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Vermont Department of Taxes 133 State Street Montpelier, VT 05633-1401
Phone: (802) 828-6851
VT Form
VERMONT WITHHOLDING TAX RETURN
RW-171 FOR TRANSFER OF REAL PROPERTY

TO BE COMPLETED BY THE BUYER OR OTHER TRANSFEREE REQUIRED TO WITHHOLD
FILE THIS RETURN AND ALL SCHEDULE A’s WITH THE
VERMONT DEPARTMENT OF TAXES, 133 STATE STREET, MONTPELIER, VERMONT 05633
PLEASE TYPE OR PRINT CLEARLY. USE BLUE OR BLACK INK ONLY.
1. Name of Withholding Agent (Buyer or other transferee) 2. Social Security Number / Federal I.D. Number

3. Address (Number and Street)

4. City, State, and ZIP Code

5. Name of Withholding Agent (Buyer or other transferee) 6. Social Security Number / Federal I.D. Number

7. Address (Number and Street)

8. City, State, and ZIP Code

9. Location and Description of Property 10. Date Property Acquired by Seller (MMDDYYYY)

11. Date of Transfer 12. Total Consideration Paid 13. Rate of Real Estate Withholding (REW) 14. Amount Withheld
(MMDDYYYY) c (A) 2.5% OF SALES PRICE
c (B) LESS THAN 2.5%. Attach withholding
certificate and enter .
. certificate number

15. NUMBER OF SCHEDULE A’s FILLED OUT FOR THIS PROPERTY TRANSFER
(A separate Schedule A is required for each individual or entity receiving proceeds from the transfer.)

PLEASE REMEMBER TO ATTACH ALL SCHEDULE A’s FROM LINE 15 TO THIS FORM FOR PROPER SELLER REW CREDIT.
FORM WILL BE RETURNED UNLESS ALL REQUIRED SCHEDULE A’S ARE COMPLETED AND ATTACHED.

MAKE CHECK PAYABLE TO: VERMONT DEPARTMENT OF TAXES

I hereby certify that this return and attached Schedule A’s are true, correct and complete to the best of my knowledge. If prepared
by a person other than the taxpayer, this declaration further provides that under 32 V.S.A. § 5901 this information has not been
and will not be used for any other purpose or made available to any person other than for the preparation of this return unless a
separate valid consent form is signed by the taxpayer and retained by the preparer.

Signature of buyer Date Daytime Telephone Number

Signature of preparer if other than buyer Date Telephone Number

Address of preparer
Keep a copy of this return for your records. BUYERS: PLEASE COMPLETE AND
5454 ATTACH SCHEDULE A FOR
(Rev. 10/14)
Form RW-171 Page 1 PROPER REW CREDIT E

Clear ALL fields Important Printing Instructions Print

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VERMONT WITHHOLDING TAX RETURN
FOR TRANSFER OF REAL PROPERTY (Form RW-171)

GENERAL INFORMATION 4. The seller is a mortgagor conveying the mortgaged
property to a mortgagee in a foreclosure or transfer in
PURPOSE OF FORM - A 2.5% withholding obligation is
lieu of foreclosure, with no additional consideration.
imposed on the buyer or other transferee (referred to herein
as “buyer”) when Vermont real property is acquired from a Please check the applicable box on the Property Transfer Tax
nonresident of Vermont. The buyer must withhold 2.5% of Return Withholding Certification section (page 3 of the form)
the consideration paid for the property. If the buyer fails to if one of these exemptions applies.
withhold, the buyer will be personally liable for the amount WITHHOLDING CERTIFICATE ISSUED BY THE
required to be withheld. A withholding certificate may
COMMISSIONER OF TAXES -
WHO MUST FILE - A buyer of a Vermont real property interest, be issued by the Commissioner of Taxes to reduce or eliminate
including a corporation, limited liability company, partnership withholding on transfers of Vermont real property interests by
or fiduciary that is required to withhold tax, must file Form nonresidents. A certificate may be issued if:
RW-171. If two or more persons are joint buyers, each of them 1. No tax is due on the gain from the transfer;
is obligated to withhold. However, the obligation of each will
be met if one of the joint buyers withholds and transmits the 2. The seller or buyer has provided adequate security to
required amount to the Commissioner of Taxes. cover the tax liability;
A nonresident individual is one who is domiciled outside the state 3. Reduced withholding is appropriate because the 2.5%
at the time of closing. A partnership, limited liability company amount exceeds the seller’s maximum tax liability;
or a subchapter S corporation is deemed to be a nonresident of 4. Reduced withholding is appropriate to reflect the gain
Vermont if the controlling interest is held by nonresidents. A allocated to a Vermont resident when there are both
corporation (other than a subchapter S corporation) that was Vermont resident and nonresident sellers.
incorporated outside Vermont is a nonresident unless it has its
principal place of business in Vermont and does no business To obtain a certificate that no tax is due, or that a reduced amount
in the state of incorporation. may be withheld, call (802) 828-5860, x33.

WHEN TO FILE - A buyer must report and transmit the tax LINE-BY-LINE INSTRUCTIONS
withheld to the Commissioner of Taxes within 30 days after (Use Blue or Black ink Only)
the date of transfer.
Form RW-171 is a two-page form. Please submit page 1
WHERE TO FILE - File Form RW-171 directly with the (signature page) and page 2 (Schedule A) together. Failure to
Commissioner of Taxes, Vermont Department of Taxes, 133 do so will result in the form being returned to the buyer.
State Street, Montpelier, VT 05633. Do not file this return
with the town clerk. Lines 1-8. Enter the name, address, social security number or
federal ID number of each withholding agent (buyer), up to
EXEMPTIONS - The buyer is not required to withhold or file two buyers only.
this return if one of the following applies:
Line 9. Enter the location of the property, including town and
1. At the time of the transfer, the seller certifies to the buyer street address.
on the Property Transfer Tax Return, under penalty of
Line 10. Enter the date the property was acquired by the seller.
perjury, the transferor’s social security number and the
fact that each seller is a Vermont resident or an estate. Line 11. Enter the date of this transfer.
2. The buyer or seller has obtained a certificate from Line 12. Enter the total contract sales price.
the Commissioner of Taxes in advance of the sale,
Line 13. Check the appropriate box to indicate the amount
stating that no income tax is due or that the parties
withheld. If the parties obtained a withholding certificate
have provided adequate security to cover the liability.
from the Commissioner of Taxes authorizing a reduced rate of
3. The buyer certifies on the Property Transfer Tax withholding, enter the certificate number and attach a copy of
Return that this is a transfer without consideration. A the certificate to the return.
transaction is NOT exempt if consideration is paid.
Line 14. Enter the dollar amount withheld.
Consideration paid includes the value of services or
goods, forgiveness of debt, or other items which are Line 15. Enter the number of Schedule A’s filled out for this
deemed consideration under the Internal Revenue property transfer. A separate Schedule A is required for each
Code. individual or entity receiving proceeds from the transfer.

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REW - SCHEDULE A
FILE ORIGINAL ONLY. DO NOT COPY. ATTACH TO RW-171, Page 1 *141711200*
PLEASE TYPE OR PRINT CLEARLY. USE BLUE OR BLACK INK ONLY. *141711200*

TO BE COMPLETED BY THE BUYER OR OTHER TRANSFEREE REQUIRED TO WITHHOLD
1. The SELLER is identified by (check one only)
c Social Security Number (SSN) c Federal Employer Identification Number (FEIN or FID)
2. Taxpayer’s Last Name (Enter only if using SSN) First Name Initial Social Security Number

Spouses’s Last Name First Name Initial Social Security Number

3. Business Entity name (Enter only if using FEIN or FID) FEIN or FID

4. Mailing Address (Number and Street or Road Name)

5. City State ZIP Code

6. Foreign Country (if not United States)

7. Location and description of property

8. Date property acquired by seller (MMDDYYYY) 9. Date of transfer (MMDDYYYY) 10. Total consideration
.
12. Amount withheld for this seller
11. Percentage of total gross proceeds received by this seller
. % .

LINE-BY-LINE INSTRUCTIONS
(Use Blue or Black Ink Only)
If there are multiple sellers, the buyer must fill out a separate Schedule A for each individual or entity receiving proceeds from the
property transfer. Husband and wife may be included on a single Schedule A.
Line 1 All individual owners or entity owners receiving proceeds from the sale that use a Social Security Number to
identify themselves should check the “Social Security Number (SSN)” checkbox. All entities receiving proceeds
from the sale that use a Federal Identification Number to identify themselves should check the “Federal Employer
Identification Number (FEIN or FID)” checkbox.
Lines 2-6 Enter the Social Security Number or Federal Identification Number, name, and address of the individual or entity.
Line 7 Enter the location of the property, including town and street address.
Line 8 Enter the date the property was acquired by the seller.
Line 9 Enter the date of this transfer.
Line 10 Enter the total contract sales price from Line 12, page 1.
Line 11 Enter the percentage of the total proceeds from the property transfer that was received by this particular individual
or entity. The percentages reported for all Schedule A’s must add up to 100%.
Line 12 Enter the amount of tax withheld on behalf of this taxpayer. NOTE: The amount of tax withheld on behalf of each
seller should be in proportion to that seller’s share of the proceeds as reported on Line 11. If a seller claims a real
estate withholding amount that is not proportionate to that seller’s share of the proceeds, please provide supporting
documentation.

DO NOT COPY. For additional Schedule A’s, call (802) 828-2515.
Form RW-171
Page 2 (Rev. 10/14)
5454
Clear Sch. A ONLY Clear ALL fields Important Printing Instructions Print

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