Please fill out this form if you sold your home during the tax year.
Taxpayers Name
Address of Property Sold
Date of Purchase
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Sale
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purchase Price
*Please provide Purchase HUD Statement
Sale Price
* Please provide Sale HUD Statement
Closing Cost
Please list any major improvements and the cost.
Are you military?
Yes
No
Was this home ever a rental property?
Yes
No
Was this home ever an investment property or second home?
Yes
No
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