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