Form Fi-161 - Vermont Fiduciary Return Of Income

Form Fi-161 - Vermont Fiduciary Return Of Income - 2012 Page 6

SCHEDULE E. INCOME ADJUSTMENT CALCULATION

Nonresidents and Part-Year Residents must complete this section

INCOME

A. Federal Amount $

B. VT Portion $

51. Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.

52. Total ordinary dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52.

53. Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53.

54. Capital gain (or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54.

55. Rents, royalties, partnerships, S Corporations, LLCs, other estates

and trusts, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55.

56. Farm income (or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56.

57. Ordinary gain (or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57.

58. Other income (specify type of income) _______________________ . . . . . 58.

59. Total income (add Lines 51 through 58) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59.

60. Non-VT income (Column A, Line 59 less Column B, Line 59).

Enter here and on Schedule C, Line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.

Dates of VT residency in 2012: From: ________________________to: _______________________

Name of state(s), Canadian province or country during non-VT residency:

Form FI-161 , page 4

Rev. 11/12

Form Fi-161 - Vermont Fiduciary Return Of Income - 2012 Page 6