Form Nc-1099nrs - Report Of Sale Of Real Property By Nonresidents
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NC-1099NRS
Report of Sale of Real Property
Web-Fill
PRINT
CLEAR
by Nonresidents
10-03
North Carolina Department of Revenue
The buyer must file this
form within 15 days of the
closing date of the sale.
Part 1. Seller’s Information
(See instructions on reverse.)
Fill in applicable circle:
Individual
Partnership
Estate
Trust
Other (Specify)
Individual’s First Name
(USE CAPITAL LETTERS )
M.I.
Individual’s Last Name
(USE CAPITAL LETTERS )
Individual’s Social Security Number
Spouse’s First Name (If property owned jointly)
M.I.
Spouse’s Last Name (If property owned jointly)
Spouse’s Social Security Number
Entity’s Legal Name
(USE CAPITAL LETTERS )
Federal Employer ID Number
Address
County
City
State
Zip Code
Country (If not U.S.)
Contact’s First Name
M.I.
Contact’s Last Name
Contact’s Phone Number
Part 2. Buyer’s Information
Fill in applicable circle:
Individual
Partnership
Estate
Trust
Other (Specify)
Individual’s First Name (USE CAPITAL LETTERS )
M.I.
Individual’s Last Name
(USE CAPITAL LETTERS )
Individual’s Social Security Number
Spouse’s First Name
M.I.
Spouse’s Last Name
Spouse’s Social Security Number
Entity’s Legal Name
Federal Employer ID Number
(USE CAPITAL LETTERS )
Address
County
City
State
Zip Code
Country (If not U.S.)
Part 3. Sale Information
Gross sales price
Is the transaction for the sale of a personal residence?
$
(Fill in applicable circle)
Yes
No
County in which property is located
Enter the book
Book number
number and
page number in
Date of closing (MM-DD-YY)
which the deed
Page number
is recorded.
Part 4. Authorized Signature
I certify that, to the best of my knowledge, this report is accurate and complete.
Preparer’s Name (Please Print)
Telephone Number (Include area code.)
Date
Preparer’s Signature
Mail To: North Carolina Department of Revenue, Central Examinations Section, P.O. Box 871, Raleigh, NC 27602-0871
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