Tax Declaration For Broker-Dealer Agents And Investment Adviser Representatives - Vermont Department Of Financial Regulation
Download a blank fillable Tax Declaration For Broker-Dealer Agents And Investment Adviser Representatives - Vermont Department Of Financial Regulation in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Tax Declaration For Broker-Dealer Agents And Investment Adviser Representatives - Vermont Department Of Financial Regulation with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1DEPARTMENT OF FINANCIAL REGULATION
SECURITIES DIVISION
TAX DECLARATION FOR BROKER-DEALER AGENTS AND INVESTMENT ADVISER REPRESENTATIVES
Vermont Law requires that a professional license, which includes registration as a BROKER-DEALER
AGENT and registration as an INVESTMENT ADVISER REPRESENTATIVE, shall not be issued or renewed
unless the licensed individual declares, under pains and penalties of perjury, that he or she is in good
standing with respect to any and all taxes payable under Vermont law. “Good standing” means that (i)
no Vermont state taxes are due and payable and all returns have been filed; (ii) the tax liability is on
appeal; (iii) the taxpayer is in compliance with a payment plan approved by the Commissioner of Taxes;
or (iv) the licensing authority determines that immediate payment of taxes would impose an
unreasonable hardship. If the agency finds unreasonable hardship, it may condition renewal of
registration on terms which will place the person in good standing as soon as reasonably possible. The
maximum penalty for perjury is up to fifteen years in prison, a $10,000 fine, or both. (See 32 V.S.A. §
3113)
I hereby declare, under the pains and penalties of perjury, that I am in good standing (as defined above)
with respect to or in full compliance with a plan to pay, any and all taxes due under Vermont law as of
the date of this declaration.
Please complete the form online, print, and then sign. Incomplete forms will not be accepted and will,
at the very least, delay the processing of your filing. Completed forms can be faxed to (802) 828-2896.
Date ___________________
Name ___________________________________________________
SS# ___________________
Signature _________________________________________________
Home Address _______________________________________________________________________
City ____________________________ State _______________________ Zip ____________________
Name of Affiliated Investment
Adviser of Broker-Dealer, as applicable: ___________________________________________________________
VT Office Address _____________________________________________________________________
City ________________________________________________ State ___________ Zip ____________
Primary Phone ___________________________ Alternate Phone _____________________
PLEASE NOTE: If you are not presently in good standing with the Vermont Department of Taxes you may contact
them at 802-828-2518. This form may be duplicated as needed.
Department of Financial Regulation-89 Main Street., Montpelier, VT 05620-3101
Revised May 2012
ADVERTISEMENT
0 votes
Related Articles
Related forms
Child Support Certification Form And Tax Declaration For Broker-dealer Agents And Investment Adviser Representatives - Vermont Department Of Banking
Instructions For Form Bi-473 - Business Partnership/llc Schedule - Vermont Department Of Taxes
Financial
Form Dfi/corpsp-48 - Certificate Of Status And Certified Copy Order - Wisconsin Department Of Financial Institutions
Financial
Form Fda 2877 - Declaration For Imported Electronic Products Subject To Radiation Control Standards - Department Of Health And Human Services
Legal
Application For A Real Estate Tax Credit For Active Duty Reserve And National Guard Members Form - City Of Philadelphia Department Of Revenue - 2011
Financial
Instructions For Rct-112 - Gross Receipts Tax (grt) Report - Electric, Hydro-electric And Water Power Companies - Pennsylvania Department Of Revenue
Financial
Request For Wic Therapeutic Products And Supplemental Foods Form - Tennessee Department Of Health
Legal
Related Categories
Parent category: Financial