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Important Printing Instructions
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Vermont Department of Taxes
133 State Street
Montpelier, VT 05633-1401
*14E011100*
Phone: (802) 828-6820
ESTATE TAX RETURN
VT Form
E-1
* 1 4 E 0 1 1 1 0 0 *
Resident and Nonresident
This form applies only to estates of decedents who died after December 31, 2008 and before January 1, 2016.
Last Name of Decedent
First Name
Initial
Social Security Number
State of Domicile at Time of Death
Date of Death
Fiduciary’s Name and Address
Attorney’s Name and Address
A. This section is for estates of Vermont Resident Decedents where all of the decedent’s property is
located in Vermont.
Estate Tax due from Schedule A, Line 6 on the back of this form. Please remit this amount. . . . . A.
B. This section is for estates of Vermont Resident Decedents where the decedent’s property is located in
Vermont and in other states. (Please use computation Schedule B on the back of this form.)
Estate Tax due from Schedule B, Line 8 on back of this form. Please remit this amount. . . . . . . . B.
C. This section is for estates of Nonresident Decedents where the decedent’s property is located in
Vermont and in other states. (Please use computation Schedule C on the back of this form.)
Estate Tax due from Schedule C, Line 13 on back of this form. Please remit this amount. . . . . . . C.
D. Prior tax payments to Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D. __________________
E. If Line D is greater than Line A, B, or C, subtract Line A, B, or C from Line D.
This is the amount to be refunded to you. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E. __________________
F. If Line D is less than Line A, B, or C, subtract Line D from Line A, B, or C.
This is the amount you owe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F. __________________
DECLARATION OF FIDUCIARY
I hereby certify this return is true, correct and complete to the best of my knowledge. Preparers cannot use return information for
purposes other than preparing returns.
Date
Telephone Number
SIGN
HERE
Check here if authorizing the VT Department of Taxes to discuss this return and attachments with your preparer.
Preparer’s
Date
Telephone Number
Preparer’s
signature
Use Only
Address
City, State, ZIP Code
Make checks payable to VERMONT DEPARTMENT OF TAXES and mail this form to:
Vermont Department of Taxes
133 State Street
Form E-1
Montpelier, VT 05633-1401
5454
Rev. 06/16