Non-Resident Seller Election To Have Withholding Form 2011

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RHODE ISLAND DIVISION OF TAXATION
NON-RESIDENT SELLER OF REAL ESTATE
ELECTION TO HAVE WITHHOLDING BASED ON GAIN
TAX YEAR OF SALE: 2011
Seller #1
Name:
Address: 12001 Science Drive, Suite 110B
Orlando, FL 32826
SS# or FEI #
Phone # 407-737-5000
IF MULTIPLE SELLERS, PLEASE COMPLETE MULTIPLE SELLER PORTION OF CERTICIATE.
If husband and wife own property jointly and will file a joint income tax return, check here ( ) and both sign on
bottom of back page. If husband and wife own property jointly and will not file a joint income tax return, treat as
separate/multiple sellers.
Expected closing date: ___________________
IN THE EVENT OF MULTIPLE SELLERS, ALL SELLERS MUST ELECT THE GAIN METHOD OR THE NET
PROCEEDS METHOD WILL BE USED
ELECTION FOR WITHOLDING BASED ON GAIN
I (we) the prospective seller(s) of property located at _____________________________________ in the city of
_______________________, Rhode Island and further designated as ___________________________ in the land
records of said city/town, hereby elect to have the withholding required under R.I.G.L. 44-30-71.3 based on my
(our) estimated withholding computation and forward to me (us) or to another designated person, a certificate of
withholding due prior to closing date above. I (we) understand the failure to make this election by filing this form
with the Division of Taxation at least 20 days prior to the expected closing date will result in withholding based on
net proceeds at the time of the sale. I (we) understand that this election is binding and will result in an amount based
on estimated gain to be withheld at the closing in lieu of withholding calculated on net proceeds.
CALCULATIONS:
1. Gross sales price (real estate and personal property)
$____________
2. Less expenses of sale
$____________
3. Net sales price
$____________
4. Less cost or other basis
$____________
5. Gain (Loss)
$____________
If a gain and all is recognizable, enter here and on line 7 below
If a loss, stop here, sign and send in for certificate of no withholding due.
6. If some part of the gain is not taxable or tax deferred
(e.g. installment sale); or if all the gain is not taxed for
$____________
Federal income tax purposes, complete the applicable
Section on page 2 and enter the unrecognized gain here
7. Gain subject to Withholding (line 5 less line 6)
$____________
8. Withholding Rate:
6% if seller is an individual, estate or trust
9% if seller is a corporation
_____9______%
9. Withholding Amount Due (multiply line 7 by line 8)
$____________
RI-71.3 Election

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