Assignment Of Beneficial Interest Instruction Sheet Page 2

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Assignment of Beneficial Interest Instruction Sheet
To: Land Trust Service Corporation
From: _______________________________________________ Phone: _________________
Address _____________________________________________ Fax: ___________________
I/we wish to sell/transfer my/our beneficial interest in Trust ____________________________
dated_____________________ as follows:
______% of my/our interest is being sold
Buyer(s)names(s):______________________________________________________________
Address: _____________________________________________________________________
Social Security Number(s) or EIN: ________________________________________________
Buyer(s) successor in the event of death: ____________________________________________
Sales price: $__________________
Payment will be:
All cash
Assignment with no payment
$____________ in cash and balance financed by a mortgage to:
_____________________________________________________________
$____________ in cash and balance financed by a UCC-1 and chattel
mortgage to: __________________________________________________
Effective date of sale _______________, 200____
Florida documentary stamp tax will be paid by
Buyer
Seller
(Land Trust Service Corporation will provide FDR reporting form DR-228.)
Fee for preparation of Assignment of Beneficial Interest and IRS and FDR reporting forms is
$100. (If you are assigning to your own LLC or spouse the fee is $50.)
The undersigned certify that this transaction is not made for any illegal purpose, that Buyer(s) is/
are U. S. resident(s) for tax purposes, that Buyer(s) and Seller(s) will pay any taxes due on the
transaction, and that Land Trust Service Corporation will be held harmless from any liability in
connection with this transfer. Credit card charge is nonrefundable after work has begun.
Seller(s):
Buyer(s):
_____________________________________
____________________________________
_____________________________________
____________________________________
Payment:
Check enclosed.
Charge to my credit card: ________________________________________ Exp: _________
CC billing address + zip _________________________________________________________
Last 3 digits on back of CC_______
Signature _______________________________________
Land Trust Service Corporation
Post Office Box 186
Lake Wales, FL 33859
Phone: 863-678-0011
Fax: 863-678-0155

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