Form Pt-172 - Property Transfer Tax Return - Vermont
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4NOTE: If Forms PT-172S or PT-172B are not used, only print pages 1-4, and page 9 for
Form PT-173. Print Forms PT-172S and/or PT-172B as needed and attach to pages 1-4.
*081721100*
Form
VERMONT
PT-172
Property Transfer Tax Return
* 0 8 1 7 2 1 1 0 0 *
Click here to RESET
Click here to PRINT
SELLER’S (TRANSFEROR’S) INFORMATION
A.
Please use ALL CAPS.
Entity SELLER #1 Federal ID number
Individual SELLER #1 Social Security Number
Individual SELLER #2 Social Security Number
BLACK OUT
ON TOWN
COPY ONLY
Entity SELLER #1 Name
Individual SELLER #1 Last Name
First Name
Initial
Entity SELLER #1 or Individual SELLER #1 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual SELLER #2 Last Name
First Name
Initial
Individual SELLER #2 Mailing Address Following Transfer (Number and Street or Road Name)
State
Zip Code
TOTAL number of SELLERS
If more than 2, attach Form 172-S.
Click here to go to Form PT-172S to enter more SELLERS
B.
BUYER’S (TRANSFEREE’S) INFORMATION
INTERNATIONAL address checkbox
Entity BUYER #1 Federal ID number
Individual BUYER #1 Social Security Number
Individual BUYER #2 Social Security Number
BLACK OUT
ON TOWN
COPY ONLY
Individual BUYER #1 Last Name
First Name
Initial
Entity BUYER #1 or Individual BUYER #1 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
Individual BUYER #2 Last Name
First Name
Initial
Individual BUYER #2 Mailing Address Following Transfer (Number and Street or Road Name)
City or Town
State
Zip Code
TOTAL number of BUYERS
If more than 2, attach Form 172-B.
Click here to go to Form PT-172B to enter more BUYERS
Form PT-172,
Page 1 of 4
THIS .PDF FORM WILL NOT BE AVAILABLE AFTER MARCH 31, 2011.
Rev. 11/10
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Parent category: Financial