Vermont Department of Taxes 

              Form FIT-165
                                                                                             *211651100*
 Vermont Fiduciary Estimated Tax  
                                                                                             *211651100*                                           Page 1
              Payment Voucher
                                                                                             Please PRINT in BLUE or BLACK INK

                                          Name of Estate or Trust                                                            FEIN

                                          Name of Fiduciary                                                               Title of Fiduciary 

         Mailing Address of Fiduciary (Number and Street/Road or PO Box)          Tax year BEGIN date (MMDDYYYY) Tax year END date (MMDDYYYY)
                                                                                             /        /                   /        /
              Additional Line for Mailing Address of Fiduciary, if needed         Check ONE
                                                                                  Estate        Revocable      Bankruptcy Grantor     Irrevocable 
                                                                                                Trust          Estate     Trust       Trust
              City                        State                           ZIP Code
                                                                                  Amount of  
                     Foreign Country                                              this payment  .................. ____________________________ .00

                                                                                                                                                   FORM  (Place at FIRST page)
                     MAIL THIS VOUCHER AND YOUR PAYMENT, ON OR BEFORE THE DUE DATE, TO THE ADDRESS BELOW.
                                                                                                                                                   Form pages 

                                                                                                                          Form FIT-165
                                                                                    For Department Use Only
                                                                                                                          Page 1 of 1
                                                                                    Ck. Amt.              Init.
         5454                                                                                                             Rev. 10/21               1 - 1

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                                     FORM FIT-165 Instructions
              Vermont Fiduciary Estimated Tax Payment Voucher

                                                                                                               Payment Dates*
Estimated payments are required for estates and trusts.  This voucher 
                                                                                                        1st payment ......APR 15
is provided for you to pay estimated payments toward your fiduciary tax 
liability.  Please complete the coupon above with all information on the estate                         2nd payment .....JUN 15
or trust including the Federal ID Number, and send it to the address below.                             3rd payment ......SEP 15
                                                                                                        4th payment ......JAN 15
                                                                                                *If the due date falls on a weekend or a 
                                                                                                holiday, the payment and voucher are due 
                                                                                                the next business day.

         Mail payment voucher to:                                                                                                                  FORM  (Place at LAST page)
                                                                                                                                                   Form pages 
         Taxpayer Services Division-Income Tax                            Email:    tax.estate@vermont.gov
         Vermont Department of Taxes                                      Telephone: (802) 828-6820
         PO Box 1700                                                      Fax:      (802) 828-2720
         Montpelier, VT  05601-1700
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                                                                                                          Form FIT-165 Instructions
                                                                                                                          Rev. 10/23