Form Ba-403 - Application For Extension Of Time To File Vermont Corporate/business Income Tax Return 2000

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*004031199*
Vermont Department of Taxes
109 State Street
Montpelier, VT 05609-1401
* 0 0 4 0 3 1 1 9 9 *
Application for Extension of Time to File
2000 VERMONT
Vermont Corporate/Business Income Tax Return
h File this application on or before the due date of the Vermont
Corporate Income Tax Return (Form CO-411) or Vermont
Name of corporation/entity
Business Income Tax Return (Form BI-471) if a tax payment
is due or if an extension of time to file with Vermont is being
Last name of person authorized to sign this application
First Name
Initial
requested without having a federal extension.
Mailing address (Street number or PO Box/Street/Suite or Room number)
h An extension of time to file a federal return automatically
extends the time to file with Vermont. However, at least the
City or Town
State
Zip Code + 4
minimum tax is due on the original due date for an extension
s
to be valid. Include a photocopy of the federal extension
c
Check here if name or address has changed
request when filing the Vermont return.
FOR PROPER CREDIT, INDICATE FEDERAL TAX RETURN TO BE FILED (CHECK BOX):
s
c 1120/1120A
c 1120S
c 1065/1065-A
c Other (specify) ______________
PAYMENTS CANNOT BE PROPERLY CREDITED WITHOUT THESE ENTRIES
TAXPAYER
INFORMATION:
Federal I.D. Number
Year
Month
Vermont Business Account Number
s
-
Calendar or
fiscal year ending
Month
Day
Year
s
Initial return
Final return
Change in accounting period
Other
,
,
,
.
1. Estimated tax liability
1.
,
,
,
.
2. Previous payments
2.
s
,
,
,
.
3. AMOUNT OF TAX DUE WITH THIS APPLICATION: Subtract Line 2 from Line 1
3.
Vermont Department of Taxes
Vermont Department of Taxes, 109 State Street, Montpelier, VT 05609-1401.
4
Signature of Officer or Agen
t
Date
Title
Daytime telephone
Sign
number (optional)
Here
4
Date
Check if
Preparer’s Social Security No. or PTIN
Preparer’s
self-employed
Paid
signature
Preparer’s
4
Firm’s name (or yours
Use Only
EIN
if self-employed) and
address
ZIP Code
1
Form BA-403

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