Form Au-330 - Controlling Interest Transfer Taxes Page 3
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3Name of transferor: ________________________________________ Transferor’s CT Tax Registration Number: _____________________Date of transfer: ______________
Part VII
Connecticut farm land, forest land, open space land, and maritime heritage land owned directly by the entity in which a controlling interest was transferred.
See instructions for applicable rate.
Type of Land
Location of Real Property
Present
Tax
Town
Date Acquired
F
Tax
= Farm or Forest Land
Code
True and Actual
Rate
or Classifi ed
(Table B)
Value
(Table A)
O
= Open Space or Maritime
Street Address
Town
Heritage Land
1
00
2
00
3
00
4
00
5
Total tax:
Enter here and on Part IV, Line 3.
00
Attach additional sheets if necessary.
Part VIII
Direct owners of Connecticut real property indirectly owned by the entity in which a controlling interest was transferred
Owner
Social Security Number or
Name
Business Address
Federal Employer ID Number
ID
1
2
3
4
5
6
7
8
Attach additional sheets if necessary.
AU-330 (Rev. 08/10)
Page 3 of 3
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