Vermont Department of Taxes
133 State Street
Montpelier, VT 05633-1401
*144031100*
Phone: (802) 828-5723
APPLICATION FOR EXTENSION OF
VT Form
* 1 4 4 0 3 1 1 0 0 *
TIME TO FILE VERMONT CORPORATE/
BA-403
BUSINESS INCOME TAX RETURNS
Entity Name
Federal ID Number
Address
Tax Year BEGIN date (YYYYMMDD)
Tax Year END date (YYYYMMDD)
City
State
ZIP Code
CONSOLIDATED OR GROUP RETURN TO BE FILED
(1120 series)
Foreign Country (if not United States)
COMPOSITE RETURN TO BE FILED (1120S or 1065)
Federal tax return to be filed (Check ONE)
990 or 1120 series (EXCEPT for 1120S)
1120S
1065 / 1065-B
• 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.
CALCULATION OF TAX DUE
Enter all amounts in whole dollars.
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. 10/14