Schedule Fit-166 - Vermont Income Adjustments And Tax Computation For Fiduciaries - 2015 Page 2

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Name of Estate or Trust
*151661200*
Federal ID Number
* 1 5 1 6 6 1 2 0 0 *
PART III
INCOME ADJUSTMENT CALCULATION
Nonresidents and Part-Year Residents must complete this section.
Dates of VT residency in 2015
Name of state(s), Canadian province or
country during non-VT residency
From (MM DD YYYY)
To (MM DD YYYY)
(use standard 2-character abbreviation)
Column A
Column B
Federal Amount
VT Portion
1.
Interest income . . . . . . . . . . . . . . . . . . 1. ___________________________
1. ____________________________
2.
Total ordinary dividends . . . . . . . . . . 2. ___________________________
2. ____________________________
Check to
Check to
ç indicate
ç indicate
3.
Business income or (loss)
3. ___________________________
3. ____________________________
loss
loss
Check to
Check to
ç indicate
ç indicate
4.
Capital gain (or loss) . . . .
4. ___________________________
4. ____________________________
loss
loss
5.
Rents, royalties, partnerships,
S Corporations, LLCs,
other estates and
Check to
Check to
ç indicate
ç indicate
trusts, etc . . . . . . . . . . . . . .
5. ___________________________
5. ____________________________
loss
loss
Check to
Check to
ç indicate
ç indicate
6.
Farm income (or loss) . . .
6. ___________________________
6. ____________________________
loss
loss
Check to
Check to
ç indicate
ç indicate
7.
Ordinary gain (or loss) . . .
7. ___________________________
7. ____________________________
loss
loss
8.
Other income (specify
type of income)
Check to
Check to
ç indicate
ç indicate
_____________ . . . . . . . .
8. ___________________________
8. ____________________________
loss
loss
9.
Total income
Check to
Check to
ç indicate
ç indicate
(add Lines 1 through 8) . .
9. ___________________________
9. ____________________________
loss
loss
10.
Adjustment percentage . Divide Line 9b by Line 9a . Express as a percentage,
%
with 2 digits to the right of the decimal . Enter here and on Form FIT-161, Line 10 . . . . . 10. ____________________________
Schedule FIT-166
(Formerly FI-161, Schedules A, B, C, and E)
Page 2 of 2
Rev. 10/15
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