Form Ptt-172 - Vermont Property Transfer Tax Return - 2017
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4Vermont Department of Taxes
133 State Street
Montpelier, VT 05633-1401
For Town Use Only
Phone: (802) 828-5860
VERMONT
VT Form
PTT-172
PROPERTY TRANSFER TAX RETURN
*Required or Conditionally Required Field
Web request key / Confirmation code
A.
TRANSFEROR’S (Seller’s) INFORMATION
Entity TRANSFEROR Name
Federal ID Number
OR*
OR*
Individual TRANSFEROR Last Name
First Name
Initial
Social Security Number
TRANSFEROR Mailing Address Following Transfer*
Line 2 for Mailing Address Following Transfer (if needed)
City*
State*
ZIP Code*
Foreign Country (if not United States)*
B.
TRANSFEREE’S (Buyer’s) INFORMATION
Entity TRANSFEREE Name
Federal ID Number
OR*
OR*
Individual TRANSFEREE Last Name
First Name
Initial
Social Security Number
TRANSFEREE Mailing Address Following Transfer*
Line 2 for Mailing Address Following Transfer (if needed)
City*
State*
ZIP Code*
Foreign Country (if not United States)*
C.
PROPERTY INFORMATION
Property Physical Location - Number and Street or Road Name*
Land Size (in acres)*
.
City or Town*
Check if property is located
SPAN*
in multiple cities or towns*
D.
HOLDING PERIOD
Date Acquired by Transferor (mm dd yyyy)*
Date of this Closing (mm dd yyyy)*
Time Held*
_________ Years
_________ Months
E.
EXEMPTIONS
E1.
If transfer is exempt from Property Transfer Tax, enter exemption number (see quick reference guide) . E1. _________*
E2.
If sale was between family members, enter corresponding number (see quick reference guide) . . . . . . . . E2. _________*
E2a. If Line E2 is “05,” enter description . . . . . . . . . . . . . . . . E2a. _________________________________________*
E3.
Land Gains exemption number (see quick reference guide) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E3. _________*
(continued on next page)
*171722100*
Form PTT-172
Page 1 of 4
* 1 7 1 7 2 2 1 0 0 *
5454
Rev. 03/17
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