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2021-03-09_REVISION - M2001046 (17)
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2021-03-09_REVISION - M2001046 (17)
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Last modified
1/10/2025 2:27:14 AM
Creation date
3/10/2021 6:31:55 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2001046
IBM Index Class Name
REVISION
Doc Date
3/9/2021
Doc Name
Request For Amendment To Permit
From
Ready Mixed Concrete Company, LLC
To
DRMS
Type & Sequence
AM1
Email Name
ECS
MAC
AWA
Media Type
D
Archive
No
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i <br /> AFFIRMATION OF COLORADO RESIDENCY <br /> I(we)hereby affirm that I am(we are)the transferor(s)of the transferor of the property described on <br /> this Form 1083 and that as of the date of closing I am(we are)or the estate or the trust is a resident of <br /> the State of Colorado. <br /> Signed under th!V penalt f pe <br /> _Q <br /> signature of fiduciary date <br /> signature of fiduciary date <br /> AFFIRMATION OF PERMANENT PLACE OF BUSINESS <br /> I hereby affinn that the transferor of the property descried on this Form 1083 is a corporation which I <br /> maintains a permanent place of business in Colorado. <br /> BY: <br /> signature of corporate officer date <br /> AFFIRMATION OF SALE BY PARTNERSHIP <br /> I hereby affirm that the transfer of property described on this Form 1083 was sold by an organization <br /> defined as a partnership under section 761(a)of the Internal Revenue Code and required to file an annual <br /> federal partnership return of income under section 6031(a)of the Internal Revenue Code. <br /> Signed under the penalty of perjury: <br /> signature of general partner date <br /> AFFIRMATION OF PRINCIPAL RESIDENCE <br /> I(we)hereby affirm that I am(we are)the transferor(s)of the property described on this Form 1083 and <br /> immediately prior to the transfer it was my(our)principal residence which could qualify for the roll over <br /> of gain provision of section 1034 of the internal revenue code. <br /> Signed under the penalty of perjury: <br /> signature of transfer date <br /> spouse's signature if applicable date <br /> AFFIRMATION OF NO REASONABLY ESTIMATED TAX TO BE DUE <br /> I(we)hereby affirm that I am(we are)the transferor(s)or an officer of the corporate-transferor or a <br /> fiduciary of the estate or trust-transferor of the property described on the front side of this form,and I <br /> (we)further affirm that there will be no Colorado income tax reasonably estimated to be due on the part <br /> of the transferor(s)as the result of any gain realized on the transfer. <br /> PLEASE UNDERSTAND BEFORE YOU SIGN THIS AFFIRMATION THAT NONRESIDENTS <br /> OF COLORADO ARE SUBJECT TO COLORADO TAX ON GAINS FROM THE SALE OF <br /> COLORADO <br /> REAL ESTATE TO THE EXTENT SUCH GAINS ARE INCLUDED IN FEDERAL TAXABLE - <br /> INCOME. <br /> signature of transferor,officer or fiduciary date <br /> spouse's signature if applicable date <br /> Page 48 of 126 <br />
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