Form Tp-588 - Cooperative Housing Corporation Information Return Page 2

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TP-588 (1/04) (back)
Name
Employer identification or social security number
Grantor
Address before closing date
Apartment number
Address after closing date
Number of shares allocated to apartment
Date of transfer
Consideration $
Check one:
/
/
Initial sale
Resale
Name
Employer identification or social security number
Grantee
Address
Name
Employer identification or social security number
Grantor
Address before closing date
Apartment number
Address after closing date
Number of shares allocated to apartment
Date of transfer
Consideration $
Check one:
/
/
Initial sale
Resale
Name
Employer identification or social security number
Grantee
Address
Name
Employer identification or social security number
Grantor
Address before closing date
Apartment number
Address after closing date
Number of shares allocated to apartment
Date of transfer
Consideration $
Check one:
/
/
Initial sale
Resale
Name
Employer identification or social security number
Grantee
Address
Name
Employer identification or social security number
Grantor
Address before closing date
Apartment number
Address after closing date
Number of shares allocated to apartment
Date of transfer
Consideration $
Check one:
/
/
Initial sale
Resale
Name
Employer identification or social security number
Grantee
Address
Certification of an elected officer of the corporation
I hereby certify that this form, including any accompanying rider and all attachments, is, to the best of my knowledge and belief, true, correct, and complete.
Signature of officer
Title
Date

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