Form Co-411-U - Vermont Combined Report For Unitary Group Page 2
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1
2*1241U1200*
Amount from Line 6 _____________________________
* 1 2 4 1 U 1 2 0 0 *
7. PAYMENTS
Estimated Payments . . . . . . . . . . . . . . . . . . . . . . . . . . _________________________________
Payment with Extension . . . . . . . . . . . . . . . . . . . . . . . _________________________________
Nonresident Estimated Payments (Form WH-435) . . _________________________________
Real Estate Withholding Payments (Form RW-171) . _________________________________
.
7a. Sum of payments above . . . . . . . . . . . . . . . . . . . . . . . 7a.
.
7b. Prior Year Overpayment Applied . . . . . . . . . . . . . . . .7b.
.
7c. Total Payments (Add Lines 7a and 7b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7c.
.
8. Balance Due. If Line 6 is more than Line 7c, subtract Line 7c from Line 6. . .8.
Make checks payable to VT DEPARTMENT OF TAXES
.
9. Overpayment. If Line 7c is more than Line 6, subtract Line 6 from Line 7c . .9.
.
10. Overpayment to be applied to next tax year . . . . . . . . . . . . 10.
.
11. Overpayment to be refunded (Subtract Line 10 from Line 9) . . . . . . . . . . . . .11.
I hereby certify that I am an officer or authorized agent responsible for the taxpayer’s compliance with the requirements of Title 32 of the Vermont Statutes and that this
return is true, correct and complete to the best of my knowledge. If prepared by a person other than the taxpayer, this declaration further provides that under 32 V.S.A.
§5901, this information has not been and will not be used for any other purpose, or made available to any other person, other than for the preparation of this return
unless a separate valid consent form is signed by the taxpayer and retained by the preparer.
Signature of Officer or Authorized Agent
Printed name
Date
Daytime telephone
May the Dept. of Taxes discuss this
number (optional)
return with the preparer shown?
(
)
Yes
No
Preparer’s
Date
Check if self-employed
signature
Paid
Preparer’s
Preparer’s Social
Preparer’s
Security No. or PTIN
printed name
Use Only
EIN
Firm’s name (or yours
if self-employed) and
Preparer’s Telephone Number
address
Form CO-411-U
For Unitary Filers ONLY
5454
Rev. 10/12
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Parent category: Financial