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2014/12/24 Council Agenda Packet
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2014/12/24 Council Agenda Packet
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Council Agenda Packet
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12/24/2014
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3 <br /> EXHIBIT C <br /> FIRPTA CERTIFICATION <br /> Section 1445 of the Internal Revenue Code provides that a buyer of a U.S. real <br /> property interest must withhold tax if the seller is a foreign person. This Certification is <br /> provided by Jeanette L. Bertrand as owner and personal representative of the estate <br /> of Daniel H. Bertrand, deceased to the City of Everett ("Buyer") in connection with the <br /> sale of certain real property by Seller to Buyer. To inform Buyer that withholding of tax <br /> is not required upon our disposition of a U.S. real property interest, Seller hereby <br /> certifies the following: <br /> 1. Seller is not a nonresident alien for purposes of U.S. income taxation; <br /> 2. Seller's U.S. taxpayer identifying number(s) (Social Security number) is <br /> ; and <br /> Jeanette Bertrand <br /> 3. Seller's address is Jeanette Bertrand, 8813 Eastview Ave., Everett, WA <br /> 98204 <br /> Seller understands that this Certification may be disclosed to the Internal <br /> Revenue Service by Buyer and that any false statement we have made herein could be <br /> punished by fine, imprisonment, or both. <br /> Under penalties of perjury, Seller declares that it has have examined this <br /> Certification and to the best of its knowledge and belief it is true, correct, and complete. <br /> Dated and effective as of the day of , 2014. <br /> ETTE L. BERTRAND <br /> 29 <br />
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