Form 98in -115 - Amended Vt Income Tax Return - 1998 Page 3
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1
2
3Carried forward from Line 10
$ ___________________________
A.
B.
As originally reported or as adjusted
Correct Amount
(see specific instructions)
11.
11.
11. VERMONT TAX WITHHELD (Attach W2’s or 1099’s) . . . . . . .
12. OTHER PAYMENTS (Complete Schedule 1 below) . . . . . . . . .
12.
12.
13. TOTAL PAYMENTS (Add Lines 11 & 12) . . . . . . . . . . . . . . . . . .
13.
13.
14. OVERPAYMENT (If Line 10 is smaller than Line 13, enter
difference which is the overpayment) . . . . . . . . . . . . . . . . . . . . .
14.
14.
15.
15.
15. Amount of overpayment to be credited to 1999 estimated tax .
16. REFUND (Subtract Line 15 from Line 14) . . . . . . . . . . . . . . . . . .
16.
16.
17. BALANCE DUE (If Line 10 is larger than Line 13, enter
17.
17.
difference which is the tax due) . . . . . . . . . . . . . . . . . . . . . . . . . .
Make check payable to Vermont Department of Taxes
A.
B.
As originally reported or as adjusted
Correct Amount
(see specific instructions)
SCHEDULE I Note: This is Section 8 on Form IN-111.
1.
1.
1. Vermont Real Estate Withholding (Attach REW-1). . . . . . . . . . . . . .
2.
2.
2. Non-resident partner, shareholder payments (From Form WH-435)
3.
3.
3. 1998 Estimated Tax or Extension Payments. . . . . . . . . . . . . . . . . . .
4.
4.
4. Homeowner/Renter Rebate (From Form PR-141) . . . . . . . . . . . . . .
5.
5.
5. Earned Income Credit (From Form IN-112, Schedule C) . . . . . . . . . .
6. TOTAL PAYMENTS (Add Lines 1–5) . . . . . . . . . . . . . . . . . . . . . . . .
6.
6.
Enter result here and in Column A, Line 12
Enter result here and in Column B, Line 12
EXPLANATION OF CHANGES
to Income, Deductions, and Credits. Enter the line reference from page 1 and/or 2. Show computation(s) in detail and
attach applicable federal schedules. Refer to the instructions for the return you are amending.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they
are true, correct and complete. Preparers cannot use return information for purposes other than preparing returns.
Check here if authorizing the Director of Taxpayer Services or the Director’s designee to discuss this return and attachments with your preparer.
DATE
/
/
__________________________________________________
____________________________________
TAXPAYER’S SIGNATURE
TAXPAYER’S OCCUPATION
DATE
/
/
___________________________________________________
____________________________________
SPOUSE’S SIGNATURE
SPOUSE’S OCCUPATION
Paid preparer’s use only.
_________________________________________________________
__________________
PREPARER’S SIGNATURE
DATE
PREPARER’S EIN/S.S.N.
Form 98IN-115
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