Form 98in -115 - Amended Vt Income Tax Return - 1998
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2DEPT. OF TAXES, Montpelier, Vermont 05609-1401/(802) 828-2865
1 9 9 8
Amended VT Income Tax Return
or Fiscal Year ending _________ 19_____
Resident • Nonresident • Part Year Resident
Taxpayer’s Social Security Number
Check here if name or
address has changed
Taxpayer’s Last Name
First Name
Initial
Spouse’s Social Security Number
Spouse’s Last Name
First Name
Initial
Daytime Telephone Number
Mailing Address (Number and Street, including Rural Route)
Nighttime Telephone Number
City, Town, or Post Office
State
Zip Code
Are you filing this amended return because:
Are you filing based on:
a. The Vermont Department of Taxes has notified you that your
a. The filing of a federal amended return?
YES
NO
YES
NO
return will be audited?
b. Carry back of net operating loss or investment tax credit?
b. The Internal Revenue Service has corrected your federal
If yes, Year of Loss/Credit_________ Amount $________
YES
NO
return? If yes, attach a copy of changes from the Internal
Attach copies of Federal Form 1045 or 1040X and supporting
Revenue Service.
YES
NO
schedules.
Married
Married
Filing
Filing
Head of
Exemptions
Explain any change on page 2. (You cannot change from joint to separate return after
Single
Jointly
Separately Household
Claimed
due date has passed.)
On original return. .
Please follow line by line instructions for completion of this form
Note: Required substantiation & statute of limitations
On this return . . . . .
A.
B.
As originally reported or as adjusted
Correct Amount
(see specific instructions)
ADJUSTED GROSS INCOME (check box to indicate loss) . . . . . . .
TAXABLE INCOME (check box to indicate loss) . . . . . . . . . . . . . . . .
1. FEDERAL TAX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
1.
2. VERMONT TAX Line 1x _____% (see instructions) . . . . . . . .
2.
2.
%
%
3. INCOME ADJUSTMENT Attach Schedules (see instructions) .
3.
3.
4.
4.
4. ADJUSTED VERMONT TAX . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. ALLOWABLE CREDITS (see instructions) . . . . . . . . . . . . . . . . . .
5.
5.
6. TAX AFTER CREDITS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
6.
7.
7.
7. USE TAX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. TOTAL TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
8.
9. VERMONT CONTRIBUTIONS
VT Nongame Wildlife Fund. . . . . . . . . . . . . . . . . . . . . . . . . . .
VT Children’s Trust Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
VT Campaign Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. TOTAL TAX AND CONTRIBUTIONS DUE (Add Lines 8 & 9)
10.
10.
Form 98IN-115
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