Vermont Form Lc -142 - Landlord'S Certificate - 1998 Page 2
Download a blank fillable Vermont Form Lc -142 - Landlord'S Certificate - 1998 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Vermont Form Lc -142 - Landlord'S Certificate - 1998 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2DEPARTMENT OF TAXES, Montpelier, Vermont 05609-1401 / (802) 828-2865
Landlord’s Certificate
1998 VERMONT
Name of renter(s) ____________________________________________
Name of owner or landlord ________________________________________________
________________________________________________________
Address _______________________________________________________________
Location of rental unit__________________________________________
_____________________________________________________________________
number, street/road name
________________________________________________________
Landlord’s daytime phone number __________________________________________
city/town
A.
Check the type of unit rented:
Apartment
House
Lot for mobile home
Mobile home
Boarding home
Nursing home/community care
B.
Indicate which, if any, items were included in the rent:
Heat
Electricity
Furnishings
Personal Care
Other Services
C.
Town or city to which property tax on rental unit is paid: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
D.
Enter the number of rental units in this building: _ _ _ _ _ _ _ _ _
1.
1. Number of months rented during calendar year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
2. Monthly rental amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Total Rent Paid for calendar year 1998 (Multiply Line 1 by Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
4.
4. Less items checked in (B) above that were included in rent (heat, electricity, etc.) . . . . . . . . . . . . . . . . . . . . . . .
5.
5. Adjusted rent paid for calendar year 1998 (Line 3 minus Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
6.
6. For government subsidized rent, enter percent tenant pays. For nonsubsidized rent, enter 100.00% . . . . . . . . . . . .
7. Rent Paid during calendar year solely for the right of occupancy (Multiply Line 5 by Line 6) . . . . . . . . . . . . . . .
7.
%
2 1
0 0
8. Rental Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
9. Allocable Rent (Multiply Line 7 by Line 8) Enter here and on Form PR-141, Schedule C, Line 1 if Section B of this certificate is not completed. .
9.
Check the property tax allocation method you used for this rental. You must use the same method for every unit within the rental building.
a.
Number of rooms available
b.
Percentage of square footage
c.
Percentage of rent charged
d.
Separate appraisal
10. Calendar year property tax for unit occupied by above tenant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.
%
11.
11. For government subsidized rent, enter percent tenant pays. For nonsubsidized rent, enter 100.00% . . . . . . . . .
12. Property tax allocated to rental unit for calendar year (Multiply Line 10 by Line 11) . . . . . . . . . . . . . . . . .
12.
13. Monthly property tax: (Divide Line 12 by 12 months) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.
14. Allocable property tax: (Multiply Line 13 by Line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.
15. Enter the LESSER of Line 7 or Line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.
16. Rent Constituting Property Taxes: Enter the GREATER of Line 9 or Line 15 here and on Form PR-141, Schedule C, Line 1 . . . . . . . . . . . . . .
16.
Signature of landlord or authorized representative
Date
LANDLORDS: Vermont statute provides significant penalties for overstating the rental or allocable property tax amount and/or for failing to furnish this certificate to your tenant. Keep a copy
of this certificate for your records. For landlords with 4 or less total rental units, you are required to furnish a certificate only upon request by the tenant.
RENTERS: Attach your completed landlord’s certificate to your renter rebate claim form. For additional information on the rebate program, see Information for Renters on the other side of this form.
Form LC-142
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial