12301 Lake Underhill Rd. Suite 405
Orlando, FL 32828
Phone: 407-982-7261
Fax: 407-613-2106
SELLER INFORMATION SHEET
Seller #1: SS #
Phone No.: ________________________Email Address: ________________________________
Are you a U.S. Citizen Legal U.S. Resident Foreign Person
Seller #2: SS #
Phone No.: ________________________Email Address:
Are you a U.S. Citizen Legal U.S. Resident Foreign Person
FIRPTA: If you the seller, are not a U.S. Citizen or Permanent Resident of the United States, you
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 persons selling U.S. real estate.
Under this law, if a buyer purchases U.S. real estate from a foreign person, 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.
Are you subject to FIRPTA? YES NO Unknown
Property Address:
Forwarding Address:
Marital Status:
Has your Marital Status changed since the date of purchasing this property? Yes No
Is Property being sold your: Primary Residence 2
nd
Home/Investment
Please answer the following: Will you be “attending” closing? Yes No