Form Rw-171 - Vermont Withholding Tax Return For Transfer Of Real Property

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Vermont Department of Taxes
133 State Street
Montpelier, VT 05633-1401
Phone: (802) 828-5860
VERMONT WITHHOLDING TAX RETURN
VT Form
RW-171
FOR TRANSFER OF REAL PROPERTY
TO BE COMPLETED BY THE BUYER OR OTHER TRANSFEREE REQUIRED TO WITHHOLD
FILE THIS RETURN AND ALL SCHEDULE A’s WITH THE
VERMONT DEPARTMENT OF TAXES, 133 STATE STREET, MONTPELIER, VERMONT 05633
PLEASE TYPE OR PRINT CLEARLY. USE BLUE OR BLACK INK ONLY.
1. Name of Withholding Agent (Buyer or other transferee)
2. Social Security Number / Federal I.D. Number
3. Address (Number and Street)
4. City, State, and ZIP Code
5. Name of Withholding Agent (Buyer or other transferee)
6. Social Security Number / Federal I.D. Number
7. Address (Number and Street)
8. City, State, and ZIP Code
9. Location and Description of Property
10. Date Property Acquired by Seller (MMDDYYYY)
11. Date of Transfer
13. Rate of Real Estate Withholding (REW)
12. Total Consideration Paid
14. Amount Withheld
(MMDDYYYY)
(A) 2.5% OF SALES PRICE
c
(B) LESS THAN 2.5%. Attach withholding
c
.
.
certificate and enter
certificate number
15. NUMBER OF SCHEDULE A’s FILLED OUT FOR THIS PROPERTY TRANSFER
(A separate Schedule A is required for each individual or entity receiving proceeds from the transfer.)
PLEASE REMEMBER TO ATTACH ALL SCHEDULE A’s FROM LINE 15 TO THIS FORM FOR PROPER SELLER REW CREDIT.
FORM WILL BE RETURNED UNLESS ALL REQUIRED SCHEDULE A’S ARE COMPLETED AND ATTACHED.
MAKE CHECK PAYABLE TO: VERMONT DEPARTMENT OF TAXES
I hereby certify that this return and attached Schedule A’s are true, correct and complete to the best of my knowledge. If prepared
by a person other than the taxpayer, this declaration further provides that under 32 V.S.A. § 5901 this information has not been
and will not be used for any other purpose or made available to any person other than for the preparation of this return unless a
separate valid consent form is signed by the taxpayer and retained by the preparer.
Signature of buyer
Date
Daytime Telephone Number
Signature of buyer
Date
Daytime Telephone Number
Signature of preparer if other than buyer
Date
Telephone Number
Address of preparer
BUYERS: PLEASE COMPLETE AND
5454
Keep a copy of this return for your records.
ATTACH SCHEDULE A FOR
Form RW-171
E
Page 1
PROPER REW CREDIT
(Rev. 10/14)
Clear ALL fields
Important Printing Instructions
Print

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