Form I-290 - Nonresident Real Estate Withholding

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
I-290
(Rev. 5/5/10)
NONRESIDENT REAL ESTATE WITHHOLDING
3271
Mail to:
South Carolina Department of Revenue, Real Estate Withholding, Columbia, SC 29214-0024
Return and payment are both due by 15th day of month following month of sale.
Location of Property
*
Date of Withholding (PD CVD)
*
Month
Date
Year
County
Tax Map No.
*
*
*
Seller's Name
Buyer's Name
(More than one seller? See instructions.)
Address
Address
Phone
Phone
*
Seller's FEIN or SSN
FEIN or SSN
*
*
Withholding by Third Party (check one):
Third Party's Name
Lending Institution
Address
Real Estate Agent
Phone
Closing Attorney
FEIN or SSN
Other
Date of Closing
*
1. The amount withheld is based on (check one):
Month
Date
Year
Gain, if seller provides affidavit of gain (if installment sale, see reverse side)
Amount realized, if no affidavit of gain is provided
(if installment sale, see reverse side)
1.
*
2. Check appropriate % and multiply by amount on line 1.
7%
If seller is not a corporation
14-0812-0004
5%
If seller is a corporation
14-0812-0003
2.
*
3.
Total payment to seller (gross sales price less selling expenses less certain
mortgages paid or assumed).
3.
*
4.
Compare lines 2 and 3, enter the smaller amount.
4.
5.
For late payments, calculate penalty and interest due.
Penalty 5a.
5.
Interest 5b.
(Total Penalty and Interest Due)
6.
Total tax, penalty and interest due.
6.
7.
The Seller has elected out of installment sales treatment for South Carolina purposes. (See reverse side.)
8. Due date of first installment
9. The seller is to receive payment in the following manner:
Monthly
Annually
Other - Attach an explanation
The buyer must give two copies of this form to each seller each time the buyer remits a withholding payment to the
South Carolina Department of Revenue.
I-290 must be completed for each seller.
When signing this form, it is important that the information contained in your report be correct and complete. To
wilfully furnish a false or fraudulent statement to the Department is a crime.
/
/
Buyer's Signature
Name
Date
(
)
Title
Telephone
Email
*
THIS IS A REQUIRED FIELD AND THE INFORMATION MUST BE COMPLETED.
32711038

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