Form In-114 - Individual Income Estimated Tax Payment Voucher - 2015

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Important Printing Instructions
2015
VERMONT
*151141100*
Form IN-114
Individual Income Estimated
* 1 5 1 1 4 1 1 0 0 *
Tax Payment Voucher
Use blue or black ink to write entries
Taxpayer’s Last Name
First Name
Initial
Taxpayer’s Social Security Number
Spouse or CU Partner Last Name
First Name
Initial
Spouse or CU Partner Social Security Number
Mailing Address (Number and Street/Road or PO Box)
City, Town
State
ZIP Code
-
Form IN-114
5454
.0 0
Amount of this payment $ ____________________________
Rev. 09/13
Clear ALL fields
Save and Print
Mail voucher to:
Payment Due Dates
1st Quarter
APR 15, 2015
2nd Quarter
JUN 15, 2015
Vermont Department of Taxes
3rd Quarter
SEP 15, 2015
PO Box 1779
4th Quarter
JAN 15, 2016
Montpelier, VT
05601-1779
Did you know? You can make your estimated income tax payment online using ACH debit or your
credit card. Visit us on the web at and click on the link for VTPay.
Make corrections directly on the voucher. Mail payment with completed voucher to the address below. Record your payment on the Taxpayer Worksheet.
QUESTIONS? Contact your tax preparer for advice on filing estimated income tax payments. Please see the Vermont Department of Taxes website
to find answers to many of your taxpayer questions at . Contact the Vermont Department of Taxes for other assistance.
Vermont Department of Taxes
E-mail:
indincome@state.vt.us
Taxpayer Services Division-Income Tax
Telephone:
(802) 828-2865 (local and out-of-state)
PO Box 1779
(866) 828-2865 (toll-free in VT)
Montpelier, VT 05601-1779
Fax:
(802) 828-2720
PLEASE READ INSTRUCTIONS BEFORE COMPLETING THIS FORM

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