Form Hs-131 - Vermont Homestead Declaration

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*111311100*
Homestead
FORM
VERMONT
HS-131
Declaration
* 1 1 1 3 1 1 1 0 0 *
DUE DATE: April 15 (may be filed up to September 1 but late filing penalty applies)
PRINT in BLUE or BLACK INK
-
-
Month
Day
Year
-
-
Homeowner Social
Spouse or CU Partner
Homeowner ’s
Security Number
Social Security Number
Date of Birth
Homeowner’s
First
Initial
Last Name
Name
Spouse or
First
CU Partner
Initial
Name
Last Name
Mailing Address
(Number and Street/
Road or PO Box)
-
Zip
City/Town
State
Code
Location of
1.
VT School
Homestead
2. City/Town of Legal Residence on April 1
State
District Code
number, street / road name (Do not use PO Box, “same”, or Town name)
-
-
3. SPAN Number
(REQUIRED)
(From your property tax bill)
OR
Use this section to declare a new homestead
Use this section to indicate a change in the use
of your existing homestead
Month
Day
Year
Month
Day
Year
Date of
Enter date you owned and occupied
Enter current business or rental
Date
Change
property as your principal residence
use on Lines 5, 6, and/or 7 .
4. Special Situations Check if you are:
4a. Grantor and sole beneficiary of a
4c. Residing in a dwelling owned by a related farmer . See
4a
4c
revocable trust that owns the property .
instructions for qualifying relationships .
4d. The owner of property in another town that is contiguous to
4b
4d
4b. Life estate holder of the property .
your homestead . If so, you must file a declaration for each town .
.
0 0 %
5. Business Use of Dwelling (See instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
.
0 0 %
6. Rental Use of Dwelling (See instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
7. Business or Rental Use of Improvements or Other Buildings.
Are improvements or other buildings located on your parcel, other than the dwelling, used for business or rented?
Yes
No
c
c
This form determines the education property tax rate only. If you wish to make a property tax adjustment
NOTE:
claim, you must also file Form HS-145.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my
knowledge and belief, they are true, correct and complete. Preparers cannot use return information for purposes other than preparing returns.
Homeowner Signature
Date
Telephone Number (optional)
-
-
-
-
Spouse or CU Partner Signature
Date
Check here if authorizing the VT Department of Taxes to discuss this return and attachments with your preparer.
Preparer’s signature
Date
Preparer’s
SSN or
Preparer’s
PTIN
Use Only
Firm’s name (or yours if self-employed) and address
EIN
Preparer’s Telephone Number
Mail to: VT Department of Taxes, PO Box 1881, Montpelier, VT 05601-1881
Form HS-131
5454
This form can be filed on-line at
Rev. 10/11

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