HomeMy WebLinkAboutAFFIDAVIT OF SELLER'S RESIDENCE (GEORGIA POWER COMPANYIT -AFF1
GEORGIA POWER COMPANY 58- 0257110
Seller's Name Seller's Identification Number (SSN or FEI)
241 Ralph McGill Boulevard N.E.
Atlanta, Georgia 30308 -3374
Street Address
This form is to be executed by the seller and furnished to the buyer to establish Georgia residency, so that
withholding from the proceeds of the sale of property are not subject to the withholding laws of this state. (See
O.C.G.A. Section 48 -7 -128.)
Sellers are not subject to withholding from the proceeds of sale if either they reside in Georgia or they are deemed to
be a Georgia resident by virtue of the fact that they have filed Georgia tax returns in the preceding two years, do
business or own property in Georgia, intend to file a Georgia tax return for the current year, and if they are a
corporation or limited partnership, are registered to do business in this state.
The seller is to execute this affidavit by placing an initial in the blank preceding statements which apply. The buyer
is to keep the affidavit and furnish a copy to the Department of Revenue only if requested.
Seller is exempt from withholding on the sale of property because:
_X_ Seller is a resident of Georgia.
AFFIDAVIT OF SELLER'S RESIDENCE
INSTRUCTIONS
Spouse's Identification Number (if jointly owned)
Seller is not a resident of Georgia, but is deemed a resident for purposes of withholding because all of the
following apply:
Seller is a nonresident who has filed Georgia tax returns for the preceding two years; AND
Seller is an established business in Georgia and will continue substantially the same business in Georgia
after the sale OR the seller has real property in Georgia at the time of closing of equal or greater value than
the withholding tax liability as measured by the 100% property tax assessment of such remaining property;
AND
Seller will report the sale on a Georgia Income Tax return for the current year and file by its due date; AND
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If seller is a corporation or limited partnership, seller is registered to do business in Georgia.
Under penalties of perjury, I swear that the above information is to the best of my knowledge and belief, true,
correct, and complete.
sion expires:
2012
y ublic
/ — 7/4
GPC AUGUSTA MARVIN GRIFFIN FORM IT AFFI VI 2012 02 02.doc
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Georgia Pow Com n
By:
Its: Vice President - Land
Seller's Signature (and Title, if applicable)
Sworn to and subscribed before me this /. day
of
Date