HomeMy WebLinkAboutGilroy Gardens - IRS Form 1099-S
Chicago Title Company
Proceeds from Real Estate Transactions as required by the Internal Revenue Service
Substitute Form 1099-5
Branch Address
8060 Santa Teresa Blvd., Suite 100
Gilroy, CA 95020
County Santa Clara County # 2987
This is important tax information and is being furnished to the
Internal Revenue Service, as required by section 1521 of the
Tax Reform Act of 1986. If you are required to file a return,
a negligence penalty or other sanction will be imposed if this
income is taxable and the IRS determines that it has not
been reported.
TYPE OR MACHINE PRINT ONLY c:t ~ / (
Escrow No.: 07-98702516-JW Date of closing: ;:y:J/~
Locate No.: CACTI7743-7743-2987-0098702516
PROPERTY ADDRESS - SEE PAGE 2 FOR EXAMPLES
Hecker Pass Highway, Gilroy, CA 95020
Assessors Parcel Number (APN) - 783-05-011,12,13, 810-17-026,29,14,15,2124,25, 810-18-010,011,002,
PROCEEDS FOR THIS SALE WENT TO: (MULTIPLE SELLERS - Use one form for each seller. Treat husband and wife
as one seller (filing joint tax returns) unless requested otherwise, then separate forms must be used.)
See page 2 before completing 31-1574450
2.
Federal Tax ID# for this seller
(List only the Tax ID# for the seller listed on Line 1,
spouse Tax ID# not required. Executor[frustee
should not list their name as the seller unless they
are going to report the proceeds on their personal
income tax return.)
1. Gilroy Gardens Family Theme Park, formerly Bonfante
Gardens Inc.
Sellers Name (First, MI, Last)
TOTAL CONSIDERATION (SEE PAGE 2 TO CALCULATE)
$ 100 10.2f'? '/~L/. 1/, Total Consideration [
% Percentage of ownership for this seller [
$ GROSS Allocated Proceeds
(Total consideration multiplied by percentage of ownership) $
Exchange (If checked)
Check here if the maximum determinable proceeds
cannot be determined with certainty
Tax Credit to Seller
MAILING ADDRESS:
3050 Hecker Pass Highway
Check here if the address
is outside of the U.s.A.
Gilroy, California
95020
I her~ ~et ,under penalty of perjury, that I have read the above information and it is true and correct.
f/Zl;~
Tfansferors Signature
6J -olf-olO09
Date
Glroy Gardens Family Theme Park, Inc.
by: Robert Kraemer
its: President
Date
CE-104
(1099) (Rev. 07-04)
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