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2011/01/12 Council Agenda Packet
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2011/01/12 Council Agenda Packet
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Council Agenda Packet
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1/12/2011
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• <br /> EXHIBIT C <br /> FIRPTA CERTIFICATION - <br /> Section 1445 of the Internal Revenue Code provides that a buyer of a U.S.real property <br /> interest must withhold tax if the seller is a foreign person. This Certification is provided by ' <br /> Janice Deckmann, as her separate estate ("Seller")to the City of Everett("Buyer")in <br /> connection with the sale of certain real property by Seller to Buyer. To inform Buyer that <br /> withholding of tax is not required upon our disposition of a U.S.real property interest, Seller <br /> hereby 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 /> "Janice ISeckmann <br /> 3. Seller's address is 8306 20`h Ave NW, Seattle, WA 98117. <br /> Seller understands that this Certification may be disclosed to the Internal Revenue <br /> Service by Buyer and that any false statement we have made herein could be punished by fine, <br /> imprisonment, or both. <br /> Under penalties of perjury, Seller declares that it has have examined this Certification and <br /> to the best of its knowledge and belief it is true, correct, and complete. <br /> Dated and effective as of the day of , 2011. <br /> JANICE DECKM N <br /> 14 <br /> /_ �I .\ <br />
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