Form Ptt-172 - Vermont Property Transfer Tax Return - 2017 Page 3

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Transferee’s Name _____________________________________________________
*171722300*
Property Location _____________________________________________________
Date of this Closing ____________________________________________________
* 1 7 1 7 2 2 3 0 0 *
I.
REAL ESTATE WITHHOLDING CERTIFICATION
I1.
The transferee certifies that 2.5% VT Income tax has been withheld from the purchase
price and will be remitted to the Vermont Commissioner of Taxes with
c
c
Form REW-171 within 30 days of the date of this closing . . . . . . . . . . . . . . . . . . . . . . . . . I1.
Yes*
No*
I2.
If Line I1 is “No,” enter the withholding exemption number (see quick reference guide) . . . . . . . . . . . . . . I2. _________*
I2a. If Line I2 is “04,” enter Commissioner’s Certificate number . . . . . . . . . . . . I2a. ___________________________*
J.
TAX CALCULATION
Tax on Special Rate Property
J1.
Amount of value eligible for special principal
residence rate (see instructions) . . . . . . . . J1. __________________________*
J2.
If transfer happened prior to July 1, 2011,
enter the amount of value eligible for a
special rate . (see instructions) . . . . . . . . . J2. __________________________*
J3.
Total amount of value eligible for special rate (Add Lines J1 & J2) . . . . . . . . . . . . J3. ___________________________*
J4.
Tax due on amount of value eligible for special rate
0.005
(Multiply Line J3 by the tax rate of
) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J4. ___________________________*
J5.
Only If Line E1 is “99”: Enter
any amount of value in excess
of $110,000 but below $200,000 . . . . . . . J5. __________________________*
J6.
Tax due on amount of value eligible for exemption 99 special rate
0.0125
(Multiply Line J5 by the tax rate of
for exemption 99 only) . . . . . . . . . . . J6. ___________________________*
J7.
Total due on amount of value eligible for special rates . (Add Lines J4 and J6) . . . . J7. ___________________________*
Tax on General Rate Property
J8.
Value paid or transferred as defined
in 32 V .S .A . § 9601(6) . . . . . . . . . . . . . . . J8. __________________________*
J9.
Value paid or transferred for personal
property . . . . . . . . . . . . . . . . . . . . . . . . . . J9. __________________________*
J10. Value paid or transferred for real property
(Subtract Line J9 from Line J8) . . . . . . J10. __________________________*
J11. Enter amount from Line J3 above . . . . . J11. __________________________*
J12. Enter amount from Line J5 above . . . . J12. __________________________*
J13. Subtract Lines J11 and J12 from
Line J10 . . . . . . . . . . . . . . . . . . . . . . . . . J13. __________________________*
J14. Tax due on amount of value subject to the General Rate (Multiply Line J13
0.0145
by the tax rate of
which includes a 0 .002 surcharge for the Clean
Water Fund, 32 V .S .A . § 9602a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J14. ___________________________*
Total Tax Due
J15. Total Tax Due (Add Lines J7 and J14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J15. ___________________________*
(continued on next page)
Form PTT-172
For Town Use Only
Page 3 of 4
5454
Rev. 03/17

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