Form I-290x - Amended Nonresident Real Estate Withholding
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1
2STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
I-290X
AMENDED NONRESIDENT
(Rev. 7/27/11)
REAL ESTATE WITHHOLDING
3290
Mail to:
South Carolina Department of Revenue, Real Estate Withholding, Columbia, SC 29214-0024
Date of Withholding (PD CVD)
Location of Property
*
*
*
Month
Date
Year
County
Tax Map No.
*
*
Seller's Name
Buyer's Name
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
Month
Date
Year
ATTACH YOUR COPY OF THE ORIGINAL FORM I-290
*
1. Reason for filing I-290X (check one):
a.
Seller is stating the amount of gain required to be recognized
(Attach computations.)
b.
Seller was exempt from withholding under Revenue Ruling #09-13.
State exemption:
c.
The original withholding was incorrectly computed.
(Attach Computations.)
*
2.
2. Original amount withheld and paid with I-290 (See line 4 of I-290)
3.
3. Amount realized
4.
4. Amount of gain on sale (if 1b is checked, enter zero)
*
5. The lesser of line 3 or 4 multiplied by:
7%
If seller is not a corporation
14-0812-0004
5.
5%
If seller is a corporation
14-0812-0003
6.
6. Refund Requested (If line 2 is greater than line 5 enter the difference)
7. Balance Due
7.
(If line 2 is less than line 5 enter difference and pay this amount)
8. Balance of withholding to be claimed on your income tax return
8.
(Line 2 less line 6; or, line 2 plus line 7)
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.
/
/
Seller's Signature
Name
Date
(
)
Title
Telephone
Email
*
THIS IS A REQUIRED FIELD AND THE INFORMATION MUST BE COMPLETED.
32901035
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