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

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*124031100*
VT Department of Taxes
Ph: (802) 828-5723
133 State Street
Montpelier, VT 05633-1401
* 1 2 4 0 3 1 1 0 0 *
Application for Extension of Time to File
FORM
VERMONT
Vermont Corporate/Business
BA-403
Income Tax Returns
PRINT OR TYPE COMPLETE NAME AND ADDRESS BELOW
Entity Name
Address
Check here if this is an
City
State
ZIP Code
INTERNATIONAL
address
• File this application on or before the due date of the Vermont Corporate Income Tax Return or Vermont Business Income Tax Return.
• An extension of time to file a Federal return automatically extends the time to file with Vermont until 30 days beyond the Federal
extension date. However, tax is due on the original due date.
• For businesses filing a Vermont Consolidated or Unitary Group return, the extension, payments and return must be submitted by the
Vermont Parent or Principal Vermont Corporation, respectively, using their name and FEIN. The Parent or PVC must have nexus in
Vermont.
REQUIRED ENTRIES
INDICATE FEDERAL TAX RETURN
 990 or 1120 series (EXCEPT FOR 1120S)
 1120S
 1065/1065-B
TO BE FILED (CHECK BOX):
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Federal ID Number
TAXPAYER
INFORMATION:
Tax Year END date
Tax Year BEGIN date
CONSOLIDATED OR GROUP RETURN TO BE FILED (1120 series)
COMPOSITE RETURN TO BE FILED (1120S or 1065)
Enter all amounts in whole dollars.
CALCULATION OF TAX DUE
.
1. Estimated tax liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.
.
2. Previous payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.
3. AMOUNT OF TAX DUE WITH THIS APPLICATION
.
Subtract Line 2 from Line 1. (Do not enter negative value) . . . . . . . . .3.
Make check payable to Vermont Department of Taxes and mail it with this application to:
VT Department of Taxes
133 State Street
Montpelier, VT 05633-1401
An extension of time to file a Vermont corporate or business income tax return does not extend the time for paying the tax.
Any tax due and unpaid by the original due date will bear interest at the statutory rate, and a penalty of 1% or 5% per month,
up to a maximum of 25%. Returns filed after the due date without an authorized extension are subject to a late filing fee.
The interest rate is set annually by the Commissioner of Taxes in accordance with 32 V.S.A. §3108.
Form BA-403
5454
Rev. 10/12

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