Form LC-142 Landlord Certificate

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