U.S. Withholding Tax Return for
8288
Form
Dispositions by Foreign Persons of
OMB No. 1545-0902
(Rev. August 2000)
U.S. Real Property Interests
Department of the Treasury
Internal Revenue Service
Complete Part I or Part II. Also complete and attach Copies A and B of Form(s) 8288-A.
(Attach additional sheets if you need more space.)
Part I
To Be Completed by the Buyer or Other Transferee Required To Withhold Under Section 1445(a)
1
Name of buyer or other transferee responsible for withholding (see page 4)
Identifying number
Street address (apt. or suite no., or rural route. Do not use a P.O. box.)
City or town, state, and ZIP code
Phone number (optional)
(
)
2
Description and location of property acquired
3
Date of transfer
4
Number of Forms 8288-A attached
5
Amount realized on the transfer
6
Check applicable box.
7
Amount withheld
a
Withholding is at 10%
b
Withholding is of a reduced amount
To Be Completed by a Corporation, Partnership, Trust, or Estate Subject to the Provisions of
Part II
Section 1445(e)
1
Name of corporation, partnership, or fiduciary responsible for withholding (see instructions)
Identifying number
Street address (apt. or suite no., or rural route. Do not use a P.O. box.)
City or town, state, and ZIP code
Phone number (optional)
(
)
2
Description of U.S. real property interest transferred or distributed
3
Date of transfer
4
Number of Forms 8288-A attached
6
5
Check all applicable boxes.
Total amount withheld
a
Withholding is at 10% or 35%
b
Withholding is of a reduced amount
c
Large trust election to withhold at distribution
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature of withholding agent, partner, fiduciary, or corporate officer
Title (if applicable)
Date
Date
Preparer’s social security number
Preparer’s
Paid
Check if self-
signature
employed
Preparer’s
Firm’s name (or
EIN
Use Only
yours if self-employed)
ZIP code
and address
8288
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 62260A
Form
(Rev. 8-2000)