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4 Vermont Department of Taxes 4
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6 Form BA-403 *234031100* 6
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8 Application for Extension of Time to File *234031100* 8
9 Vermont Corporate/Business Income Tax Returns 9 Page 1
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11 • File this application on or before the due date of the Vermont Corporate Income Tax Return (Form CO-411) or Vermont 11
12 Business Income Tax Return (Form BI-471 or Form BI-476). 12
13 13
14 • An extension of time to file a federal return automatically extends the time to file with Vermont until 30 days beyond the 14
15 federal extension date . However, tax is due on the original due date . 15
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17 • For businesses filing a Vermont Consolidated or Unitary Group return, the extension, payments and return must be 17
18 submitted by the Vermont Parent or Principal Vermont Corporation (PVC), respectively, using their name and Federal 18
19 Employee Identification Number. The Parent or PVC must have nexus in Vermont. 19
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21 Entity Name (Principal Vermont Corporation) FEIN 21
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12345678901234567890123456789012(36) 123456789
23 Address Tax year BEGIN date (YYYYMMDD) Tax year END date (YYYYMMDD) 23
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12345678901234567890123456789012(36) 20230101 20231231
25 Address (Line 2) 25
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27 12345678901234567890123456789012(36) City State ZIP Code CONSOLIDATED OR GROUP RETURN TO BE FILED 27
X (1120 series)
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29 Foreign12345678901234567(21) Country 12 1234567890 COMPOSITE RETURN TO BE FILED 29
X (1120S or 1065)
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12345678901234567890123456789012(36)
31 Federal tax return to be filed 31
(EXCEPT for 1120S)
32 (Check one box) X 990 or 1120 series X 1120S X 1065/1065-B 32
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CALCULATION OF TAX DUE Enter all amounts in whole dollars.
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37 1234567890123451. Estimated tax liability . . . . . . . . . . . . . . . . . . . . 1. . _____________________.00 37
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39 1234567890123452. Previous payments . . . . . . . . . . . . . . . . . . . . . . . .2. _____________________.00 39
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41 3. Amount of tax due with this application. 41
42 Line 1 minus Line 2 . Do not enter negative value . 42
43 123456789012345 Make check payable toVermont Department of Taxes. . . . . . . . . . . . 3. . . ____________________. . . .00 43
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48 An extension of time to file a Vermont corporate or business income tax return does not extend the time for paying the tax. 48
49 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, 49
50 up to a maximum of 25%. Returns filed after the due date without an authorized extension are subject to a late filing fee. The 50
51 interest rate is set annually by the Commissioner of Taxes under 32 V.S.A. § 3108. 51
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54 Mail to: 54
55 Vermont Department of Taxes 55
56 133 State Street 56
57 Montpelier, VT 05633-1401 57
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61 For Department Use Only 61
Form BA-403
62 Ck. Amt. Init. Page 1 of 1 62
63 5454 Rev. 10/23 63
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