1 JANUARY $ 000096 $
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1st Quarter
1st Quarter 20
2 FEBRUARY $ 000096 $
3 MARCH $ 000096 $
above Deposit means deposit as defined in Title 12 Paragraph 204 204 2(a)(1) of the code of federal regulations
Address of Preparer
APRIL
AUGUST
Average Monthly Deposit
Average monthly deposit The average monthly deposit for any taxable month shall be determined by the deposits held
BANK FRANCHISE TAX RETURN
BFS x
BFT 1
City State ZIP Code
DECEMBER
Divide Total by 12 = (1) (2) (3)
FEBRUARY
Form BFT 1
I declare under the penalties of perjury this return is true correct and complete to the best of my knowledge
If prepared by a person other than the taxpayer his/her declaration further provides under 32 V S A 5901 5903
in Vermont by the corporation on the last business day of each of the 12 months directly preceding the taxable month for
INSTRUCTIONS
JANUARY
JANUARY 1 MARCH 31 20
JANUARY FEBRUARY MARCH
loan associations or building and loan associations A corporation is a bank if it accepts any deposits and makes any
loans whether or not it is defined as a bank for federal or state regulatory purposes
Mailing Address Is this a change of address?
MARCH
Month of
NOVEMBER
OCTOBER
other than for the preparation of this return unless a separate valid consent form is signed by the taxpayer and
Print or type complete bank name Federal ID Number
quarter of the corporation s taxable year under the Federal Internal Revenue Code for the three months of that quarter
Refer to 32 V S A 5836 for the exact wording of the statute If there are any questions please call (802) 828 6839
retained by the preparer
Rev 10/08
SEPTEMBER
Signature of Corporation Officer Title Date
Signature of Preparer Firm Name Date
TAX COMPUTATION SCHEDULE
Tax Credit $
Tax is payable quarterly to the commissioner not later than the 25th day of the month following the last day of each
Tax Rate Tax Due
The tax is due from all corporations operating as banks savings banks savings institutions trust companies savings and
this information has not been and will not be used for any other purpose or made available to any other person
TOTAL $
TOTAL 12 MO
TOTAL TAX DUE $
VERMONT
Vermont Department of Taxes PO Box 547 Montpelier VT 05601 0547 Phone: (802) 828 6839
VT SCHEDULE OF AVERAGE DEPOSITS
which the average monthly deposit is to be determined Divide these by 12 using VT Schedule of Average Deposits
Yes D