12301 Lake Underhill Rd. Suite 405
Orlando, FL 32828
Phone: 407-982-7261
Fax: 407-613-2106
CORPORATION/LLC SELLER INFORMATION SHEET
Selling Entity: EIN#
Please list any and all officers and their respective titles:
Primary Contact Phone #: Primary Contact Email Address:
Is the Company based in the United States? Yes No
If U.S.-based, in what state was the company formed?
FIRPTA:
If the selling entity, is not a U.S. based company, the sale may be subject to FIRPTA. FIRPTA (Foreign Investment in Real
Property Tax Act) is defined as a United States tax law that imposes U.S. income tax on foreign entities selling U.S. real estate.
Under this law, if a buyer purchases U.S. real estate from a foreign entity, the buyer may be required to withhold 15% of the
sales price. The buyer must then file Form 8288 to report and transmit the tax withheld to the IRS by the 20th day after the
transfer.
Is the entity subject to FIRPTA? YES NO Unknown
Property Address:
Forwarding Address:
Estimated Closing Date:
Please answer the following: Will the officers be “attending” closing? Yes No
Would you like us to perform a “mail away” closing? Yes No
Does the property have a tenant? Will it be sold as tenant occupied?
HOMEOWNERS ASSOCIATION
Please fill in HOA/Condo Association info: HOA/CONDO NAME:
HOA Master/Second Association (If applicable):
Management Company (if applicable):
Phone No.: Email: __