Form In-151 - Application For Extension Of Time To File Form In-111 Vt Individual Income Tax Return - 2009

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VT DEPARTMENT OF TAXES
*081511100*
PO Box 1779
Montpelier VT 05601-1779
(866) 828-2865 or (802) 828-2865
* 0 8 1 5 1 1 1 0 0 *
2009
FORM
Application for Extension of Time to File
IN-151
Form IN-111 VT Individual Income Tax Return
VERMONT
2009
Complete this application if you are unable to file your _________ Vermont Income Tax Return
April 15, 2010
before the due date of ______________________ .
Taxpayer’s Social Security Number
Spouse’s or CU Partner’s Social Security Number
-
-
-
-
Taxpayer’s Last Name
First Name
Initial
Spouse’s or CU Partner’s Last Name
First Name
Initial
Mailing Address (Number and Street, including Rural Route)
City, Town, or Post Office
State
Zip Code
2010
2009
I request an automatic six-month extension of time to October 15, ________ to file my ________ Vermont Income
Tax Return.
NOTE: This application does NOT apply to Forms HS-122 or PR-141. No extension of time to
file is available for these forms.
TAX CALCULATION WORKSHEET
Use this worksheet to determine if you may owe tax.
Remember: An extension only allows additional time to file the Vermont income tax return and avoids a late filing penalty.
If tax is due, interest and late payment penalty accrue from the original due date of the return to the date of payment.
,
,
.
2009
1. Estimated ________ individual income tax liability. . . . . . . 1.
(year)
,
,
.
2. Previous payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
,
,
.
3. Amount of tax paid with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
PAYMENT OPTIONS
Filing by paper:
Make checks payable to Vermont Department of Taxes and mail with this form to the address above.
On-line payment:
Go to VTPay on our website at to pay by credit card and select the “Estimated Payment” option.
(There is a convenience fee for payments over $200.)
Form IN-151
Rev. 12/09

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