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Important Printing Instructions
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VT DeparTmenT of Taxes
*131511100*
po Box 1779
montpelier VT 05601-1779
(866) 828-2865 or (802) 828-2865
* 1 3 1 5 1 1 1 0 0 *
2013
Application for Extension of Time
form
IN-151
to File Form IN-111
VermonT
VT Individual Income Tax Return
Complete this application by April 15, 2014 if you are unable to file your Vermont Income Tax Return before the due date of April 15, 2014. By
completing this application you are requesting and automatic six-month extension of time to file.
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
-
This extension does NOT apply to the 2014 Homestead Declaration and Property Tax Adjustment Claim.
Form HS-122 is Due April 15, 2014. Late filed Homesteads will be charged a late filing penalty equal
NOTE:
to 3% or 8% of the corrected education tax.
TAX CALCULATION WORKSHEET
Use this worksheet to determine if you may owe VT 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, 2014 to the date of payment.
1. Estimated 2013 individual income tax liability. . . . . . . . 1. ____________________________
2. Previous payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. ____________________________
3. Amount of tax paid with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. ____________________________
VT PAYMENT OPTION
Filing by paper:
Make checks payable to Vermont Department of Taxes and mail with this form to the address above.
Form IN-151
5454
rev. 01/14