Form In-111 - Vermont Income Tax Return - 2014 Page 2

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*141111200*
Keep a copy for your records.
Form IN-111, page 2 of 2
Enter amount from Line 22 ______________________________
* 1 4 1 1 1 1 2 0 0 *
5
.0 0
.0 0
.0 0
+
=
23. _____________________________________
24._____________________________________
25. _____________________________________
CREDIT FOR INCOME TAX PAID TO OTHER
VT TAX CREDITS (Schedule IN-112,
TOTAL VT CREDITS
STATE OR CANADIAN PROVINCE
Part IV, Line 6 OR Schedule IN-119)
(Add Lines 23 and 24)
(Schedule IN-117, Line 21)
.0 0
26.
VT INCOME TAX AFTER CREDITS (Subtract Line 25 from Line 22. If Line 25 is more than Line 22, enter zero.) . 26._______________________________________
.0 0
27. USE TAX (See page 8 for instructions and chart) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. _____________________________________
Check here to certify that no Use Tax is due
.0 0
28. TOTAL VT TAXES (Add Lines 26 and 27) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. _____________________________________
6
Nongame Wildlife Fund
Children’s Trust Fund
VT Veterans’ Fund
.0 0
.0 0
.0 0
.0 0
=
.0 0
+
+
+
29a. _______________
29b. _______________
29c._______________
29d. _______________
29e._________________
.0 0
30. TOTAL OF VT TAXES & VOLUNTARY CONTRIBUTIONS (Add Lines 28 and 29e). . . . . . . . . . . . . . . . . . 30. _____________________________________
7
.0 0
31a. From W-2, 1099, etc. VT Tax Withheld. . . . . . . . . . . . . . . . . .31a.__________________________________
31b. From VT Form IN-114 Estimated Tax for 2014 and/or
.0 0
Form IN-151, Extension with payment . . . . . . . . . . . . . . . . . 31b.__________________________________
.0 0
31c. Earned Income Tax Credit (Schedule IN-112, Part III) . . . . .31c.__________________________________
.0 0
31d. Renter Rebate (Form PR-141, Line 9) . . . . . . . . . . . . . . . . . . 31d.__________________________________
31e. From VT Form RW-171 VT Real Estate Withholding (see
.0 0
instructions on page 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31e.__________________________________
31f. From VT Form WH-435 Estimated Income Tax Payment
made by Business Entity for Nonresident Partner,
.0 0
Member, or Shareholder (see page 9) . . . . . . . . . . . . . . . . . . . 31f.__________________________________
31g. Low Income Child & Dependent Care Credit
.0 0
(See instructions on page 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . .31g.__________________________________
.0 0
31h. TOTAL PAYMENTS AND CREDITS (Add Lines 31a through 31g) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31h. _____________________________________
8
.0 0
32. OVERPAYMENT If Line 30 is less than Line 31h, subtract Line 30 from Line 31h . . . . . . . . . . . . . . . . . . . . . . 32. _____________________________________
33a. REFUND TO BE CREDITED TO 2015 ESTIMATED TAX PAYMENT
.0 0
Amount on 31d cannot be credited to 2015 estimated tax payment . . . . . . . 33a. _________________________________
.0 0
33b. REFUND TO BE CREDITED TO 2015 PROPERTY TAX BILL . 33b. _________________________________
.0 0
34. REFUND AMOUNT (Subtract Lines 33a and 33b from Line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34. _____________________________________
9
.0 0
35. If Line 30 is more than Line 31h, subtract Line 31h from Line 30. See page 9 for instructions on tax due.. . . . . . . 35. _____________________________________
37. Add Lines 35
Interest and Penalty on Underpayment of
.0 0
.0 0
36. ________________________________
and 36 . . . . . . . 37. _______________________________________
Estimated Tax (Worksheet IN-152 or 152A)
For amended
returns only
Original refund received ___________
Refund due now _______________
Original payment _____________
Amount due now ____________
10
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct and complete. Preparers cannot use return information for purposes other than preparing returns.
Signature
Date
Occupation
Check if age
Telephone Number
65 or older
Signature. If a joint return, BOTH must sign.
Date
Occupation
Check here if authorizing the VT Department of Taxes to discuss this return and attachments with your preparer.
Preparer’s signature
Date
Preparer’s
SSN or
Preparer’s
PTIN
Use Only
Firm’s name (or yours if self-employed) and address
EIN
Preparer’s Telephone Number
5432
To claim refund, mail to:
With payment, mail to:
Form IN-111
VT Department of Taxes, PO Box 1881, Montpelier, VT 05601-1881
VT Department of Taxes, PO Box 1779, Montpelier, VT 05601-1779

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