RESIDENCE INFORMATION. Please provide the entity’s full legal name, primary business address, phone number, fax number, name and e-mail address of contact person, and federal tax I.D. number.
RESIDENCE INFORMATION. (a) Set forth in the space provided below the states in which you have maintained your primary residence during the past three years and the dates during which you resided in each state:
RESIDENCE INFORMATION. (a) Set forth in the space provided below the state(s) in which you have maintained your principal residence during the past three years and the dates during which you resided in each state.
RESIDENCE INFORMATION. Please provide your full legal name, residence address, phone and fax numbers, e-mail address and social security number.
RESIDENCE INFORMATION. (a) Set forth in the space provided below the state(s) in which you have maintained your principal residence during the past three years and the dates during which you resided in each state. __________________________________________________________________________________________________ __________________________________________________________________________________________________
RESIDENCE INFORMATION. Please provide your full legal name, residence address, phone and fax numbers, e-mail address and social security number. ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- -----------------------------------------------------------------------
RESIDENCE INFORMATION. (i) In the space provided below, list below the state(s) in which you have maintained your principal residence during the past 3 years and the approximate dates that you resided in each such state. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
RESIDENCE INFORMATION. Please indicate the jurisdiction in which the Purchaser resides, if the Purchaser is a natural person, or in which the Purchaser is chartered and the jurisdiction in which it maintains its principal offices:
RESIDENCE INFORMATION. Xxxxxx Lakeside at Reeds Landing is a continuing care retirement community located at 000 Xxxxxxxxx Xxxx, Xxxxxxxxxxx, XX 00000. Xxxxxx Lakeside at Reeds Landing has 120 independent living apartments and 36 assisted living apartments. Twenty-five
RESIDENCE INFORMATION. (a) Set forth in the space provided below the state(s)/countries in which you have maintained your principal residence during the past three years and the dates during which you resided in each state/country. -------------------------------------------------- --------------------------------------------------
