Form Pt-172-S - Property Transfer Tax Return - Vermont
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1
2Buyer #1 or Entity ____________________________________________________
*081721500*
SSN or FID __________________________________________________________
Property Location ____________________________________________________
Date of Closing ______________________________________________________
Please use ALL CAPS.
* 0 8 1 7 2 1 5 0 0 *
Attachment for
Form
Additional
VERMONT
(Use Form PT-172-B to list
SELLERS
PT-172-S
Property Transfer Tax Return
additional BUYERS)
Entity SELLER #2 Federal ID number
Individual SELLER #3 Social Security Number
Individual SELLER #4 Social Security Number
BLACK OUT
ON TOWN
Entity SELLER #3 Federal ID number
Individual SELLER #5 Social Security Number
Individual SELLER #6 Social Security Number
COPY ONLY
Entity SELLER #2 Name
Individual SELLER #3 Last Name
First Name
Initial
Entity SELLER #2 or Individual SELLER #3 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Entity SELLER #3 Name
Individual SELLER #4 Last Name
First Name
Initial
Entity SELLER #3 or Individual SELLER #4 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual SELLER #5 Last Name
First Name
Initial
Individual SELLER #5 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual SELLER #6 Last Name
First Name
Initial
Individual SELLER #6 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Click here to return to Form PT-172 to enter BUYERS
Form PT-172-S,
Additional SELLERS
Rev. 11/08
(Attach to Form PT-172)
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Parent category: Financial