Vermont Vermont Homestead Declaration and/or Property Tax Adjustment Withdrawal

Vermont Homestead Declaration and/or Property Tax Adjustment Withdrawal
Form H S 1 22 W, Vermont Homestead Declaration and or Property Tax Credit
Vermont Department of Taxes	
Telephone:	802-828-2865
Taxpayer Services Division		
866-828-2865
133 State Street	
Fax:	802-828-2720
Montpelier, VT 05633-1401	
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	

PROPERTY BEING WITHDRAWN
	

Declarant’s Social Security Number 	
Spouse’s or CU Partner’s Social Security Number

City	

SPAN (School Property Account Number on tax bill)	

State	

PHYSICAL LOCATION of property (number and street, road, or route name)	

ZIP Code

Date that Form HS-122 was filed

PROPERTY SALES AND CHANGES AFTER FILING A 2026 VERMONT HOMESTEAD DECLARATION
AND/OR PROPERTY TAX CREDIT CLAIM
A 2026 Vermont Homestead Declaration and Property Tax Credit claim requires the property owner as of
April 1, 2026, to occupy the property as their domicile. If your homestead is leased to a tenant on April 1, 2026,
it may still be declared a homestead if it is not leased for more than 182 days in the 2026 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, 2026. Name of Buyer _______________________________________
		

Date sold_____________________

	 Property was rented on April 1, 2026, and leased for more than 182 days in 2026.
	 Property converted to nonhomestead before April 1, 2026.
	 Vermont Homestead Declaration submitted in error. The property was not my principal residence on
April 1, 2026.

	 The estate of the claimant filed for the Property Tax Credit in error.

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. 10/25