Form Op-236 - Connecticut Real Estate Conveyance Tax Return Page 2
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1
2
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4Town Clerk Copy
OP-236
Town Code
Land Record
For Town
Connecticut Real Estate Conveyance Tax Return
Clerk Use
Vol.
Pg.
(Rev. 04/17)
Only
1. Town
2. Location of property conveyed (number and street)
Amended return
3. Are there more than two grantors/sellers?
Yes
4. Grantor/seller #1 (last name, fi rst name, middle initial)
Grantor/seller address (street and number) after conveyance
City/town
State ZIP code
-
5. Grantor/seller #2 (last name, fi rst name, middle initial)
Grantor/seller address (street and number) after conveyance
City/town
State ZIP code
-
6. Is the grantor a partnership, S corporation, LLC, estate, or trust?
Yes
7. Was more than one deed fi led with this conveyance?
Yes
8. If this conveyance is for no consideration or less than
Federal only
State only
Both fed. & state
None
adequate consideration, which gift tax returns will be fi led?
9. Is there more than one grantee/buyer or, is the grantee a partnership, S corporation, LLC, estate, or trust?
Yes
10. Grantee/buyer (last name, fi rst name, middle initial)
Grantee/buyer address (street and number) after conveyance
City/town
State ZIP code
-
11. Date conveyed
12. Date recorded
13. Type of instrument:
(MM - DD - YYYY)
(MM - DD - YYYY)
Warranty
Quitclaim
Easement
Other
14. The grantor claims no tax is due because (See instructions.):
Conveyance was for no consideration or consideration was less than $2,000.
Conveyance is exempt under Conn. Gen. Stat. §12-498. Enter exemption code:
If exemption code is 01 or 09, enter citation or docket number:
Computation of Tax - Enter consideration for conveyance on the appropriate line. See Instructions.
0.00
15.
Consideration for unimproved land
x 0.0075 =
16.
Total consideration for residential dwelling
0.00
16a.
Portion of Line 16 that is $800,000 or less
x 0.0075 =
0.00
0.00
16b.
Portion of Line 16 that exceeds $800,000
x 0.0125 =
0.00
17.
Residential property other than residential dwelling
x 0.0075 =
18.
Nonresidential property other than unimproved land
x 0.0125 =
0.00
0.00
19.
Property conveyed by a delinquent mortgagor
x 0.0075 =
0.00
20.
Total State of Connecticut tax due: Add Lines 15, 16a through 19.
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