Non-Resident Seller Election To Have Withholding Form 2011 (Page 3 of 3) in pdf

Non-Resident Seller Election To Have Withholding Form 2011 Page 3

RHODE ISLAND DIVISION OF TAXATION

CERTIFICATE OF WITHHOLDING DUE

BASED ON NON-RESIDENT SELLER’S ELECTION

TO HAVE WITHHOLDING ON SALE OF REAL ESTATE BASED ON GAIN

Based on information submitted by the prospective seller(s),

______________________________________________________________________________, of the property

described as _________________________, in the City or Town of __________________________ that is

expected to be sold on _______________(closing date) and the seller’s election to have withholding based on gain

rather then on net proceeds, the amount to be withheld from the seller’s funds by the buyer at the closing and

remitted to the Rhode Island Division of Taxation is $____________. This amount must be entered on line 1,

section Bof Form RI 71.3 Remittance.

This original approved certificate must be attached to the remittance form and mailed to the Rhode Island Division

of Taxation together with payment of the withholding amount due.

The filing of the remittance form and the payment of the withholding amount due will discharge the lien in effect

under R.I.G.L. 44-30-71.3. By following the instructions on the remittance form, the buyer or designee will be sent

an acknowledgement of the discharge of the lien.

Date received by RI Division of Taxation:

Approved by RI Division of Taxation:

MULTIPLE SELLERS INFORMATION:

Name

SS# or FEI#

Withholding Amounts

______________________

$_________________

______________________

$_________________

______________________

$_________________

Return to:

Name:

Address:

Property Address: _________________________________________________________

RI – 71.3 Certificate

Non-Resident Seller Election To Have Withholding Form 2011 Page 3