HomeMy WebLinkAboutThe Reserve at Tuscawilla Community Association, Inc. - Certificate of Non-Foreign Status -2012 E
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CERTIFICA'TE QF NON-FOREIGN STATUS
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STATE OF FLORIDA
CC}L1NTY OF SEI�rIlNOLE
Sectiar�1445 of the Internal l�evenue Code provides that a TR.ANSFE;REE(City of Winter .
Springs)of a U.S.real properry interest must withhaid tax ifthe TRANSFEROR is a foreign person.
To inform the TR.ANSF'EREE#hat witta�holding af tax is nat required u�on the disposi�ian af a U.S.
real properiy interest b�THE RESERVE AT T'L7SCAWILLA COMMUNTfY ASSOCIAT"ION,INC.
{hereinafter referred to as "TRANSFERORA), tlie undersigned her�by certifies the foliowin� as
TRANSFER0Y2.:
1. TRANSFEROR is not a foreign person, foreign corparation, foreign partnership,
fareign trust,or foreign estate{as tht�se terms are defined in the Internal�tevenue Cade and IncomB
Ta�c Regulations};and
2. TRANSFEROR'S Federal Ta�c Identification number is: 65-0534270
3. TRANSFERC}R'S address is:225 S.Westmonte Dr.,Ste.3314,Aitamonte Springs,
�'L 327I4.
T'RANS�'EROR understands that this certification may be disclosed to the Internal Revenue
Service by TRANS�EREE anc�that any faise statement contained herein could be punished by fine, :
imprisonrnent,ar bot�i.
Under penalties of perjury,Z declare that I have examin.ed this certification aaad to the best of
my knowledge and belief it is true,correct,and complete,and I fiarther deciare that I l�ave autharity
to sign this document as TRANSFEROR.
DATED this �� day of b G�"' ,2012.
THE RESERVE AT TUSCAWTLLA
CONIN�t1NITY ASS4CIATIQN,INC.,a
Florida non-proft corporation
BY: �l„����C`- �-��
Print name: SD�.fI.� �-'�'��.�
Title: ���° S
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� SWORN TO and subscribed bef$re me this � day of � 2012, by
�a �2l ����I�e i1�-� o THE RESERVE AT TUSCAWILLA
COMMUNiTY ASSOCIATION, INC., (check one) �who is personally known to me or o who
produced a Flarida drivers license as identification.
Notary blic -S�e�Iorida
Print Name: � a c k r�•i►
��
=�1�Y'OUS4r Notary Public 5tate of Florida
, J 8lachstein
� � . �; My Commission DD829795
�'.*o��,,o'�' Expires 12/14/2Qt2
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