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efta-efta00788401DOJ Data Set 9Other

K CORRECTED (if checked)

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DOJ Data Set 9
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
K CORRECTED (if checked) NUR'S norm suet redeem dry cc town stew a webby, cowry, tendon:IV post coda, and telorshono Clark, Hunt Ahern & Embry 150 Cambridgepark Drive Cambri e MA 02140 a DM of doing 12/18/2017 1 Owe twonsts 1,715,000.00 can Ms. 2545007 2017 Form 1099-5 Proceeds From Real Estate Transactions FitIRS laderai Ittantelcadel numb•r CROWS tdc,ufsatkin numb/ Lk:Iona a frol tinniest, IllAtellEIRS Wee Avram Noam Chomsky street knew iiridane sot nUmatri 9777 N. Korth Lane City. Sum, are be code Oro Valley AZ 85704 4.Traratanena•Mthonve ,.a•h. /SOOT a, Woks. t ran a the gantlerstIon (X cltatkott • 0 ill *tied. snarler°, Is a amigo tenon ciongelicent romp eartnarshy. lore/an *slue, or forelin uuul,• K eRomnt Ora:row nambor (sea instructken1 6. Owes pen of pal gauge tut S.00 Copy 8 For Transferor Thin IF Important tax kiformation and is being hewed to the intorno Revenue Street. if you are rewired to tie a return, a negligence oenbay of odor sanction may be imposed on you RINI ken IS redirect to be retorted and the IRS deterrnIna that a l'as not been reported. Form 1099-5 (keep for your records) www.bs.gw/formlo99s Instructions for Transferor For saes or exchanges of certain real estate, the person responsible for closing a real estate transaction must report the real estate proceeds to thy IRS and must furnish this statement to you. To determine If you have to report the sale or eidunge of your main home on your tax return, see the instructions for Schedule 0 (Form 1040). If the real estate was not you• malt home, report the transaction on Form 4797, Form 6252, and/or the Schedule 0 for the appropriate income tax form. if box 41s checked and you received or AI receive like-kind property, you must fee Form 8824. Federal mortgage subsidy. You may have to recapture (pay back) ail or part of a federal mortgage subsidy If all the Slowing apply. You received a loan provided from the proceeds of a qualified mortgage bond or you received a mortgage aedk certificate. a Your onsfinal mortgage loan was provided after 1990. You sold or disposed of your home at a gain during the first 9 years alter you received the federal mortgage subsidy. Your Income for the year you sold or disposed of your home was over a specified amount. This will Increase your tax. See Form 8828 and Pub.523. Transferor's taxpayer identification number. For your protection, this form may stow only the last four digits of your social security number (SSR), individual taxpayer identification number (MN). adoption taxpayer Identification number (ATIN), or employer identification number (BIN). However, the Issuer has reported your complete identification number to the IRS. Department of the Treasury — Internal Revenue Service Account number. May show an account or other unique number the filer assigned to distinguish your account. Box 1. Shows the date of closing, Box 2. Shows the gross proceeds from a roil estate transaction. generally the sales price. Gross proceeds Include cash and notes payable to you, notes assumed by the transferee (buyer), and any notes paid off at settlement. Box 2 does not include the value of other property or services you received or will receive. See Box I. Box 3. Shows the address or legal description of the property transferred. Box 4.0 marked, shows that you received or will receive services or property (other than cash or notes) as part of the consideration for the property transferred. The value of any services or property (other than cash or notes) Is not Included in box 2. Box S. If checked. shows that you are a foreign person (nonresident alien. foreign partnership, foreign estate, or foreign oust). box 6. Shows certain real estate tax on a residence charged to the buyer at settlement. If you have already paid the real estate tax for the period that Includes the sale date, subtract the amount in box 6 from the amount Shady paid to determine your deductible real estate tax. But a you have already deducted the real estate tax Ina prior year, generally report this amount as income on the 'Other income One of the appropriate inccene tax form. For TOM Information, see ►ub, 523, Pub. 525, and Pub. 530. EFTA00788401 K VOID K CORRECTED FitErS name. wawa .dins. <Ova town sine or prodnce,country.r) or bean PPM toot, and telephone number. Clark, Hunt, Ahern & Embry 150 Cambridgepark Drive Cambridge MA 02140 10.4 of *IM 12/18/2017 I. oaw precnos $ 1,715,000.00 OMB.. 7 2017 Form 1099-S Proceeds From Real Estate Transactions niers feelers' leaflet:sem nate TAANSICSIOWS Ithacan", nomter IRAIIPSIMS Name Avram Noam Chomsky Sued Matest IlehAhlina opt. !haat) 9777 N. Korte Lane City. Sum and Zn. code Oro Valley AZ 85704 3. Mons a lava descrIston 984 Memorial Drive, Apartment 404 Cambridge MA 02138 4.1raashrounotehl or we teats aspen or I•NrCv. af sand as unborn/Nibs tfOrntaall ,❑ IL detect.' tranakror h a logic, Penh, inosohilmi arc Icrelen 'amenity,. keno <matt or loath hunt Amount or inac• numb (at ,...w.cno, G. Wave. peal of salon it its $.00 Copy C For Filer For privacy Act and Paperwork Reduction Act Notice, see the 2027 General Instructions for Certain Information Return>. Farm 1099-S www.in.govitomace9s Avram Noam Chomsky Departmere of the Treasury — Internal Revenue SerOce EFTA00788402

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