Schedule K-1vt - Shareholders, Partners, Or Members Information For Calendar Year 2002, Or Fiscal Year - State Of Vermont
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1Vermont Department of Taxes
109 State Street
Montpelier, VT 05609-1401
(802) 828-5723
Shareholder’s, Partner’s, or Member’s Information
VERMONT
For tax year ending
Schedule
For Calendar Year 2002, or Fiscal Year
______
_______
K-1VT
year
month
Beginning __________________ , Ending _______________________
Use of this form is optional.
SHAREHOLDER / PARTNER / MEMBER NAME
SHAREHOLDER / PARTNER / MEMBER NO.
MAILING ADDRESS (STREET NUMBER OR PO BOX/STREET/SUITE OR ROOM NUMBER)
SOCIAL SECURITY NUMBER / FID NO. / EIN
CITY OR TOWN
STATE
ZIP CODE
RESIDENCY STATUS
c
c
Vermont Resident
Nonresident
ENTITY NAME
ENTITY IDENTIFYING NUMBER (FID NO. / EIN)
MAILING ADDRESS (STREET NUMBER OR PO BOX/STREET/SUITE OR ROOM NUMBER)
VERMONT BUSINESS ACCOUNT NUMBER
CITY OR TOWN
STATE
ZIP CODE
(#
#
#
#
#
#
X
X)
c
c
c
c
VT RESIDENTS - Use income or loss amounts from Federal Schedule K-1
1
Schedule K-1VT
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