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INFORMATION FOR REAL ESTATE 1099-S REPORT FILING <br /> (as required by the Internal Revenue Service) <br /> Section 6045(e) of the Internal Revenue Code, as amended by the Tax Reform Act of 1986, <br /> requires the reporting of certain information on every real estate transaction. From the information <br /> you provide below, a Form 1099-S will be produced,and a copy of it will be furnished to the IRS <br /> and to you no later than February 1st of the next year. If you fail to furnish adequate information <br /> (in particular, a taxpayer identification number) then you may be subject to civil or criminal <br /> penalties imposed by law. <br /> Closing Date: IU ove r e (7_ , 2021 <br /> Transaction Type: Commercial <br /> TRANSACTION INFORMATION <br /> Seller's Name: Indian River County, Florida <br /> Taxpayer Identification Number: 59-6000674 <br /> Address: 1801 27th Street Vero Beach, Florida 32960 <br /> Gross Proceeds: $4,100,000.00 <br /> Description of Property: Commercial property located in Indian River County, and being <br /> known as 810 Bailey Drive, Sebastian, Florida 32958 <br /> * * * * * * <br /> I certify that the above information is correct and I understand that it will appear on <br /> a Form 1099-S that will be sent to me and to the Internal Revenue Service. <br /> Sworn to and subscribed before me on OWNER: Indian River County, Florida <br /> NOV. tO , 2021. <br /> By: & �' 11 <br /> Notary Public Name: Ja-. . Brown <br /> Title: Ct Administrator <br /> My commission expires: k I SO I23. <br /> [NOTARY SEAL] Aar"FAOVED AS TO FORM <br /> Fe;`„L, La'C;Al. SUFFICIENCY <br /> MAURA STOKES <br /> :° co';Notary Public-State of Florida <br /> `'I= 'c' Commission # GG 918050 <br /> " ''"e My Commission Expires <br /> BY �_s ..- <br /> ',moo September 30, 2023 REINGOLD <br /> COUNTY ATTORNEY <br /> Asset File#TwPA0035492 <br />