Vt Form In-151 - Application For Extension Of Time To File Form In-111 Vermont Individual Income Tax Return

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Vermont Department of Taxes
*141511100*
PO Box 1779
Montpelier, VT 05601-1779
Phone: (866) 828-2865 toll-free in Vermont or (802) 828-2865
* 1 4 1 5 1 1 1 0 0 *
Application for
VT Form
EXTENSION OF TIME TO FILE FORM IN-111
IN-151
Vermont Individual Income Tax Return
Complete this application by April 15 of the current year if you are unable to file your Vermont Income Tax
Return before the due date of April 15. By completing this application you are requesting an automatic six-month
extension of time to file.
NOTE: This extension does NOT apply to the Homestead Declaration OR Property Tax
Adjustment Claim. Form HS-122 is due April 15 of the current year. Late filed Homesteads
will be charged a late filing penalty up to 8% of the corrected education tax.
Taxpayer’s Last Name
First Name
Initial
Taxpayer’s Social Security Number
Spouse or CU Partner Last Name
First Name
Initial
Spouse or CU Partner Social Security Number
Mailing Address (Number and Street, including Rural Route)
City, Town, or Post Office
State
ZIP Code
-
TAX CALCULATION WORKSHEET
Use this worksheet to determine if you may owe Vermont tax.
An extension only allows additional time to file the Vermont income tax return and avoids a late filing penalty. If tax
is due, interest and late payment penalty accrue from April 16 of the current year to the date of payment.
1. Estimated individual income tax liability. . . . . . . . .1. _________________________
2. Previous payments. . . . . . . . . . . . . . . . . . . . . . . . . .2. _________________________
3. Amount of tax paid with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. _________________________
VERMONT PAYMENT OPTION
Filing by paper: Make checks payable to Vermont Department of Taxes and mail with this form to the address above.
Clear ALL fields
Important Printing Instructions
Save and Print
5454
Form IN-151
Rev. 01/15

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