![]() Enlarge image | Vermont Department of Taxes 133 State Street Montpelier, VT 05633-1401 Phone: (802) 828-6851 *191731100* VT Form PROPERTY TRANSFER *191731100* PTT-173 TAX PAYMENT VOUCHER Page 2 Please print clearly, using Blue or Black Ink Only Web request key / Confirmation code TRANSFEREE #1 (From Form PTT-172, Section B) Entity TRANSFEREE Name Federal ID Number OR Individual TRANSFEREE Last Name First Name Initial OR Social Security Number TRANSFEREE Mailing Address Following Transfer Daytime Telephone Number Line 2 for Mailing Address Following Transfer (if needed) Date of Closing (MM DD YYYY) City State ZIP Code For Department Use Only Foreign Country (if not United States) Email Address FORM (Place at FIRST page) Form pages 1. Did you determine a portion of value was eligible for the special “principal residence” rate (see PTT-172, Line J1)? .........................1. c Yes c No 2 - 2 2. Did you claim exemption “99” on your return (see PTT-172, Line E1)? .........2. c Yes c No 3. Amount of this payment. If “$0,” DO NOT file . . . . . . . . . . . . . . . . . . . 3. ________________________________ Make check payable to Vermont Department of Taxes and send with this voucher to: Vermont Department of Taxes 133 State Street Montpelier, VT 05633-1401 If you would like assistance or have questions, please call 802-828-6851. Clear ALL fields Save and go to Important Printing Instructions Save and Print FORM (Place at LAST page) Form pages Form PTT-173 5454 Rev. 11/19 2 - 2 |