Form In-113 - Vt Income Adjustment Schedules - 2001
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2*011131100*
Income Adjustment Schedules
* 0 1 1 1 3 1 1 0 0 *
Nonresidents and Part-Year Residents Must Complete Schedules I and II
Full-Year Residents with Adjustments Complete Schedule II only
PRINT in BLUE or BLACK INK
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ATTACH COPY OF FEDERAL RETURN
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Be sure to put your name and Social Security number at the top of this page.
Attach copies of pages 1 and 2 of your federal tax return and these adjustment schedules to your Vermont return.
continued on back
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