Vermont Department of Taxes
PO Box 1779 Montpelier, VT 05601-1779
*141651100*
Phone: (802) 828-6820
FIDUCIARY ESTIMATED TAX
VT Form
* 1 4 1 6 5 1 1 0 0 *
FI-165
PAYMENT VOUCHER
Please use BLUE or BLACK ink ONLY
Name of Estate or Trust
Employer Identification Number
Name and Title of Fiduciary
Check ONE box only
Mailing Address (Number and Street/Road or PO Box)
Estate
City
State
ZIP Code
Trust
Foreign Country (if not United States)
For Tax Year ___________
. 0 0
Amount of this payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______________________________
Form FI-165
5454
Rev. 12/14
INSTRUCTIONS FOR FIDUCIARY ESTIMATED TAX PAYMENT VOUCHER, Form FI-165
Estimated payments are not required for estates and trusts at this time.
Suggested Payment Dates
This voucher is provided for your convenience to remit estimated payments
1st payment
APR 15
toward your fiduciary tax liability. Please complete the coupon above with
all information pertaining to the estate or trust including the EIN, and send
2nd payment
JUN 15
it to the address shown below.
3rd payment
SEP 15
4th payment
JAN 15
Mail payment voucher to:
Vermont Department of Taxes
E-mail:
estate@state.vt.us
Telephone: (802) 828-6820
Taxpayer Services Division-Income Tax
PO Box 1779
Fax:
(802) 828-2720
Montpelier, VT 05601-1779
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Important Printing Instructions
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Form FI-165 Instructions
10/14