Form In-151 - Application For Extension Of Time To File Form In-111 - Vt Individual Income Tax Return - 2011

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VT DEPARTMENT OF TAXES
*111511100*
PO Box 1779
Montpelier VT 05601-1779
(866) 828-2865 or (802) 828-2865
* 1 1 1 5 1 1 1 0 0 *
Application for Extension of Time
2011
FORM
IN-151
to File Form IN-111
VERMONT
VT Individual Income Tax Return
2011
Complete this application if you are unable to file your _________ Vermont Income Tax Return
April 17, 2012
before the due date of ______________________ .
Taxpayer’s Social Security Number
Spouse’s or CU Partner’s Social Security Number
-
-
-
-
Taxpayer’s Last Name
First Name
Initial
Spouse’s or CU Partner’s Last Name
First Name
Initial
Mailing Address (Number and Street, including Rural Route)
City, Town, or Post Office
State
Zip Code
2012
2011
I request an automatic six-month extension of time to October 15, ________ to file my ________ Vermont Income Tax Return.
NOTE: An extension of time to file the VT individual income tax return does NOT apply to Homestead Declaration
(Form HS-131), Property Tax Adjustment Claim (Form HS-145), or Renter Rebate Claim (Form PR-141).
These forms must be filed by their specific due dates.
TAX CALCULATION WORKSHEET
Use this worksheet to determine if you may owe tax.
Remember: 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 the original due date of the return to the date of payment.
,
,
.
2011
1. Estimated ________ individual income tax liability. . . . . . . .1.
(year)
,
,
.
2. Previous payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.
,
,
.
3. Amount of tax paid with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
PAYMENT OPTIONS
Filing by paper:
Make checks payable to Vermont Department of Taxes and mail with this form to the address above.
On-line payment: Go to VTPay on our website at to pay by credit card and select the “Estimated Payment”
option. (There is a convenience fee for payments over $200.)
5454
Form IN-151
Rev. 10/11

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