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Vermont Free Printable  for 2022 Vermont Vermont Homestead Declaration and/or Property Tax Adjustment Withdrawal

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Vermont Homestead Declaration and/or Property Tax Adjustment Withdrawal
Form HS-122W

Vermont Department of Taxes Telephone: (802) 828-2865 Taxpayer Services Division (866) 828-2865 PO Box 1645 Fax: (802) 828-2720 Montpelier, VT 05601-1645 Email: [email protected] Vermont Homestead Declaration and/or Property Tax Credit WITHDRAWAL FORM HS-122W Declarant’s Last Name First Name MI Spouse’s/CU Partner’s Last Name First Name MI Current Mailing Address Declarant’s Social Security Number Spouse’s or CU Partner’s Social Security Number City State ZIP Code PROPERTY BEING WITHDRAWN SPAN (School Property Account Number on tax bill) PHYSICAL LOCATION of property (number and street, road, or route name) Date that Form HS-122 was filed PROPERTY SALES AND CHANGES AFTER FILING A 2022 VERMONT HOMESTEAD DECLARATION AND/OR PROPERTY TAX CREDIT CLAIM A 2022 Vermont Homestead Declaration and Property Tax Credit claim requires the property owner as of April 1, 2022, to occupy the property as his/her domicile. If your homestead is leased to a tenant on April 1, 2022, it may still be declared a homestead if it is not leased for more than 182 days in the 2022 calendar year. Use this form to withdraw a Vermont Homestead Declaration and/or Property Tax Credit claim if one of the following events occur:  Property sold on or before April 1, 2022. Name of Buyer _______________________________________ Date sold_____________________  Property was rented on April 1, 2022, and leased for more than 182 days in 2022.  Property converted to nonhomestead before April 1, 2022.  Vermont Homestead Declaration submitted in error. The property was not my principal residence on April 1, 2022.  Claimant of the Property Tax Credit died before April 1, 2022. Estates may claim homestead for purpose of homestead property tax provided the property is not rented.  Other. Please explain.___________________________________________________________________ _____________________________________________________________________________________ I am hereby withdrawing my Homestead Declaration and/or Property Tax Credit as described above. Declarant’s Signature Date Telephone Number Check here if authorizing the Vermont Department of Taxes to discuss this return and attachments with your preparer. Paid preparer’s use only. Preparer’s Signature Date Preparer’s Telephone Number Preparer’s EIN/SSN/PTIN Form HS-122W Page 1 of 1 Rev. 10/21
Extracted from PDF file 2021-vermont-form-hs-122w.pdf, last modified October 2021

More about the Vermont Form HS-122W Other TY 2021

This includes Form HS-122, Schedule HI-144.

We last updated the Vermont Homestead Declaration and/or Property Tax Adjustment Withdrawal in March 2022, so this is the latest version of Form HS-122W, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form HS-122W directly from TaxFormFinder. You can print other Vermont tax forms here.

Other Vermont Other Forms:

TaxFormFinder has an additional 51 Vermont income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form HS-122, HI-144 Homestead Declaration AND Property Tax Adjustment Claim
Form LRC-140 Landlord Certificate (Form LRC-140)
Form RCC-146 Vermont Renter Credit Claim
Form PTT-173 Property Transfer Payment Voucher
Form W-4VT Withholding Tax Payment

Download all VT tax forms View all 52 Vermont Income Tax Forms


Form Sources:

Vermont usually releases forms for the current tax year between January and April. We last updated Vermont Form HS-122W from the Department of Taxes in March 2022.

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Historical Past-Year Versions of Vermont Form HS-122W

We have a total of seven past-year versions of Form HS-122W in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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