Form Eft-2 - Ach Credit For Vtbizfile Only

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Vermont Department of Taxes, 133 State Street, PO Box 547, Montpelier, VT 05601-0547
F
Enrollment Form for
ORM
V
ERMONT
ACH Credit for VTBizFile ONLY
EFT-2
Business Name
Federal ID Number
Mailing Address
City
State
ZIP
Contact Person Name
Telephone Number
E-mail address
Fax Number
Meals and Rooms
CHECK TAX TYPE
Sales and Use
(Check all that apply)
Withholding (Monthly and Quarterly filers only)
INSTRUCTIONS
When you use the ACH Credit payment option, you initiate the payment. You instruct your bank to withdraw the
amount of tax due for your VTBizFile payment from your account. Depending on your banking arrangements, your
bank may charge a fee. The VT Department of Taxes does not charge a fee for paying via ACH Credit.
Submit your completed enrollment form to the VT Department of Taxes via fax or mail. After your form has been
processed, the Department will provide you with the routing and banking numbers and the EFT codes. You will
need to take this information to your bank. Your bank will then complete a test transmission. After the successful
completion of the test transmission, you can begin using ACH Credit to pay your taxes through VTBizFile. Please
allow up to one week to complete the enrollment process.
REMINDER: This form should be used to enroll your company to use the ACH Credit payment option for
VTBizFile only. To register your company to use the ACH Debit payment option for VTBizFile, you must
complete the online registration form on the VTBizFile site.
SIGNATURE
I request authority to initiate ACH Credit electronic funds transfer to the State’s designated bank account. I understand these
transactions must conform to NACHA CCD+ format using the TXP convention, and that my bank may assess a transaction
charge to the transmission to file and remit my Vermont tax.
Signature
Title
Date
Mail to:
Vermont Department of Taxes
Fax to:
(802) 828-5787
EFT Coordinator
OR
Attn: EFT Coordinator
PO Box 547
Form EFT-2
Montpelier, VT 05601-0547
Rev. 8/08

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