Schedule Ba-410 - Vermont Corporate Income Tax Affiliation Schedule Page 2

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Name of Principal Vermont Corporation
*144101200*
Federal ID Number
* 1 4 4 1 0 1 2 0 0 *
Affiliate Name
Federal ID Number
Address
For Department Use Only
City
State
ZIP Code
Foreign Country (if not United States)
Affiliate Name
Federal ID Number
Address
For Department Use Only
City
State
ZIP Code
Foreign Country (if not United States)
Affiliate Name
Federal ID Number
Address
For Department Use Only
City
State
ZIP Code
Foreign Country (if not United States)
Affiliate Name
Federal ID Number
Address
For Department Use Only
City
State
ZIP Code
Foreign Country (if not United States)
Schedule BA-410
Attach additional pages, if necessary
Rev. 10/14

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