Vt Form Co-422 - Corporate Income Tax Return Payment Voucher
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1Vermont Department of Taxes
133 State Street
Montpelier, VT 05633-1401
*144221100*
Phone: (802) 828-5723
VT Form
CORPORATE INCOME TAX RETURN
* 1 4 4 2 2 1 1 0 0 *
CO-422
PAYMENT VOUCHER
USE THIS FORM IF NOT SUBMITTING PAYMENT WITH FORM CO-411.
If you filed electronically, DO NOT include a copy
(The Department does accept payments with CO-411.)
of that return with this payment.
Entity Name
Federal ID Number
Address
Tax Year BEGIN date (YYYYMMDD)
Tax Year END date (YYYYMMDD)
City
State
ZIP Code
For Department Use Only
Foreign Country (if not United States)
Amount of this payment
(Use WHOLE DOLLARS) If “$0”, DO NOT file . . . . . . . . . . . . . . . . . . . . . . . $ __________________________________ .
Form CO-422
5454
10/14
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Important Printing Instructions
Print
General Information
Instructions
Use Form CO-422 to direct a payment for Corporate
• Print in blue or black ink.
Income tax accounts.
• Enter the beginning and ending date of the entity’s
tax year in the required format -- YYYYMMDD.
Do not include Form CO-422 if you are making
payments with another return or form such as:
• Enter the Federal Employer Identification Number
(FEIN).
• CO-411 - Corporate Income Tax Return
• Enter the business name and address, including
• CO-414 - Corporate Estimated Tax Payment
country, if other than the United States.
Voucher
• Enter the total amount of payment included with
• BA-403 - Application for Extension of Time
this coupon. Enter a whole dollar amount.
CO-422 may be used, for example, if:
• Do not file “$0” CO-422 if no payment is due.
• You mailed your form or payment coupon,
but forgot to include a check.
• You or your tax preparer filed your documents
electronically, and you want to send a check
separately.
Do not use CO-422 for Business income tax accounts.
Business income tax filers should use Form WH-435
to make estimated payments on behalf of non-resident
owners, or Form BI-470 in lieu of this form.
Form CO-422 Instructions
10/14
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