Form In-114 - Individual Income Estimated Tax Payment Vouchers With Instructions - 2006 Page 2
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3*051141199*
2006
VERMONT
Form IN-114
Individual Income Estimated
Use blue or black
* 0 5 1 1 4 1 1 9 9 *
Tax Payment Voucher
ink to write entries
Taxpayer’s Social Security Number
Spouse/CU Partner Social Security Number
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-
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Taxpayer’s Last Name
First Name
Initial
Spouse/CU Partner Last Name
First Name
Initial
Mailing Address (Number and Street, including Rural Route)
City, Town, or Post Office
State
Zip Code
Form IN-114
Amount of this payment $
. 0 0
,
,
Rev. 11/04
Cut voucher on dotted line.
Keep bottom portion for your records.
Payment Due Dates
1st Quarter
APR 15, 2006
Mail voucher to:
2nd Quarter
JUN 15, 2006
3rd Quarter
SEP 15, 2006
Vermont Department of Taxes
4th Quarter
JAN 15, 2007
PO Box 1779
Montpelier, VT
05601-1779
Taxpayer’s Worksheet
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Keep for your records
Line 1: Estimated 2006 Vermont taxable income: See definition on back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $ __________________________________
Line 2: Estimated 2006 Vermont tax: Use VT rate schedules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. $ __________________________________
Line 3: Estimated income adjustment: See instructions* for Form IN-111, Section 4, Line 21 in 2005 Vermont income tax booklet . . . . . . . . . . 3. ____________________ %
Line 4: Adjusted Vermont tax (Multiply Line 2 by Line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. $ __________________________________
(a) Less expected 2006 Vermont tax withholdings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) $ ______________________
(b) Less expected credits: See 2005 Income tax return Form IN-111, Section 5, Line 25 . . . . . . (b) $ ______________________
(c) Total credits: Add Lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (c) $ __________________________________
Line 5: ESTIMATED TAX LIABILITY: Subtract Line 4c from Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. $ __________________________________
*Instructions also available on our website at
RECORD of 2006 ESTIMATED PAYMENTS
TOTAL ESTIMATE
LESS 2005 INCOME TAX
AMOUNT OF
DATE PAID
BALANCE DUE
AMOUNT PAID
ORIGINAL OR AMENDED
REFUND APPLIED
INSTALLMENT DUE
_______________
$______________________
APRIL 15 (1/4) $________________ $_______________________
$___________________ $___________________
_______________
$______________________
JUNE 15 (1/4) $________________ $_______________________
$___________________ $___________________
_______________
$______________________
SEPT 15 (1/4) $________________ $_______________________
$___________________ $___________________
_______________
$______________________
JAN 15 (FULL)$________________ $_______________________
$___________________ $___________________
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