Form Lc-142 - Vt Landlord'S Certificate
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1*021421199*
Landlord’s Certificate
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RENTER: To protect your social security number, enter the social security number BEFORE filing claim but AFTER
landlord completes certificate. Attach certificate to Form PR-141. See Information for Renters on back of certificate.
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LANDLORD: If you have more than 4 residential rental units you must provide a completed certificate to each of
your tenants by Jan. 31. If 4 or less residential rental units, a certificate is required only upon tenant request. See
back of certificate for penalty information for improper statement of rent or failure to furnish a certificate.
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Parent category: Financial