Exhibit T
Internal Revenue Bulletin 2003-16 · 2026-10-03 edition · updated 2026-10-04 · United States
VOID CORRECTED
Copy A
For Internal Revenue
Service Center File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act Notice, see the
2003 General
Forms 1099, 1098,
5498, and W-2G.
| FILER’S name, street address, city, state, ZIP code, and telephone no. | 1 Date of closing 1.40" |
OMB No. 1545-0997 2003 Form 1099-S |
|
|---|---|---|---|
| FILER’S name, street address, city, state, ZIP code, and telephone no. | FILER’S name, street address, city, state, ZIP code, and telephone no. | Gross proceeds 2 $ |
Gross proceeds 2 $ |
1.70" FILER’S Federal identification number |
1.70" TRANSFEROR’S identification number |
2.80" Address or legal description (including city, state, and ZIP code) 3 |
2.80" Address or legal description (including city, state, and ZIP code) 3 |
| TRANSFEROR’S name | TRANSFEROR’S name | TRANSFEROR’S name | TRANSFEROR’S name |
| Street address (including apt. no.) | Street address (including apt. no.) | Street address (including apt. no.) | Street address (including apt. no.) |
| City, state, and ZIP code | City, state, and ZIP code | Check here if the transferor received or will receive property or services as part of the consideration 4 |
Check here if the transferor received or will receive property or services as part of the consideration 4 |
| Account number (optional) | Account number (optional) | Buyer’s part of real estate tax 5 $ |
Buyer’s part of real estate tax 5 $ |
Form 1099-S Cat. No. 64292E Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page - Do Not Cut or Separate Forms on This Page
VOID CORRECTED
Copy A
For Internal Revenue
Service Center File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act Notice, see the
2003 General Instructions for Forms 1099, 1098,
5498, and W-2G.
| FILER’S name, street address, city, state, ZIP code, and telephone no. | 1 Date of closing | OMB No. 1545-0997 2003 Form 1099-S |
|
|---|---|---|---|
| FILER’S name, street address, city, state, ZIP code, and telephone no. | FILER’S name, street address, city, state, ZIP code, and telephone no. | Gross proceeds 2 $ |
Gross proceeds 2 $ |
| FILER’S Federal identification number | TRANSFEROR’S identification number | Address or legal description (including city, state, and ZIP code) 3 |
Address or legal description (including city, state, and ZIP code) 3 |
| TRANSFEROR’S name | TRANSFEROR’S name | TRANSFEROR’S name | TRANSFEROR’S name |
| Street address (including apt. no.) | Street address (including apt. no.) | Street address (including apt. no.) | Street address (including apt. no.) |
| City, state, and ZIP code | City, state, and ZIP code | Check here if the transferor received or will receive property or services as part of the consideration 4 |
Check here if the transferor received or will receive property or services as part of the consideration 4 |
| Account number (optional) | Account number (optional) | Buyer’s part of real estate tax 5 $ |
Buyer’s part of real estate tax 5 $ |
Form 1099-S Cat. No. 64292E Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page - Do Not Cut or Separate Forms on This Page
Copy A
For Internal Revenue
Service Center File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act Notice, see the
2003 General Instructions for Forms 1099, 1098,
5498, and W-2G.
| FILER’S name, street address, city, state, ZIP code, and telephone no. | 1 Date of closing | OMB No. 1545-0997 2003 Form 1099-S |
|
|---|---|---|---|
| FILER’S name, street address, city, state, ZIP code, and telephone no. | FILER’S name, street address, city, state, ZIP code, and telephone no. | Gross proceeds 2 $ |
Gross proceeds 2 $ |
| FILER’S Federal identification number | TRANSFEROR’S identification number | Address or legal description (including city, state, and ZIP code) 3 |
Address or legal description (including city, state, and ZIP code) 3 |
| TRANSFEROR’S name | TRANSFEROR’S name | TRANSFEROR’S name | TRANSFEROR’S name |
| Street address (including apt. no.) | Street address (including apt. no.) | Street address (including apt. no.) | Street address (including apt. no.) |
| City, state, and ZIP code | City, state, and ZIP code | Check here if the transferor received or will receive property or services as part of the consideration 4 |
Check here if the transferor received or will receive property or services as part of the consideration 4 |
| Account number (optional) | Account number (optional) | Buyer’s part of real estate tax 5 $ |
Buyer’s part of real estate tax 5 $ |
Form 1099-S Cat. No. 64292E Department of the Treasury - Internal Revenue Service
April 21, 2003 797 2003–16 I.R.B.
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