwork
Street address (including apt. no.)
Reduction Act
Notice, see the
2014 General
4 Check here if the transferor received or will receive
City or town, state or province, country, and ZIP or foreign postal code
Instructions for
property or services as part of the consideration
Certain
Account or escrow number (see instructions)
5 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

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