Form Op-236 - Schedule A - Supplemental Information For Real Estate Conveyance Tax Return - 2007
ADVERTISEMENT
1Department of Revenue Services
OP-236 Schedule A
State of Connecticut
Supplemental Information for Real Estate Conveyance Tax Return
Rev. 01/07
Town: __________________________________________________________________
Grantor/Seller
Location of Property Conveyed: _____________________________________________
Grantee/Buyer
Date Conveyed: ___________________
Date Recorded: _____________________
Other: See Line 12
instructions.
Check here if the transaction is completed on one deed.
Yes
No
Use form OP-236 Schedule A to provide the required information if there are additional grantors/sellers, grantees/buyers, partners,
shareholders, members, or beneficiaries that are grantors. Check a box above to indicate who is providing this information.
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
Last Name, First Name, Middle Initial
Taxpayer Identification Number
SSN
FEIN
Address (Number and Street) (Mailing Address After Conveyance)
City or Town
State
ZIP Code
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial