Schedule In-112 - Vermont Tax Adjustments And Credits - 2017 Page 2

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*171121200*
Taxpayer’s Last Name
Social Security Number
* 1 7 1 1 2 1 2 0 0 *
PART III
VERMONT EARNED INCOME TAX CREDIT
For FULL-YEAR residents and PART-YEAR residents
ELIGIBILITY QUESTIONS MUST BE ANSWERED
A. Enter number of qualifying children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A._____
B. Enter number of qualifying children under the age of 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B._____
C. Were you (or your spouse if filing a joint return) at least age 25 but under age 65 at the end of 2017? . . . . . . . . . . . . . . .
Yes
No
c
c
If you answered “No” and do not have any qualifying children, you do not qualify for Earned Income Tax Credit.
FULL-YEAR RESIDENTS:
Answer eligibility questions above and complete Lines 1 and 2
.0 0
1. Earned income tax credit from Federal Form 1040-Line 66a; 1040A-Line 42a; or 1040EZ-Line 8a . . . . . . . . . . . . . . . . .1.____________________
.0 0
2. Vermont Earned Income Tax Credit (Multiply Line 1 by 32%) . Enter amount on Form IN -111, Line 31c . . . . . è 2.____________________
PART-YEAR RESIDENTS:
Answer eligibility questions above and complete Lines 3- 9
For VT Portion, enter income earned while
Enter figures in Column A from your federal
a VT resident as shown on Schedule
EIC worksheet and Schedule IN-113.
IN-113, Column B, Lines 1, 6, 10, & 12.
A. Federal Amount $
B. VT Portion $
.0 0
.0 0
3. Wages, salaries, tips, etc . (Schedule IN-113, Line 1) . . . . . . . 3. ______________________
3. ______________________
4. Other earned income (Schedule IN-113,
Check to
Check to
.0 0
.0 0
ç indicate
ç indicate
Lines 6, 10 & 12) . . . . . . . . . . . . . . . . . . . . . . . .
4. ______________________
4. ______________________
loss
loss
.0 0
.0 0
5. Total earned income (Add Lines 3 & 4) . . . . . . . . . . . . . . . . 5. ______________________
5. ______________________
%
.
6. Earned income tax credit adjustment (Divide Line 5B by Line 5A and enter here, but not more than 100%) . . . . . . . . . . . . 6. ________________
7. Earned income tax credit from Federal Form 1040-Line 66a;
.0 0
1040A-Line 42a; or, 1040EZ-Line 8a . . . . . . . . . . . . . . . . . . . 7. ______________________
.0 0
8. Multiply Line 7 by 32% and enter the result here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.____________________
.0 0
9. Vermont Earned Income Tax Credit (Multiply Line 8 by Line 6 .) Enter amount on Form IN -111, Line 31c . . . . .è 9.____________________
PART IV
VERMONT INCOME TAX CREDITS
Credits for Lines 2-4 earned through an S-Corporation, LLC, LLP, or Partnership, enter name and FEIN of the entity .
Name of
entity ____________________________________________________
FEIN: ______________________
If credits from more than one business entity, fill out a separate Schedule IN-112, Part IV for each entity .
Column C
2017 Contribution
eligible for credit
Credit
1. Vermont Higher Education Investment
TIMES (x) .10
=
.0 0
.0 0
(32 V .S .A . § 5825a) See instructions . . . . . . . . . . 1. ________________________
______________________
Column A
PLUS (+)
Column B
EQUALS (=)
Column C
Earned in 2017
Carryforward
.0 0
.0 0
.0 0
2. Charitable Housing (32 V .S .A . § 5830c) . . . . . . . 2. ________________________
_______________________
______________________
3. Qualified Sale of Mobile Home Park
.0 0
.0 0
.0 0
(32 V .S .A . §5828) . . . . . . . . . . . . . . . . . . . . . . . . . 3. ________________________
_______________________
______________________
.0 0
.0 0
.0 0
4. Research & Development (32 V .S .A . § 5930ii) . . 4. ________________________
_______________________
______________________
5. Total Credits (Add Column C, Lines 1-4) . If you have credits from Schedule IN-119 (see instructions), this
amount is entered on Schedule IN-119 . If you do NOT have credits from Schedule IN-119, enter this amount
.0 0
on Form IN-111, Line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. ______________________
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Schedule IN-112, page 2 of 2

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