Vermont Vermont Property Transfer Tax Return

Vermont Property Transfer Tax Return
Form PTT-172
Vermont Department of Taxes
Phone: (802) 828-6851

Form

PTT-172

133 State Street

Montpelier, VT 05633-1401

For Town Use Only

VERMONT
PROPERTY TRANSFER TAX RETURN

*Required or Conditionally Required Field

A.	

Web request key / Confirmation code

TRANSFEROR’S (Seller’s) INFORMATION
Entity TRANSFEROR Name			

OR* Individual TRANSFEROR Last Name	

Federal ID Number	

First Name	

Initial

OR* Social Security Number

TRANSFEROR Mailing Address Following Transfer*			

Daytime Telephone Number

For Department Use Only

Line 2 for Mailing Address Following Transfer (if needed)			
City*	

State*	

Foreign Country (if not United States)*	

Email Address

B.	

ZIP Code*

TRANSFEREE’S (Buyer’s) INFORMATION
Entity TRANSFEREE Name			

OR* Individual TRANSFEREE Last Name	

Federal ID Number	

First Name	

Initial

OR* Social Security Number

TRANSFEREE Mailing Address Following Transfer*			

Daytime Telephone Number

For Department Use Only

Line 2 for Mailing Address Following Transfer (if needed)			
City*	

State*	

Foreign Country (if not United States)*	

Email Address

C.	

ZIP Code*

PROPERTY INFORMATION

Property Physical Location - Number and Street or Road Name*	

Land Size (in acres)*

City or Town*	
	

SPAN*

D.	

Check if sale did not involve land
Check if property is located in
multiple cities or towns*

HOLDING PERIOD

Date Acquired by Transferor (mm dd yyyy)*	 Date of this Closing (mm dd yyyy)*	

Time Held*

			

_________ Years

_________ Months

E.	

EXEMPTIONS

	

E1.	

If transfer is exempt from Property Transfer Tax, enter exemption number (see quick reference guide) . . E1. __________*

	

E2.	

If sale was between family members, enter corresponding number (see quick reference guide)..  .  .  .  .  .  .  . E2. __________*

		E2a.	 If Line E2 is “05,” enter description. .  .  .  .  .  .  .  .  .  .  .  .  .  .  . E2a. __________________________________________*
	

E3.	

Land Gains exemption number (see quick reference guide)..  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . . . . . . . . . . E3.__________*

(continued on next page)

5454

*231722100*
* 2 3 1 7 2 2 1 0 0 *

Form PTT-172
Page 1 of 4
Rev. 05/23

Transferee’s Name______________________________________________________
Property Location______________________________________________________
Date of this Closing_____________________________________________________

*231722200*
* 2 3 1 7 2 2 2 0 0 *

F.	

TRANSFER INFORMATION

	

F1.	

How did the Transferor acquire this property? (see quick reference guide).  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . . . . . . . . . . F1. __________*

		F1a.	 If Line F1 is “04,” enter description. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . F1a. __________________________________________*
	

F2.	

Interest conveyed in this transfer (see quick reference guide) .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . . . . . . . . . . F2. __________*

%*

		F2a.	 If Line F2 is “07,” enter percent of interest here .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . F2a. _________________ . _______

		F2b.	 If Line F2 is “08,” enter description. .  .  .  .  .  .  .  .  .  .  .  .  .  .  . F2b. __________________________________________*
	F3.	

Type of building construction at time of transfer (see quick reference guide).  .  .  .  . F3. _________ 	 ________ 	 ________*

		F3a.	 If Line F3 is “05,” enter number of units transferred.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . . . . . . . . . F3a. __________*
		F3b.	 If Line F3 is “06,” enter number of dwelling units transferred .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . . . . . . . . . F3b. __________*
		F3c.	 If Line F3 is “20,” enter description. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . F3c. __________________________________________*
	F4.	
	

Was the transferee a tenant prior to this transfer?.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . F4.	 c Yes*

F5.	Financing. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . F5.	

c Conventional/Bank*

c Owner Financing*

c No*
c Other*

		F5c.	 If Line F5 is “Other,” enter description .  .  .  .  .  .  .  .  .  .  .  .  .  . F5c. __________________________________________*
	F6.	

G.	

Do you intend to record this return with the Town/City within 60 days of the closing? .  . F6.	 c Yes*

c No*

AGRICULTURAL / MANAGED FOREST LAND USE VALUE PROGRAM, 32 V.S.A. CHAPTER 124

	
G1.	 Is all or part of the property being transferred enrolled in the Current Use
		(Use Value Appraisal) Program?.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . G1.	 c Yes*

c No*

	
G2.	 To continue enrollment in the Current Use Program, the new owner must submit a
		
Current Use Application within 30 days of the recording date. Will the new owner
		
be submitting that application?.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . G2.	 c Yes*

c No*

H.	

TRANSFER INFORMATION

	

H1.	 Transferor’s use of property BEFORE transfer (see quick reference guide).  .  .  .  .  .  .  .  .  .  .  .  .  .  . . . . . . . . . . H1. __________*

		H1a.	 If Line H1 is “07,” “08,” or “09,” enter description. .  .  . H1a.___________________________________________*
	

H2.	 Transferee’s use of property AFTER transfer (see quick reference guide).  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . . . . . . . . . . H2. __________*

		H2a.	 If Line H2 is “07,” “08,” or “09,” enter description. .  .  . H2a.___________________________________________*
	

H3.	 Was the property rented BEFORE transfer? .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . H3.	 c Yes*

	

H4.	 Will the property be rented AFTER transfer? .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . H4.	 c Yes*

	

H5.	 Have development rights been conveyed separately?. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . H5.	 c Yes*

	

H6.	 Does the transferee hold title to any adjoining property?.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . H6.	 c Yes*

	

H7.	 Is the transferee a grantor’s revocable trust?. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . H7.	 c Yes*

c No*
c No*
c No*
c No*
c No*

(continued on next page)
For Town Use Only

5454

Form PTT-172
Page 2 of 4
Rev. 05/23

Transferee’s Name______________________________________________________
Property Location______________________________________________________
Date of this Closing_____________________________________________________

I.	

* 2 3 1 7 2 2 3 0 0 *
REAL ESTATE WITHHOLDING CERTIFICATION

	
I1.	
		
		
	

*231722300*

I2.	

The transferee certifies that 2.5% Vermont Income tax has been withheld from the  
purchase price and will be remitted to the Vermont Commissioner of Taxes with
Form REW-171 within 30 days of the date of this closing.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . I1.	 c Yes*

c No*

If Line I1 is “No,” enter the withholding exemption number .(see quick reference guide). .  .  .  . . . . . . . . . . . I2. __________*

		I2a.	 If Line I2 is “04,” enter Commissioner’s Certificate number. .  .  .  .  .  .  .  .  .  .  . I2a.____________________________*

J.	

TAX CALCULATION

	

J1.	

Portion of value eligible for special principal
residence rate (see instructions).  .  .  .  .  .  .  .  . J1. ___________________________*

	

J2.	

If transfer happened prior to July 1, 2011,
enter the portion of value eligible for a
special rate. (see instructions).  .  .  .  .  .  .  .  .  . J2. ___________________________*

	

J3.	

Total special rate value (Add Lines J1 & J2) .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . J3. ____________________________*

	

J4.	

Tax due on portion of value eligible for special rate
(Multiply Line J3 by the tax rate of 0.005).  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . J4. ____________________________*

	

J5.	

Only If Line E1 is “99”:
Enter any portion of value in excess
of $110,000 but below $200,000. .  .  .  .  .  .  . J5. ___________________________*

	

J6.	

Tax due on exemption 99 for portion of value less than $200,000
(Multiply Line J5 by the tax rate of 0.0125 for exemption 99 only) .  .  .  .  .  .  .  .  .  .  . J6. ____________________________*

	

J7.	

Total due on portion of value eligible for special rates. (Add Lines J4 and J6).  .  .  . J7. ____________________________*

Tax on Special Rate Property

Tax on General Rate Property
	

J8.	

Value paid or transferred as defined
in 32 V.S.A. § 9601(6). .  .  .  .  .  .  .  .  .  .  .  .  .  .  . J8. ___________________________*

	

J9.	

Value paid or transferred for personal
property.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . J9. ___________________________*

	

J10.	 Value paid or transferred for real property
(Subtract Line J9 from Line J8) .  .  .  .  .  .  . J10. ___________________________*

	

J11.	 Enter amount from Line J3 above.  .  .  .  .  . J11. ___________________________*

	

J12.	 Enter amount from Line J5 above .  .  .  .  . J12. ___________________________*

	

J13.	 Subtract Lines J11 and J12 from
Line J10.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . J13. ___________________________*

	J14.	 Tax due on portion of value subject to the General Rate (Multiply Line J13
by the tax rate of 0.0145 which includes a 0.002 surcharge for the Clean
Water Fund, 32 V.S.A. § 9602a).  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . J14. ____________________________*
Total Tax Due
	

J15.	 Total Tax Due (Add Lines J7 and J14). .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . J15. ____________________________*

(continued on next page)
For Town Use Only

5454

Form PTT-172
Page 3 of 4
Rev. 05/23

Transferee’s Name______________________________________________________
Property Location______________________________________________________
Date of this Closing_____________________________________________________

*231722400*
* 2 3 1 7 2 2 4 0 0 *

LOCAL AND STATE PERMITS AND ACT 250 NOTICE
This serves as notice that:
•	 The property being transferred may be subject to regulations governing potable water supplies and wastewater systems
under 10 V.S.A. Chapter 64 and building, zoning and subdivision regulations;
•	 The property being transferred may be subject to Act 250 regulations regarding land use and development under 10 V.S.A.
Chapter 151;
•	 The parties have an obligation to investigate and disclose knowledge regarding flood regulations affecting the property.
To determine if the property is in compliance with or exempt from these rules, contact the relevant agency. Contact information
is provided in the instructions.
Transferor and Transferee state that the information submitted on this return is true, correct and complete to the best of their knowledge.
The preparer’s information is a required section and must be completed prior to submitting a return, pursuant to 32 V.S.A. § 9608.
Prepared by (print or type)_____________________________________________ *	
Preparer’s Address__________________________________________________ *	

Preparer’s Email Address_______________________________________________ *

__________________________________________________________________ 	

Preparer’s Telephone___________________________________________________ *

This section to be completed by Town or City Clerk
Book Number*	

Page Number*	

Grand List year*

City or Town*	

Parcel ID Number	

Date of Record*

Grand List Value	

Grand List Category*	

SPAN*

Comments, additional information, etc.

c Duplicate Return Suspected	

c Subdivision	

c Original Return Waiting on Deed

A subdivision is the creation of a new parcel by dividing the acreage of a parcel as listed in the most recent Grand
List into two (or more) parcels. The subdivision occurs when the transfer will result in a Grand List change, and
not necessarily when a survey is recorded. If this property qualifies as a subdivision, check the box and enter
the SPAN of the parent parcel in the SPAN field in the town clerk section.
Return received.

ACKNOWLEDGMENT

SIGNED________________________________________________________________ , Clerk	

Town or City:

DATE_______________________________________________

Please forward the ORIGINAL form to the Vermont Department of Taxes within 30 days of receipt.
Do not redact the SSN/FEIN on the original.

* Please use the following numeric two-digit grand list category codes
Residential <6 Acres.  .  .  .  .  .  .  .  .  . 01
Seasonal >6 Acres.  .  .  .  .  .  .  .  .  .  .  .
Residential >6 Acres.  .  .  .  .  .  .  .  .  . 02
Commercial. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
Mobile Home/Un .  .  .  .  .  .  .  .  .  .  .  . 03
Commercial Apt .  .  .  .  .  .  .  .  .  .  .  .  .
Mobile Home/La. .  .  .  .  .  .  .  .  .  .  .  . 04
Industrial.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
Seasonal <6 Acres.  .  .  .  .  .  .  .  .  .  .  . 05
Utilities Elec.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
For Town Use Only

5454

06
07
08
09
10

Utilities Other.  .  .  .  .  .  .  .  .  .  .  .  .  .  .
Farm .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
Other.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
Woodland .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
Miscellaneous.  .  .  .  .  .  .  .  .  .  .  .  .  .  .

11
12
13
14
15

Form PTT-172
Page 4 of 4
Rev. 05/23