Buyer #1 or Entity ____________________________________________________
*081721700*
SSN or FID __________________________________________________________
Property Location ____________________________________________________
Date of Closing ______________________________________________________
Please use ALL CAPS.
* 0 8 1 7 2 1 7 0 0 *
Attachment for
Form
Additional
VERMONT
BUYERS
PT-172-B
(Use Form PT-172-S to list
Property Transfer Tax Return
additional SELLERS)
Entity BUYER #2 Federal ID number
Individual BUYER #3 Social Security Number
Individual BUYER #4 Social Security Number
BLACK OUT
ON TOWN
Entity BUYER #3 Federal ID number
Individual BUYER #5 Social Security Number
Individual BUYER #6 Social Security Number
COPY ONLY
Entity BUYER #2 Name
Individual BUYER #3 Last Name
First Name
Initial
Entity BUYER #2 or Individual BUYER #3 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Entity BUYER #3 Name
Individual BUYER #4 Last Name
First Name
Initial
Entity BUYER #3 or Individual BUYER #4 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual BUYER #5 Last Name
First Name
Initial
Individual BUYER #5 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual BUYER #6 Last Name
First Name
Initial
Individual BUYER #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
Form PT-172-B,
Additional BUYERS
Rev. 11/08
(Attach to Form PT-172)