Vt Form Fit-963 - Fuduciary Income Tax Return Payment Voucher

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Vermont Department of Taxes
PO Box 1700
Montpelier, VT 05601-1700
*159631100*
Phone: (802) 828-6820
FIDUCIARY INCOME TAX RETURN
VT Form
* 1 5 9 6 3 1 1 0 0 *
FIT-963
PAYMENT VOUCHER
USE THIS FORM IF NOT SUBMITTING PAYMENT ELECTRONICALLY.
If you filed electronically, DO NOT include a copy of that return with this payment.
Name of Taxpayer (Individual or Entity)
Letter ID
Mailing Address of Taxpayer (Number and Street/Road or PO Box)
Account Type
Additional Line for Mailing Address of Taxpayer, if needed
Voucher Type
City
State
ZIP Code
ID Type
ID Number
Foreign Country (if not United States)
Period Ending
For Department Use Only
Amount Due
Amount of this payment (Use WHOLE DOLLARS) If “$0”, DO NOT file . . . . . . . . $ _____________________________ . ____
Form FIT-963
5454
10/15
This lower portion of the page (below perf line) can be used to print
instructions for taxpayer and can be specific to the tax type.

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