2563-19 Agreement of Sale - Rock Spring Club to West Orange 2-13-19 Final.pdf

2019.02.13 Rock Spring Club to West Orange 2-13-19 41 EXHIBIT E FORM OF CERTIFICATION OF NON-FOREIGN STATUS Date: _____________, 2019 Seller: MONTCLAIR GOLF CLUB, a New Jersey not for profit corporation Buyer: Township of West Orange Premises: ______________________ West Orange, New Jersey Seller, in order to induce Buyer to refrain from withholding tax because of a sale of the Premises (which would otherwise be required pursuant to Section 1445 of the federal Internal Revenue Code, requiring a buyer of real property located in the United States of America to withhold tax of ten (10%) percent of the amount realized on the sale where Seller is a foreign person), being duly sworn according to law says: 1. Seller is not a foreign corporation, a foreign partnership, a foreign trust or a foreign estate, as those terms are defined in the Internal Revenue Code and Regulations. 2. The federal employer identification number of Seller is 22-1124720. 3. The office address of Seller is _____________________, New Jersey ______. 4. Seller understands that this affidavit can be disclosed to the federal Internal Revenue Service by Buyer and that any false statement of Seller in this affidavit can be punished by fine, imprisonment or both.