Form 5 5404 PDF Details

Are you familiar with the Form 5 5404? If not, you should be. This is an important form that all business owners need to be aware of. Here's what you need to know about the Form 5 5404. The purpose of the Form 5 5404 is to provide information about a company's ownership and management structure. This form is used for both foreign and domestic companies. It's important to complete this form correctly, because it provides information that is used by the IRS in determining a company's tax status. There are several sections on the Form 5 5404, including Ownership Information, Management Structure, and Financial Statements. You will need to provide detailed information about your company in each of these sections. Completing the Form 5 404 can be time consuming, but it's important to get it right. The IRS will use the information on this form to determine your company's tax status, so it's important to make sure that all of your information is accurate.

QuestionAnswer
Form NameForm 5 5404
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdeducted, indebtedness, LANDOWNER, bia form 5 6404

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Form No. 5-5404

May 1955

UNITED STATES

DEPARTMENT OF THE INTERIOR

BUREAU OF INDIAN AFFAIRS

APPLICATION FOR NEGOTIATED SALE OF INDIAN LAND

PALM SPRINGS ALLOTMENT:

LANDOWNER: ___________________

ID. NO. _____________________

Application is hereby made for negotiated sale for the following described land:

In justification of this application, true statements are made to the following:

1.

Date of Birth:

 

Age:

 

Social Security No.: ________________

2.Degree of Indian Blood:

3.Marital Status:

4.

Education: Years in Elementary School

 

High School

 

College ______

5.The following person(s) is(are) dependent upon me for support (Give names, ages, and relationship):

6.I am enrolled as a member of the Agua Caliente Band of Cahuilla Indians.

7.Permanent Address: Phone Number:

8.The amount of my annual income is $

9.My income is obtained from the following sources:

10.If receiving public assistance grants from the State, or general assistance from the Bureau of Indian Affairs, or funds from the Veteran's Administration, Social Security, or any regular public benefit, state kind and amount (if none, state none).

Form No. 5-5404

May 1955

11.If indebted to the United States, state amount and purpose of indebtedness (if none, state none).

12.I (do) (do not)* live on or make personal use of the land covered by this application.

 

*(cross out one)

 

13.

The land is leased and the annual rent received is $

(If not leased, state none).

14.(a) I intend to use the land for the following purposes after receiving a patent in fee which becomes taxable from date of issuance:

(b) I intend to use the proceeds of sale for the following purposes:

15.I (do) (do not)* wish to retain the mineral rights, including coal, oil and gas.

*(cross out one)

It is agreed that rental payment (crop or cash) will accrue to the purchaser, effective as of the beginning of the next annual lease period and that all advance rental payments collected shall be deducted from the purchase price.

It is also agreed that the proceeds arising from the sale of this land may be disposed of in accordance with regulations prescribed by the Secretary of Interior.

I hereby certify that I have completed this application to the best of my ability and that I fully understand that I am disposing of this property.

_______________________________

___________________________________

Date

Applicant Signature

I hereby certify that the effect of this application was explained to and fully understood by the applicant. Application is hereby recommended for approval.

 

___________________________________

Date

Realty Officer,

------------------------------------------------------------------------------------------------------------------

Application is hereby approved this

 

day of

 

, 20

 

.

______________________________

Superintendent, Palm Springs Agency