Vermont Department of Taxes     133 State Street    Montpelier, VT  05633-1401
Phone:  (802) 828-6851
    VT Schedule                                                                                           *191811100*
                      LAND GAINS BASIS CALCULATION 
                                                                                                          *191811100*
 LGT-181                    FORECLOSURE PROPERTY                                                                                                                                          Page 2

Please PRINT in BLUE or BLACK INK                                                                                                                        ATTACH TO FORM LGT-178

     Entity TRANSFEROR Name                                                                                                                              Federal ID Number 

 OR  Individual TRANSFEROR Last Name First Name                                                   Initial      OR                                        Social Security Number

 Property Location                                                                                                                                      Date of Closing

  1. Debt Due - Principal balance from judgment 
     (Principal balance from judgment does not include interest)  . . . . . . . . . . . . . . . . . . .  1.   _______________________

  2.  Cost of acquisition
     2a.   Legal fees  . . . . . . . . . . . . . . . . . . . . . . . . . .  . 2a.  ________________________                                                                               FORM  (Place at FIRST page)
                                                                                                                                                                                          Form pages 
      2b.  Recording fees   . . . . . . . . . . . . . . . . . . . . . .  . 2b.  ________________________

      2c.  Other .  Explain___________________  . . . . 2c.  ________________________

                                                                                                                                                                                          2 - 2
      2d.  Total cost of acquisition (Add Lines 2a-2c) .   . . . . . . . . . . . . . . . . . . . . . . . . . . 2d.   _______________________

  3. Add Lines 1 and 2d  . . . . . . . . . . . . . . . . . . . . . . . . . .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 3.   _______________________

  4.  Tax benefit due to bad debt write down

     4a.   Amount of loan write down  . . . . . . . . . . . .  . 4a.  ________________________

      4b.  Tax bracket  . . . . . . . . . . . . . . . . . . . . . . . . .  . 4b.  ______________ . _______%  

     4c.   Tax benefit received (Multiply Line 4a by Line 4b)   . . . . . . . . . . . . . . . . . . . .        4c.   _______________________

  5. Basis (Subtract Line 4c from Line 3)   
     Enter this amount on Form LGT-178, Line H4 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .                5.   _______________________

                                                                                                                                                                                          FORM  (Place at LAST page)
                                                                                                                                                                                          Form pages 

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                                                                                                                                                                       Schedule LGT-181
                                                                                                                                                                               Page 1 of 1
5454                                                                                                                                                                           Rev. 11/19

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