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Form Ba-403 - Application For Extension Of Time To File Vermont Corporate/business Income Tax Return - 2002

*024031100*

Vermont Department of Taxes

109 State Street

Montpelier, VT 05609-1401

* 0 2 4 0 3 1 1 0 0 *

Application for Extension of Time to File

2002 VERMONT

Vermont Corporate/Business Income Tax Return

h File this application on or before the due date of the Vermont

PRINT OR TYPE COMPLETE NAME AND ADDRESS BELOW

Corporate Income Tax Return (Form CO-411) or Vermont Busi-

ness Income Tax Return (Form BI-471) if a tax payment is due or

if an extension of time to file with Vermont is being requested

without having a federal extension.

h An extension of time to file a federal return automatically extends

the time to file with Vermont. However, at least the minimum tax

is due on the original due date for an extension to be valid. In-

clude a photocopy of the federal extension request when filing

Check here if name or address has changed

the Vermont Corporate or Business Income tax return.

FOR PROPER CREDIT, INDICATE FEDERAL TAX RETURN TO BE FILED (CHECK BOX):

c 1120/1120A

c 1120S

c 1065/1065-B

c Other (specify) ______________

PAYMENTS CANNOT BE PROPERLY CREDITED WITHOUT THESE ENTRIES

TAXPAYER

Calendar year or fiscal year ending

Vermont Business Account Number

Federal ID Number

INFORMATION:

Y Y Y Y

M M

# # # # # #

X X

Calendar or

fiscal year ending

Month

Day

Year

Initial return

Final return

Change in accounting period

Other

0 0

1. Estimated tax liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.

0 0

2. Previous payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.

0 0

3. AMOUNT OF TAX DUE WITH THIS APPLICATION: Subtract Line 2 from Line 1 . . . . . 3.

Vermont Department of Taxes

Vermont Department of Taxes, 109 State Street, Montpelier, VT 05609-1401.

Signature of Officer or Agen

Date

Daytime telephone

May the Dept. of Taxes discuss this return

Sign

number (optional)

with the preparer shown?

Here

Yes

Date

Check if

Preparer’s Social Security No. or PTIN

Preparer’s

self-employed

Paid

signature

Preparer’s

EIN

Firm’s name (or yours

Use Only

if self-employed) and

Preparer’s Telephone number

address

Form BA-403

Form Ba-403 - Application For Extension Of Time To File Vermont Corporate/business Income Tax Return - 2002

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