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1099-S Reporting Form - Vested

Under penalties of perjury, I certify that the above information is correct and that the number shown on this statement is my correct taxpayer identification number. Furthermore, I understand that this information will be furnished to the Internal Revenue : Signature: (Seller) Please indicate if Power of Attorney or Attorney in FactCLOSING AGENT OR ATTORNEY INFORMATION: [all information required by IRS] 1099-S Reporting FormSection 6045(e) of the Internal Revenue Code, as amended by the Tax Reform Act of 1986, requires that information regarding certain real estate transactions be CJ Account Number Name Telephone Number Address Taxpayer ID Number City St

Under penalties of perjury, I certify that the above information is correct and that the number shown on this statement is my correct taxpayer identification number.

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