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

*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):

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

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

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