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4 Vermont Department of Taxes 4
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6 Schedule FIT-K-1VT-F *23K1F1100* 6
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Vermont Beneficiary Information *23K1F1100*
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9 for Fiduciaries Include with Form FIT-161 9
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11 Name of Estate or Trust FEIN Tax Year End Date (MM/DD/YYYY) 11
12 123456789012345678901234567890123456 123456789 MM / DD / YYYY 12
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14 HEADER INFORMATION - REQUIRED ITEMS 14
15 Entity Name FEIN 15
16 16
123456789012345678901234567890123456 123456789
17 OR Individual Last Name (Beneficiary) First Name Initial OR Social Security Number 17
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12345678901234567 12345678901234567 1 123456789
19 Address Recipient Type 19
20 123456789012345687901234567890123456 (I, C, S, L, P, X, or T) I 20
21 Address, Line 2 (if needed) Residency 21
Vermont
22 123456789012345678901234567890123456 Status X Resident XNonresident 22
23 City State ZIP Code or Postal Code 23
24 123456789012345678901 12 1234567890 X Check here if this your FINAL return 24
25 Foreign Country (if not United States) Percentage of Estate’s or Trust’s income or loss to this recipient. 25 FORM (Place at FIRST page)
26 12345678901234567890123456789012 Calculate percentage to two places to the right of the decimal point. 100.00 % 26 Form pages
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28 VERMONT RESIDENT BENEFICIARY 28
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123456789012 1. Beneficiary’s share of distributed net income allocated to Vermont . . . . . . . . . . . . . . . . . . . . . 1.. ______________________.00
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123456789012 2. Interest / dividends from obligations of other states . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.. ______________________.00 5 - 5
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123456789012 3. Interest / dividends from U .S . obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.. ______________________.00
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35 VERMONT NONRESIDENT BENEFICIARY 35
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123456789012 4a. Vermont Business Income . . . . . . . . . . . . . . . . . . . . 4a.. ______________________ .00
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123456789012 4b. Capital gain or loss allocated to Vermont . . . . . . . . 4b.. ______________________ .00
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123456789012 4c. Partnership, S Corporation, LLC . . . . . . . . . . . . . . . 4c.. ______________________ .00
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123456789012 4d. Rent, royalties, estates, trusts . . . . . . . . . . . . . . . . . . 4d.. ______________________ .00
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123456789012 4e. Farm income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4e. ______________________ .00
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123456789012 4f. Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4f. ______________________ .00
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123456789012 4g. Total nonresident income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4g.. ______________________.00
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50 PAYMENT INFORMATION 50
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123456789012 5. Total annual nonresident estimated payments allocated to this beneficiary . . . . . . . . . . . . . . . . 5.. ______________________.00
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123456789012 6. Total annual real estate withholding payments allocated to this beneficiary . . . . . . . . . . . . . . . .6. ______________________.00
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7. Other payments allocated to this beneficiary (1099 withholding, estimates paid) . . . . . . . . . . . . 7. ______________________.00 FORM
55 123456789012 55 (Place at LAST page)
56 56 Form pages
57 8. Share of total federal bonus depreciation difference . 57
123456789012Enter on Schedule IN-112, Line 4 or Line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.. ______________________.00
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123456789012 9. Share of total state and local taxes deducted on federal filing . . . . . . . . . . . . . . . . . . . . . . . . . . 9.. ______________________.00
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61 Schedule FIT-K-1VT-F 61
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62 Page 1 of 1 62
63 5454 Rev. 10/23 63
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