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Get SC DoR I-290 2013

Eller? See instructions.) Phone Phone Seller's FEIN or SSN * Withholding Third Party (check one): * Lending byInstitution FEIN or SSN Party's Name * Third Address Real Estate Agent Closing Attorney Other Phone FEIN or SSN Date of Closing * 1. The amount withheld is based on (check one): Gain, if seller provides affidavit of gain (if installment sale, see reverse side) Amount realized, if no affidavit of gain is provided (if installment sale, see reverse side) Month Date Year 1. appr.

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