Form Au-330 - Controlling Interest Transfer Taxes Page 2
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4Name of Transferor: ______________________________________ Transferor’s CT Tax Registration Number: ____________________ Date of Transfer: ____________
Part V.
Subpart Va.
Interests in Connecticut real property (including farm land, forest land, and open space land) owned directly by the entity in which a controlling interest
was transferred.
Town
Present
Tax
Tax
Location of Real Property
Code
True and Actual
Rate
Town
Street Address
Value
(Table A)
K
K
1a.
K
K
0.0111
K
K
2a.
K
K
0.0111
3a.
K
K
K
K
0.0111
K
4a.
K
K
K
0.0111
K
5a.
K
K
K
0.0111
K
6a.
K
K
K
0.0111
K
7a.
K
K
K
0.0111
8a. Total tax (Include amounts from any attached schedules.)
Attach additional sheets if necessary.
Subpart Vb. Interests in Connecticut real property (including farm land, forest land, and open space land) owned indirectly by the entity in which a controlling interest
was transferred.
Col A
Col C
Col D
Col E
Town
Col B
Owner
Code
Location of Real Property
Applicable
ID
Ownership
Present True and
Multiply Col A
Tax
Multiply Col C
(Table A)
Street Address
Town
Actual Value
Percentage
by Col B
Rate
by Col D
(Part VIII)
K
1b.
K
K
K
0.0111
K
2b.
K
K
K
0.0111
K
3b.
K
K
K
0.0111
K
4b.
K
K
K
0.0111
K
5b.
K
K
K
0.0111
K
6b.
K
K
K
0.0111
K
7b.
K
K
K
0.0111
8b. Total tax (Include amounts from any attached schedules.)
8. Total (Add Line 8a and Line 8b.) Enter here and on Part IV, Line 1.
K
Attach additional sheets if necessary.
AU-330 (Rev. 9/03)
Page 2 of 4
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