![]() Enlarge image | Vermont Department of Taxes 133 State Street Montpelier, VT 05633-1401 Phone: (802) 828-6851 VT Form *191741100* LAND GAINS INSTALLMENT LGT-174 PAYMENT VOUCHER *191741100* Page 1 BUYER Last Name First Name Initial Social Security Number Entity Name Federal ID Number Address For Department Use Only City State ZIP Code Foreign Country (if not United States) SELLER Last Name First Name Initial Social Security Number FORM (Place at FIRST page) Form pages Entity Name Federal ID Number Address For Department Use Only City State ZIP Code 1 - 1 Foreign Country (if not United States) PROPERTY Property Location (Physical street address) Date Sold City State ZIP Code SPAN VT 1. Amount of this principal payment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1. _________________________ 2. Total selling price (LG-2, Line 9) .......................................2. _________________________ 3. Divide Line 1 by Line 2 ..............................................3. _________________________ 4. Total tax due on sale (LG-2, Line 19) ....................................4. _________________________ FORM (Place at LAST page) 5. Amount due this payment (Multiply Line 3 by Line 4) ......................5. _________________________ Form pages 1 - 1 Form LGT-174 5454 Rev. 11/19 Clear ALL fields Save and go to Important Printing Instructions Save and Print |