Form Pt-172-B - Property Transfer Tax Return - Buyers Page 2
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1
2Buyer #1 or Entity ____________________________________________________
*081721800*
SSN or FID __________________________________________________________
Property Location ____________________________________________________
Date of Closing ______________________________________________________
Please use ALL CAPS.
* 0 8 1 7 2 1 8 0 0 *
Attachment for
Additional
VERMONT
BUYERS
(cont.)
Property Transfer Tax Return
Entity BUYER #4 Federal ID number
Individual BUYER #7 Social Security Number
Individual BUYER #8 Social Security Number
BLACK OUT
ON TOWN
Entity BUYER #5 Federal ID number
Individual BUYER #9 Social Security Number
Individual BUYER #10 Social Security Number
COPY ONLY
Entity BUYER #4 Name
Individual BUYER #7 Last Name
First Name
Initial
Entity BUYER #4 or Individual BUYER #7 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Entity BUYER #5 Name
Individual BUYER #8 Last Name
First Name
Initial
Entity BUYER #5 or Individual BUYER #8 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual BUYER #9 Last Name
First Name
Initial
Individual BUYER #9 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual BUYER #10 Last Name
First Name
Initial
Individual BUYER #10 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)
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Parent category: Financial