Seller'S Residency Affidavit - Rhode Island Division Of Taxation Page 2

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11. (
) Resident Individuals, Estates or Trusts. At the date of the closing, the affiant is a resident
individual, estate or trust as those applicable terms are defined in the Rhode Island tax laws
pertaining to the seller.
12. (
) Resident Partnership. At the date of the closing, the undersigned is a general partner in the
seller and, having personal knowledge that all partners in the seller are Rhode Island residents, that
the seller is therefore a resident partnership for the purposes of compliance with RI 30-71.3 and
related regulations.
Limited Liability Companies (LLC)
13. (
) LLC declared to be taxed as a Partnership pursuant to Chapter 7-16 RIGL. At the date of the
closing, the undersigned is a general partner in the seller and, the seller-partner is a Rhode Island
resident. That the seller is therefore a resident partnership for the purposes of compliance with RI
30-71.3 and related regulations and must comply with Section 44-11-29.
14. (
) LLC declared to be taxed as a Corporation. At the date of closing, the undersigned is either
(a) a limited liability company formed pursuant to Chapter 7-16 of RIGL; or (b) a limited liability
company registered with this state as a foreign limited liability company pursuant to RIGL 7-16-
49 and is considered a resident limited liability company and must comply with Section 44-11-29.
The undersigned understands that this affidavit and its contents may be disclosed or provided to the
Rhode Island Division of Taxation and that any false statement contained herein could be punished by
fine, imprisonment, or both.
Under penalties of perjury, I declare that I have examined this Affidavit and, to the best of my knowledge
and belief, it is true, correct and complete.
_______________________________________________
(Signature)
_______________________________________________
(Name – Please Print)
SUBSCRIBED AND SWORN to
Before me this ________ day
of ________________, 20____.
______________________________
Notary Public
Commission Expires: _____________
----Instructions to Buyer----
Effective January 1, 1992, when a nonresident sells Rhode Island realty and associated tangible personal
property, the buyer must deduct and withhold a percentage of the total amount paid. The buyer may rely
on the seller’s determination of residency only if the seller furnishes the buyer with a residency affidavit.
This residency affidavit must be completed by the seller and made part of all closings when any Rhode
Island realty and associated tangible property are sold. In the absence of this affidavit, the buyer must
withhold. Every buyer subject to withholding is liable for the amounts withheld or required to be
withheld and the amounts are a lien on the property until paid. The buyer should retain the original
affidavit with the other records and must produce it for the Division of Taxation, if requested. A copy of
the affidavit should be given to the seller. The buyer should not send the affidavit to the Tax Division.

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