Form Au-330 - Controlling Interest Transfer Taxes Page 2
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3Name of transferor: ________________________________________ Transferor’s CT Tax Registration Number: _____________________Date of transfer: ______________
Part V
Interests in Connecticut real property (including farm land, forest land, open space land, and maritime heritage land) owned directly by the entity in which a
controlling interest was transferred
Location of Real Property
Town
Check
Present
Tax
Code
() if
True and Actual
Tax
Rate
Street Address/Parcel No.
Town
(Table A)
Exempt
Value
1
00
0.0111
00
2
0.0111
00
3
0.0111
00
4
0.0111
00
5
0.0111
6
00
0.0111
00
7
0.0111
8
Total tax:
.
Include amounts from any attached schedules. Enter here and on Part IV, Line 1
00
Attach additional sheets if necessary.
Part VI
Interests in Connecticut real property (including farm land, forest land, open space land, and maritime heritage land) owned indirectly by the entity in which a controlling
interest was transferred
Col A
Col B
Col C
Col D
Col E
Col F
Owner
Town
Location of Real Property
Applicable
ID
Code
Check
Present True and
Multiply Col A
Tax
Multiply Col C
Ownership
(Table A)
() if
(Part VIII)
Street Address/Parcel No.
Town
Actual Value
by Col B.
Rate
by Col E.
Percentage
Exempt
1
0.0111
00
2
0.0111
00
3
0.0111
00
4
0.0111
00
5
0.0111
00
6
0.0111
00
7
0.0111
00
8
Total tax:
Include amounts from any attached schedules. Enter here and on Part IV, Line 2.
00
Attach additional sheets if necessary.
AU-330 (Rev. 08/10)
Page 2 of 3
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