“HOMESTEAD CLOSING”

APPLICATION AND REQUEST TO THE VERMONT DEPARTMENT OF TAXES FOR PAYMENT OF THE
HOMESTEAD TAX ADJUSTMENT TO TRANSFEROR(S)
To: Vermont Department of Taxes

The following information is included and attached to this Application and Request:

1.   A copy of the completed property transfer tax (PTR) return that was filed with the town clerk is attached. The
PTR includes the transferors’ names and social security numbers;

2.   Proof of payment of the property transfer tax (e.g. a copy of the check or receipt of payment by the town or
closing agent) is attached; and

3.  The property’s school parcel account number (SPAN) is _______________________.


Please issue a check for the full amount of the property tax adjustment, made payable to the transferor(s), and mail
it to the following address prior to July 15, 2007:

Address to mail check:         ______________________________
                        ______________________________
                        ______________________________

If additional information is needed or requested to complete this application, the Tax Department may contact
____________________________ at the following phone number _______________.
Note to applicants:

If this request is mailed, send it to: Vermont Department of Taxes, P. O. Box 1645, Montpelier, VT 05601-1645. The
envelope should be marked “Homestead Closing”.

If this form is faxed, it should be faxed to: (802) 828-2720.

The transfer must occur after March 31, 2007 and before 4:30 pm on June 20, 2007- the date and time when all
applications for payment must be received by the Tax Department.

If the Department has not acknowledged receipt of your notice within 3 days of mailing or 2 days of faxing, call
Nancy Hammond 802.828.6812 to confirm receipt.