Form Au-330 - Controlling Interest Transfer Taxes Page 4

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Name of Transferor: ______________________________________ Transferor’s CT Tax Registration Number: ____________________ Date of Transfer: ________
Part VIII.
Direct owners of Connecticut real property indirectly owned by the entity in which a controlling interest was transferred.
Owner
Name
Business Address
FEIN
ID
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Attach additional sheets if necessary.
Page 4 of 4
AU-330 Rev. (9/03)

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