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FORM
VT Landlord’s Certificate LC-142

Landlords must provide a completed original Form LC-142, Landlord’s
Certificate, to their tenants using the forms provided by the
Department.
Substitute, photocopied, or faxed Form LC-142s are not accepted.

LANDLORD -- contact our Forms Request division for original forms at:

  Vermont Department of Taxes            E-mail: taxforms@state.vt.us
  133 State Street                       Phone: (802) 828-2515 (local and out-of-state)
  Montpelier, VT 05633-1401              Phone: (866) 828-2865 (toll-free in Vermont)
                                         Fax:     (802) 828-2701 (request for forms can
                                                  be faxed; forms cannot be faxed back)

 RENTER (Claimant) -- please contact your landlord for a completed
                       Landlord’s Certificate.
          If you are unable to obtain a completed Landlord’s Certificate from your
          Landlord(s), please contact our Taxpayer Services division at (802) 828-
          2865 (local and out-of-state); or (866) 828-2865 (toll-free in VT).

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  • 1. FORM VT Landlord’s Certificate LC-142 Landlords must provide a completed original Form LC-142, Landlord’s Certificate, to their tenants using the forms provided by the Department. Substitute, photocopied, or faxed Form LC-142s are not accepted. LANDLORD -- contact our Forms Request division for original forms at: Vermont Department of Taxes E-mail: taxforms@state.vt.us 133 State Street Phone: (802) 828-2515 (local and out-of-state) Montpelier, VT 05633-1401 Phone: (866) 828-2865 (toll-free in Vermont) Fax: (802) 828-2701 (request for forms can be faxed; forms cannot be faxed back) RENTER (Claimant) -- please contact your landlord for a completed Landlord’s Certificate. If you are unable to obtain a completed Landlord’s Certificate from your Landlord(s), please contact our Taxpayer Services division at (802) 828- 2865 (local and out-of-state); or (866) 828-2865 (toll-free in VT).