Vermont Department of Taxes     133 State Street     Montpelier, VT  05633-1401
Phone:  (802) 828-6880
   VT Form                                                                                          *201951100*
                        Application for Extension of Time  
                                                                                                    *201951100*
EST-195                 to File Vermont Estate Tax Return                                                                              Page 1

•  File this application on or before the due date of the Vermont Estate Tax Return.

•  With the filing of this application, you are granted an automatic six month extension of time to file the tax return.

Decedent’s Information
   Decedent’s Last Name                                   First Name                          Initial Decedent’s Social Security Number

   Domicile of Decedent - City                                       State ZIP Code                   Date of Death
                                                                                                              /        /

Executor’s Information
   Name of Executor                                                                                   Daytime Telephone Number
                                                                                                                                       FORM  (Place at FIRST page)
   Name of Application Filer (If other than the executor)                                             Estate Tax Return Due Date       Form pages 
                                                                                                              /        /
   Address of Executor (number, street, and room or suite number)

   City                                                                                       State   ZIP Code
                                                                                                                                       1 - 1

Payment to accompany extension request                                                        Enter all amounts in whole dollars.

1. Estimated tax liability   . . . . . . . . . . . . . . . .  . 1.  ________________________ .

2.  Previous payments  . . . . . . . . . . . . . . . . . . .  . 2.  ________________________ .

3. Amount of TAX DUE with this application (Subtract Line 2 from Line 1)  . . . . . . . .  .3.  ________________________ .

   Make check payable to VERMONT DEPARTMENT OF TAXES and mail it with this application to:
                                                          Vermont Department of Taxes
                                                                 133 State Street
                                                          Montpelier, VT  05633-1401

An extension of time to file a Vermont estate tax return does not extend the time for paying the tax.  Any tax due and unpaid by 
the original due date will bear interest and penalty at the statutory rate.  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         FORM  (Place at LAST page)
32 V .S .A . § 3108 .                                                                                                                  Form pages 

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                                                                                                      Form EST-195
5454                                                                                                          Rev. 11/20

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