Form Bi-471 - Vermont Business Income Tax Return - 2004

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VERMONT DEPARTMENT OF TAXES
*044711199*
Montpelier, Vermont 05609-1401 / (802) 828-5723
VERMONT Business Income
2004
Tax Return
* 0 4 4 7 1 1 1 9 9 *
For Partnerships, Subchapter S Corporations and Limited Liability Companies
Fiscal Year Beginning __________, 2004 and Ending __________, 20______
A.
CHECK APPROPRIATE BOX(ES)
(month)
(month)
Check here if name or address has changed
COMPOSITE
ACCOUNTING
INITIAL
RETURN
PERIOD CHANGE
RETURN
PRINT OR TYPE COMPLETE NAME AND ADDRESS BELOW
AMENDED
EXTENDED
FINAL RETURN
RETURN
RETURN
(CANCELS ACCOUNT)
B.
VERMONT
FISCAL
BUSINESS
YEAR
ACCOUNT
ENDING
NUMBER
(# # # # # #
X
X)
(y
y
y
y
m
m)
FEDERAL
RETURNS CANNOT BE PROCESSED
ID
WITHOUT THE VERMONT BUSINESS
ACCOUNT NUMBER
NUMBER
C.
FEDERAL TAX RETURN FILED (CHECK BOX):
1120S
1065
1040
OTHER ________________
D.
E.
ENTITY’S PRIMARY 6-DIGIT NORTH
WILL YOU USE A COMPUTER
AMERICAN INDUSTRIAL CLASSIFICA-
GENERATED OR SUBSTITUTE
A copy of the Federal business income tax return
TION SYSTEM (NAICS) NUMBER
FORM TO FILE FOR 2005?
must be attached to this return.
Yes
No
Please PRINT in BLUE or BLACK ink.
Were any shareholders, partners or members nonresidents of Vermont during this reporting tax year?
Yes
No
If Yes, complete and attach VT Form BI-472 or VT Form BI-473.
Did this reporting business entity have income or losses derived from Vermont sources and at least one other state?
Yes
No
If Yes, complete and attach VT Form BA-402.
TAX COMPUTATION:
Check box if
SMALL FARM §5832(2)(A) ($75.00 minimum)
INVESTMENT CLUB §5921 ($0.00)
exception
SINGLE MEMBER; ENTITY IGNORED FOR FILING ($0.00)
IRC Sec. 761 ($0.00)
applies
NO VERMONT ACTIVITY / INACTIVE ($0.00)
Q SUB FILING W/PARENT CORP. ($0.00)
0 0
.
1. Vermont minimum entity tax ($250.00) or above exception. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
2. If this is a pre-approved composite return, enter Vermont Net Income from
VT Form BI-472 or VT Form BI-473, Side 2. If the entity is not filing a composite
return or not subject to Federal Income Tax on behalf of its members, enter $0.00
0 0
,
.
,
,
(see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
0 0
,
,
,
.
3. Multiply Line 2 by the composite rate of 6.00%. Enter the result here. . . . . . . . . . . . . . 3.
4. Total entity tax and composite income tax due (Add Lines 1 and 3). Enter the
0 0
,
,
,
.
result here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
0 0
,
,
,
.
5. Total tax payments and credits from Side 2, Schedule 1, Line 8 of this form. . . . . . . . . 5.
6. Balance Due: If Line 4 plus applicable penalty, late fees and interest, is greater
0 0
,
,
,
.
than Line 5, enter the difference (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
OR
0 0
,
,
,
.
7. Overpayment to be Refunded: If Line 4 is less than Line 5, enter the difference. . . . 7.
IF CARRY-FORWARD TO NEXT YEAR
Check here and complete VT Form BA-404
REQUESTED, enter amount here.
and appropriate credit schedules if credits
0 0
earned by this entity are passing through to
,
,
,
.
shareholders, partners, or members.
(continued on Page 2)
Form BI-471
1

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